Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-25T12:20:22.268Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictors of Health Care Utilisation in Community Dwelling New Zealand Māori

Published online by Cambridge University Press:  05 May 2015

Ross Flett ,
Paul Hirini ,
Nigel Long  and
Michelle Millar
Ross Flett
Affiliation:
School of Psychology, Massey University, Palmerston North, New Zealand
Paul Hirini
Affiliation:
School of Psychology, Massey University, Palmerston North, New Zealand
Nigel Long
Affiliation:
School of Psychology, Massey University, Palmerston North, New Zealand
Michelle Millar
Affiliation:
Human Factors International, Canberra, Australia
Get access Rights & Permissions [Opens in a new window]

Abstract

Using Andersen's behavioural model of health care use we examined the predictors of health care utilisation (visits to general practitioners/family physicians, and hospital/outpatient and emergency services) via a cross sectional survey of 502 community dwelling New Zealand Māori (the indigenous population of New Zealand). We found that the model was of limited utility in accounting for variation in health care use in this group. In line with other research findings health need and worries about health emerged as the most salient predictors. We argue that this model may be limited in its applicability to this cultural group and that some re-evaluation of the ways in which health professionals have traditionally dealt with members of the Māori population, may be necessary.

Type
Articles
Information
South Pacific Journal of Psychology , Volume 15: Special Issue: The Development of Psychology in Oceania: Theory, Research & Practice , 2004 , pp. 1 - 10
Copyright
Copyright © University of Papua New Guinea and Massey University, New Zealand/Aotearoa 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aday, L., & Awe, W.C. (1997). Health services utilization models. In Gochman, D.S.. (Ed.). Handbook of Health Behaviour Research 1: Personal and social determinants (pp. 153–172). New York: Plenum Press.Google Scholar
Andersen, R.M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(03), 1–10.CrossRefGoogle ScholarPubMed
Barzargan, M., Bazargan, S., & Baker, R. (1998). Emergency department utilization, hospital admissions and physician visits among elderly African American persons. The Gerontologist, 38, 25–36.CrossRefGoogle Scholar
Belloc, N.B., Breslow, L & Hochstim, J.R. (1971). Measurement of physical health in a general population survey. American Journal of Epidemiology, 93, 328–336.CrossRefGoogle Scholar
Blum, R.W., Potthoff, S.J., & Resnick, M.D. (1997). The impact of chronic conditions on Native American adolescents. Families, Systems & Health. 15, 275–282.CrossRefGoogle Scholar
Chapleski, E.E., Gelfand, D.E., & Pugh, K.E. (1997). Great Lakes American Indian elders and service utilization: Does residence matter? Journal of Applied Gerontology, 16, 333–354 CrossRefGoogle Scholar
Duclos, C.W. (1999). Factors associated with alcohol, drug, and mental health service utilization among a sample of American Indian adolescent detainees. Dissertation Abstracts International: Section B: the Sciences & Engineering. Vol 60(4-B), 1524.Google Scholar
Durie, M.H. (1997a). Identity, nationhood and implications for practice in New Zealand. New Zealand Journal of Psychology, 26(2), 32–38.Google Scholar
Durie, M.H. (1997b). Māori cultural identity and its implication for mental health services. International Journal of Mental Health, 6(3), 23–35.CrossRefGoogle Scholar
Ensink, K., & Robertson, B. (1999). Patient and family experiences of psychiatric services and African indigenous healers. Transcultural Psychiatry, 36, 23–43.CrossRefGoogle Scholar
Eve, S.B. (1988). A longitudinal study of use of health care services among older women. Journal of Gerontology, 43, 31–34.Google ScholarPubMed
Flett, R.A., Biggs, H., & Alpass, F. (1995a). Psychological wellbeing and the rehabilitation professional: The interplay of job rewards and concerns. Journal of Rehabilitation Administration, 19, 227–237.Google Scholar
Flett, R.A., Biggs, H., & Alpass, F. (1995b). Job stress and professional practice: Implications for rehabilitation educators. Rehabilitation Education, 9, 275–291.Google Scholar
Flett, R.A., Kazantzis, N., Long, N.R., MacDonald, C., & Millar, M. (2002). Traumatic events and physical health in a New Zealand community sample. Journal of Traumatic Stress, 15, 303–312.CrossRefGoogle Scholar
Flett, R.A., Millar, M., Long, N.R. & MacDonald, C. (1998). Community survey of trauma. (A report available from the Accident Compensation Corporation, Private Bag, Wellington, New Zealand).Google Scholar
Gurley, D., Novins, D.K., Jones, M.C., Beals, J., Shore, J.H., & Manson, S.M. (2001). Comparative use of biomedical services and traditional healing options by American Indian veteran. Psychiatric Services, 52, 68–74.CrossRefGoogle Scholar
Hirini, P. (2004). Ngā Ara Whaiora: He Whakaaro Noa. A study of Māori health care use: An evaluation of the Andersen Model. Unpublished doctoral dissertation, Massey University, Palmerston North, New Zealand Google Scholar
Hirini, P., Flett, R., Kazantzis, N., Long, N., Millar, M., & McDonald, C. (1999). Health care needs for older Māori: A study of kaumatua and kuia. Social Policy Journal of New Zealand, 13, 136–153.Google Scholar
Hornblow, A.R., Bushnell, J.A., Wells, J.E., Joyce, P.R., & Oakley-Browne, M.A. (1990). Christchurch psychiatric epidemiology study: Use of mental health services. The New Zealand Medical Journal, 103, 415–417.Google ScholarPubMed
Hulka, B.S. & Wheat, J.R. (1985). Patterns of utilization: The patient perspective. Medical Care, 23, 438–460.CrossRefGoogle ScholarPubMed
Johnson, J.L., & Cameron, M.C. (2001). Barriers to providing effective mental health services to American Indians. Mental Health Services Research, 3, 215–222.CrossRefGoogle ScholarPubMed
Keith, V., & Jones, W. (1990). Determinants of health services utilization among the Black and White elderly. Journal of Health & Social Policy, 1(3), 73–88.CrossRefGoogle ScholarPubMed
Lin, K., & Cheung, F. (1999). Mental health issues for Asian Americans. Psychiatric Services, 50, 774–780.Google ScholarPubMed
Lloyd, P., Lupton, D. & Donaldson, C. (1991). Consumerism in the health care setting: An exploratory study of factors underlying the selection and evaluation of primary medical services. Australian Journal of Public Health, 15, 194–201.CrossRefGoogle ScholarPubMed
McNeil, J.S., & Kennedy, R. (1997). Mental health services to minority groups of color. In Watkins., T.R., & Callicutt, J.W.. (Eds.). Mental health policy and practice today, (pp. 235–257). Thousand Oaks, CA, US: Sage Publications, Inc. CrossRefGoogle Scholar
Nelson, M. (1993). Race, gender and the effect of social supports on the use of health services by elderly individuals. International Journal of Aging and Human Development, 37(3), 227–246.CrossRefGoogle ScholarPubMed
Novins, D.K., Duclos, C.W., Martin, C., Jewett, C.S., & Manson, S.M. (2000). Utilization of alcohol, drug, and mental health treatment services among American Indian adolescent detainees. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 1102–1108.CrossRefGoogle Scholar
Pennebaker, J.W. (1982). The psychology of physical symptoms. New York: Springer - Verlag.CrossRefGoogle Scholar
Phan, T., & Silove, D. (1999). An overview of indigenous descriptions of mental phenomena and the range of traditional healing practices amongst the Vietnamese. Transcultural Psychiatry, 36, 79–94.Google Scholar
Rios, R.E. (1996). Utilization of mental health services: Patterns of utilization of informal and formal mental health care among Mariel Cubans. Dissertation Abstracts International: Section B: The Sciences & Engineering 57, 5, 3162.Google Scholar
Tabachnik, B. & Fidell, L. (1989). Using Multivariate Statistics, (2nd ed.). California: Harper Collins Publishers.Google Scholar
Tolman, A., & Reedy, R. (1998). Implementation of a culture-specific intervention for a Native American community. Journal of Clinical Psychology in Medical Settings, 5, 381–392.CrossRefGoogle Scholar
Veit, C.T. & Ware, J.E. (1983). The structure of psychological distress and well-being in general populations Journal of Consulting and Clinical Psychology, 51, 730–742.CrossRefGoogle ScholarPubMed
Wan, T.H. (1989) The behavioral model of health care utilization and older people. In Ory, M. & Bond, K. (Eds.), Aging and Health Care. New York: Routledge.Google Scholar
Wolinsky, F., Coe, R., Millar, D., Prendergast, J., Creel, M., & Chavez, M. (1983). Health services utilization among the non-institutionalized elderly. Journal of Health and Social Behavior, 24, 325–337.CrossRefGoogle Scholar
Wolinsky, F.D. & Johnson, R.J. (1991). The use of health services by older adults. Journal of Gerontology: Social Sciences, 46(6), 345–357.CrossRefGoogle ScholarPubMed
Wolinsky, F.D., & Johnson, R.J. (1992). Widowhood, health status, and the use of health services by older adults: A cross-sectional and prospective approach. Journal of Gerontology: Social Sciences, 47(), 8–16.CrossRefGoogle ScholarPubMed