Primary health care

Indicator Māori Non-Māori
Males Females Total Males Females Total
Table 43: Primary health care access indicators, by gender, Māori and non-Māori, 2013/14 [1]
Has a GP clinic or medical centre that usually goes to when unwell or injured (self-reported), 0–14 years, percent, 2013/14 97.6
(95.4–98.9)
97.7
(95.7–98.9)
97.6
(96.3–98.6)
97.8
(96.7–98.6)
97.2
(95.7–98.3)
97.5
(96.8–98.1)
Has a GP clinic or medical centre that usually goes to when unwell or injured (self-reported), 15+ years, percent, 2013/14 90.4
(87.3–92.9)
96.2
(94.8–97.4)
93.5
(91.8–94.9)
88.8
(86.8–90.5)
95.4
(94.4–96.3)
92.1
(90.9–93.2)
Visited a GP in the last 12 months (self-reported), 15+ years, percent, 2013/14 64.4
(59.8–68.7)
75.6
(71.6–79.1)
70.3
(67.4–73.0)
67.6
(65.2–69.8)
81.5
(79.7–83.1)
74.5
(73.0–76.0)
Visited a practice nurse (without seeing a GP at the same visit) in the last 12 months (self-reported), 15+ years, percent, 2013/14 21.3
(18.3–24.6)
34.6
(31.3–38.1)
28.5
(26.1–31.1)
17.6
(16.4–18.9)
32.5
(30.3–34.8)
25.1
(23.8–26.5)
Visited an after-hours medical centre in the last 12 months (self-reported), 15+ years, percent, 2013/14 8.4
(6.5–10.8)
12.0
(9.7–14.8)
10.3
(8.7–12.1)
10.6
(9.2–12.3)
14.5
(12.8–16.3)
12.5
(11.3–13.9)

Māori were equally as likely as non-Māori to report having a GP clinic or medical centre that they usually went to when unwell or injured in 2013/14 (RR 1.00, CI 0.99–1.01 for children; RR 1.01, CI 0.99–1.03 for adults).

Males were less likely to have seen any primary health workers in the past 12 months than females.

Table 43 shows that Māori adults were less likely than non-Māori adults to report having seen a GP in the last 12 months (RR 0.96, CI 0.92–0.99). Māori adults were equally as likely as non-Māori adults to have seen a nurse without seeing a GP in the same visit (RR 1.09, CI 1.00–1.19) or to have visited an after-hours medical centre in the past 12 months (RR 0.84, CI 0.69–1.02).

Indicator Māori Non-Māori
Males Females Total Males Females Total
Table 44: Unmet need for primary health care indicators for children aged 0–14 years, by gender, Māori and non-Māori, 2013/14 [2]
Experienced one or more types of unmet need for primary health care (self-reported), 0–14 years, percent, 2013/14 25.0
(21.1–29.4)
29.9
(25.9–34.2)
27.4
(24.6–30.3)
17.8
(15.1–20.8)
21.1
(17.9–24.5)
19.4
(17.4–21.6)
Unable to get appointment at usual medical centre within 24 hours (self-reported),
0–14 years, percent, 2013/14
14.0
(10.9–17.7)
17.4
(14.3–21.0)
15.6
(13.5–18.1)
10.8
(8.5–13.6)
12.0
(9.7–14.6)
11.4
(9.8–13.2)
Unmet need for GP services due to cost (self-reported), 0–14 years, percent, 2013/14 7.7
(5.5–10.7)
5.7
(4.1–7.7)
6.7
(5.4–8.4)
4.3
(3.0–5.9)
5.1
(3.6–7.0)
4.7
(3.6–5.9)
Unmet need for GP services due to lack of transport (self-reported), 0–14 years, percent, 2013/14 4.9
(3.2–7.0)
4.2
(2.6–6.2)
4.5
(3.3–6.0)
1.6
(0.9–2.6)
1.3
(0.7–2.1)
1.4
(1.0–2.1)
Unmet need for GP services due to lack of child care (self‑reported), 0–14 years, percent, 2013/14 3.5
(2.0–5.6)
3.0
(1.8–4.8)
3.3
(2.3–4.5)
1.3
(0.6–2.6)
1.9
(1.1–3.0)
1.6
(1.0–2.4)
Unmet need for after-hours services due to cost (self‑reported), 0–14 years, percent, 2013/14 5.4
(3.9–7.6)
4.2
(2.8–6.1)
4.9
(3.7–6.2)
3.2
(1.9–5.0)
3.2
(1.8–5.1)
3.2
(2.2–4.5)
Unmet need for after-hours services due to lack of transport (self-reported), 0–14 years, percent, 2013/14 1.8
(0.9–3.1)
2.4
(1.2–4.3)
2.1
(1.3–3.1)
0.6
(0.2–1.1)
0.2
(0.0–0.4)
0.4
(0.2–0.7)

Māori children were more likely than non-Māori children to have experienced 1 or more types of unmet need for primary health care in 2013/14 (RR 1.41, CI 1.21–1.65).

Māori children were more likely than non-Māori children to have experienced an unmet need due to an appointment at their usual medical centre not being available within 24 hours (RR 1.38, CI 1.10–1.72).

Māori children were more likely than non-Māori children have experienced an unmet need for a GP due to cost (RR 1.45, CI 1.06–1.96).

Lack of child care was about twice as likely to be a barrier that prevented Māori parents taking their children to a GP as it was for non-Māori parents (RR 2.03, CI 1.23–3.36).

Māori children were more than 3 times as likely as non-Māori children to have experienced an unmet need for a GP due to lack of transportation (RR 3.12, CI 1.95–5.00).

Similarly, Māori children were more than 5 times as likely as non-Māori children to have experienced an unmet need for after-hours services due to a lack of transportation (RR 5.54, CI 2.48–12.34). The disparity was greater for Māori girls compared with non-Māori girls (RR 14.94, CI 3.50–63.70).

Indicator Māori Non-Māori
Males Females Total Males Females Total
Table 45: Unmet need for primary health care indicators for adults aged 15 and over, by gender, Māori and non-Māori, 2013/14 [3]
Experienced one or more types of unmet need for primary health care (self-reported), 15+ years, percent, 2013/14 30.0
(26.7–33.6)
45.3
(41.9–48.8)
38.0
(35.5–40.7)
21.6
(19.7–23.6)
33.1
(30.9–35.4)
27.4
(25.9–28.9)
Unable to get appointment at usual medical centre within 24 hours (self-reported), 15+ years, percent, 2013/14 15.4
(12.8–18.5)
25.1
(22.0–28.5)
20.7
(18.5–23.2)
12.9
(11.3–14.7)
18.8
(17.2–20.5)
16.0
(14.8–17.3)
Unmet need for GP services due to cost (self-reported), 15+ years, percent, 2013/14 18.8
(16.0–22.0)
25.8
(22.8–29.1)
22.4
(20.3–24.7)
11.4
(10.0–13.0)
18.6
(16.9–20.5)
15.1
(14.0–16.2)
Unmet need for GP services due to lack of transport (self-reported), 15+ years, percent, 2013/14 4.7
(3.2–6.5)
6.7
(5.2–8.4)
5.8
(4.8–7.0)
1.7
(1.2–2.3)
3.5
(2.9–4.1)
2.6
(2.2–3.0)
Unmet need for after-hours services due to cost (self‑reported), 15+ years, percent, 2013/14 8.9
(6.8–11.5)
16.8
(14.5–19.3)
12.9
(11.3–14.8)
4.5
(3.7–5.5)
8.6
(7.5–9.9)
6.6
(5.8–7.5)
Unmet need for after-hours services due to lack of transport (self-reported), 15+ years, percent, 2013/14 2.0
(1.2–3.2)
3.2
(2.3–4.4)
2.7
(2.1–3.5)
0.5
(0.3–0.8)
1.5
(1.1–1.9)
1.0
(0.8–1.2)

Māori adults were more likely than non-Māori adults to have experienced 1 or more types of unmet need for primary health care in 2013/14 (RR 1.37, CI 1.27–1.48).

Māori adults were more likely than non-Māori adults to have reported an unmet need due to being unable to get an appointment at their usual medical centre within 24 hours (RR 1.27, CI 1.15–1.41).

Māori adults were more than 1.5 times as likely as non-Māori adults to have experienced an unmet need for a GP due to cost (RR 1.51, CI 1.34–1.69).

Lack of transport was more than twice as likely to be a barrier to accessing GP services for Māori adults as it was for non-Māori adults (RR 2.30, CI 1.81–2.93).

Cost was almost twice as likely to be a barrier to accessing after-hours services for Māori adults as it was for non-Māori adults (RR 1.95, CI 1.65–2.30).

Lack of transport was nearly 3 times as likely to be a barrier to accessing after-hours services for Māori adults as it was for non-Māori adults (RR 2.83, CI 2.08–3.84). The disparity was greater for Māori males compared with non-Māori males (RR 4.56, CI 2.31–9.03).


1. Notes:

Source: 2013/14 New Zealand Health Survey, Ministry of Health


2. Notes:

  • Figures are age-standardised to the total Māori population as recorded in the 2001 Census.
  • Prioritised ethnicity has been used – see Ngā tapuae me ngā raraunga: Methods and data sources for further information.
  • Unmet need for primary health indicator investigates whether people had experienced any of the following barriers to accessing primary health care in the last 12 months: unmet need for a GP due to cost, unmet need for after-hours services due to cost, unmet need for a GP due to lack of transport, unmet need for after-hours services due to lack of transport, inability to get an appointment at their usual medical centre within 24 hours and lack of childcare for other children.

Source: 2013/14 New Zealand Health Survey, Ministry of Health


3. Notes:

  • Figures are age-standardised to the total Māori population as recorded in the 2001 Census.
  • Prioritised ethnicity has been used – see Ngā tapuae me ngā raraunga: Methods and data sources for further information.
  • Unmet need for primary health indicator investigates whether people had experienced any of the following barriers to accessing primary health care in the last 12 months: unmet need for a GP due to cost, unmet need for after-hours services due to cost, unmet need for a GP due to lack of transport, unmet need for after-hours services due to lack of transport, inability to get an appointment at their usual medical centre within 24 hours and lack of childcare for other children (for the 0–14 years indicator only).

Source: 2013/14 New Zealand Health Survey, Ministry of Health

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