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Evidence to guide investment in a model of primary care for all

Edited by Nicolette Sheridan, Tim Kenealy, Tom Love

New Zealand’s health services continue to see persistent inequity in health outcomes. This applies particularly for Māori, the indigenous population of New Zealand. The challenge of addressing inequity in health outcomes is a central concern for New Zealand policymakers. 

This series explores which models of primary care in New Zealand deliver better and more equitable health outcomes for patients. We considered a range of models including traditional general practice (family practice), a patient-centered medical home, and models from practices owned by corporate entities, by indigenous Māori primary care organisations, or Pacific or non-governmental primary care organisations. These articles draw upon a national scale research project that measured associations between practice characteristics and patient outcomes. A minimum dataset was available for every patient and every primary care practice in the country (population approximately 5 million), with more detailed information available from half of the general practices in New Zealand (population approximately 3 million). Complementary qualitative data were collected from health sector, practice and patient interviews. Qualitative data collected before the COVID-19 pandemic and after the initial response to the pandemic sheds light on changes that emerged during the primary care response. 

Papers have been selected based on scientific merit. The papers selected for this series address a number of complementary aspects of primary care’s impact on equitable health outcomes for New Zealanders. This collection of manuscripts has not been sponsored and will undergo the Journal’s standard peer review process. 

The Guest Editors declare no competing interests.

  1. Māori are over-represented in Aotearoa New Zealand morbidity and mortality statistics. Other populations with high health needs include Pacific peoples and those living with material deprivation. General pract...

    Authors: Nicolette Sheridan, Karen Hoare, Jenny Carryer, Jane Mills, Sarah Hewitt, Tom Love and Timothy Kenealy
    Citation: International Journal for Equity in Health 2024 23:198
  2. For more than a century, Māori have experienced poorer health than non-Māori. In 2019 an independent Tribunal found the Government had breached Te Tiriti o Waitangi by “failing to design and administer the cur...

    Authors: Nicolette Sheridan, Rawiri McKree Jansen, Matire Harwood, Tom Love and Timothy Kenealy
    Citation: International Journal for Equity in Health 2024 23:42
  3. 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 diffe...

    Authors: Nicolette Sheridan, Tom Love and Timothy Kenealy
    Citation: International Journal for Equity in Health 2023 22:79
  4. The self-rated health of older adults (SHOA) plays an important role in enhancing their medical service utilization and quality of life. However, the determinants and magnitude variations in SHOA at the family...

    Authors: Weicun Ren, Yiqing Xing, Clifford Silver Tarimo, Ruibo He and Zhang Liang
    Citation: International Journal for Equity in Health 2023 22:72
  5. Many syphilis infected pregnant women do not receive treatment, representing a major missed opportunity to reduce the risk of syphilis-related adverse pregnancy outcomes. This study explored correlates of trea...

    Authors: Huihui Liu, Niannian Chen, Weiming Tang, Songying Shen, Jia Yu, Huiyun Xiao, Xingwen Zou, Jianrong He, Joseph D. Tucker and Xiu Qiu
    Citation: International Journal for Equity in Health 2023 22:63