Is there equity of patient health outcomes across models of general practice in Aotearoa New Zealand? A national cross-sectional study.

ABSTRACT: Primary care in Aotearoa New Zealand is largely delivered by general practices, heavily subsidised by government. Te Tiriti o Waitangi (1840) guarantees equal health outcomes for Māori and non-Māori, but differences are stark and longstanding. Seven models of primary care have evolved. We hypothesised that patient health outcomes would differ between models of care; and that Māori, Pacific peoples and those living in material deprivation would have poorer outcomes from primary care. We conducted a cross-sectional study of patient-level data from national datasets and practices, at 30 September 2018, using multilevel mixed effects regression analyses (patients clustered within practices). Primary outcomes, considered to be measures of unmet need for primary care, were polypharmacy (≥ 65 yea

SUBMITTER: Sheridan N 

PROVIDER: S-EPMC10157126 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature