ArticleBMC public health2012
The cost of child health inequalities in Aotearoa New Zealand: a preliminary scoping study.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Mortality risk among Autistic children and young people: A nationwide birth cohort study.Autism : the international journal of research and practice · 2024Article
- Harti Hauora Tamariki: randomised controlled trial protocol for an opportunistic, holistic and family centred approach to improving outcomes for hospitalised children and their families in Aotearoa, New Zealand.Frontiers in pediatrics · 2024Article
- "The Lancet regional health. Western Pacific · 2023Article
- Economic Evaluation of the Community Benefit of the Australian Pregnancy Register of Antiseizure Medications.Neurology · 2023Observational
- Deprivation trends in potentially avoidable medical hospitalisations of under-25-year-old Māori and non-Māori non-Pacific in Aotearoa New Zealand: a 20-year perspective.Journal of the Royal Society of New Zealand · 2023Article
- Oesophageal and Gastric Cancer After Bariatric Surgery: an Up-to-Date Systematic Scoping Review of Literature of 324 Cases.Obesity surgery · 2022Article
- Estimating the economic costs of Indigenous health inequities in New Zealand: a retrospective cohort analysis.BMJ open · 2022Article
- Trends in deprivation in hospitalisations of Indigenous children and young people in Aotearoa New Zealand.Journal of paediatrics and child health · 2022Article
- Article
- The Waitangi Tribunal's WAI 2575 Report: Implications for Decolonizing Health Systems.Health and human rights · 2020Article
- Does potentially inappropriate prescribing predict an increased risk of admission to hospital and mortality? A longitudinal study of the 'oldest old'.BMC geriatrics · 2020Article
- Feasibility study assessing equitable delivery of newborn pulse oximetry screening in New Zealand's midwifery-led maternity setting.BMJ open · 2019Article
- Lessons for achieving health equity comparing Aotearoa/New Zealand and the United States.Health policy (Amsterdam, Netherlands) · 2018Review
- Observational
- Social and economic determinants of pediatric health inequalities: the model of chronic kidney disease.Pediatric research · 2016Review
- Does a pay-for-performance program for primary care physicians alleviate health inequity in childhood vaccination rates?International journal for equity in health · 2015Article
- Psychotherapy Interventions for Managing Anxiety and Depressive Symptoms in Adult Brain Tumor Patients: A Scoping Review.Frontiers in oncology · 2015Article
- Data resource profile: Pathways to Health and Social Equity for Children (PATHS Equity for Children).International journal of epidemiology · 2014Article
- Tackling ethnic variations in asthma outcomes in New Zealand's Mãori and Pacific children will need a long-term strategy.Primary care respiratory journal : journal of the General Practice Airways Group · 2013Article
- Wāhine hauora: linking local hospital and national health information datasets to explore maternal risk factors and obstetric outcomes of New Zealand Māori and non-Māori women in relation to infant respiratory admissions and timely immunisations.BMC pregnancy and childbirth · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth inequalities have been extensively documented, internationally and in New Zealand. The cost of reducing health inequities is often perceived as high; however, recent international studies suggest the cost of "doing nothing" is itself significant. This study aimed to develop a preliminary estimate of the economic cost of health inequities between Māori (indigenous) and non-Māori children in New Zealand.
methodsStandard quantitative epidemiological methods and "cost of illness" methodology were employed, within a Kaupapa Māori theoretical framework. Data were obtained from national data collections held by the New Zealand Health Information Service and other health sector agencies.
resultsPreliminary estimates suggest child health inequities between Māori and non-Māori in New Zealand are cost-saving to the health sector. However the societal costs are significant. A conservative "base case" scenario estimate is over $NZ62 million per year, while alternative costing methods yield larger costs of nearly $NZ200 million per annum. The total cost estimate is highly sensitive to the costing method used and Value of Statistical Life applied, as the cost of potentially avoidable deaths of Māori children is the major contributor to this estimate.
conclusionsThis preliminary study suggests that health sector spending is skewed towards non-Māori children despite evidence of greater Māori need. Persistent child health inequities result in significant societal economic costs. Eliminating child health inequities, particularly in primary care access, could result in significant economic benefits for New Zealand. However, there are conceptual, ethical and methodological challenges in estimating the economic cost of child health inequities. Re-thinking of traditional economic frameworks and development of more appropriate methodologies is required.
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