Ngā pūnaha hauora tūtohu: Health system indicators

The indicators in this section measure the performance of the health system, and include amenable mortality and ambulatory-sensitive hospitalisation (ASH).

The Ministry of Health defines amenable mortality as ‘deaths from those conditions for which variation in mortality rates (over time and across populations) reflects variation in the coverage and quality of health care (preventive or therapeutic services) delivered to individuals’ (see Saving Lives: Amenable mortality in New Zealand, 1996-2006). Amenable mortality only includes deaths as defined above occurring in those less than 75 years of age.

The Ministry defines ASH as hospitalisations of people less than 75 years old resulting from diseases sensitive to prophylactic or therapeutic interventions that are deliverable in a primary health care setting.

Data sources and ICD-10-AM codes provides ICD-10-AM code lists for these categories.

Indicator Males Females Total
Table 47a: Health system indicators, by gender, Māori, 0–74-year-olds [1]
Amenable mortality,
0–74 years, rate per 100,000, 2010–12
172.1
(164.6–179.8)
116.4
(110.6–122.4)
142.8
(138.1–147.7)
Ambulatory-sensitive hospitalisation, 0–74 years, rate per 100,000, 2012–14 3013.4
(2978.9–3048.2)
2987.7
(2954.3–3021.5)
3001.6
(2977.5–3025.8)
Indicator Males Females Total
Table 47b: Health system indicators, by gender, non-Māori, 0–74-year-olds [1]
Amenable mortality,
0–74 years, rate per 100,000, 2010–12
75.2
(73.5–76.8)
45.1
(43.8–46.3)
59.8
(58.8–60.9)
Ambulatory-sensitive hospitalisation, 0–74 years, rate per 100,000, 2012–14 1874.7
(1863.1–1886.4)
1776.8
(1765.4–1788.2)
1824.8
(1813.9–1833.0)

Amenable mortality rates among Māori were almost two-and-a-half times as high as those among non-Māori in 2010–12 (RR 2.39, CI 2.29–2.48).

ASH rates among Māori were more than one-and-a-half times as high as those of non-Māori in 2012–14 (RR 1.64, CI 1.63–1.66).

Saving Lives: Amenable mortality in New Zealand, 1996–2006 contains further analyses comparing Māori with non-Māori.


[1] Notes:

Sources: Mortality Collection Data Set (MORT), Ministry of Health; National Minimum Data Set (NMDS), Ministry of Health

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