Santosh Jatrana1, Peter Crampton. 1. University of Otago, Wellington, Wellington, New Zealand. santosh.jatrana@otago.ac.nz
Abstract
OBJECTIVE: We examined the demographic, socioeconomic, health behaviour and health determinants of financial barriers to access to general practitioner services, prescription drugs and dental care in New Zealand (NZ). METHODS: Data from SoFIE-health, which is an add-on to the Statistics New Zealand-led Survey of Family, Income and Employment (SoFIE), were analyzed using logistic regression. RESULTS: Of the total of 18,320 respondents, 2845 (15.5%), 4175 (22.8%), and 1165 (6.4%), reported that they had deferred seeing their doctor/s, dentist and buying a prescription, respectively, at least once during the preceding 12 months, because they could not afford the cost of a visit or prescription. Younger age, female sex, low or middle income tertile, living in a least deprived area, having more individual deprivation characteristics (5+), current smokers, reporting high and very high levels of psychological distress and more than two co-morbid diseases were all independently associated with increased odds of deferring doctors' visits, collecting medications and dental visits. CONCLUSIONS: Financial barriers to needed primary care exist for a substantial subgroup of people in New Zealand. A key policy lever is lowering cost barriers to make primary health care in general and dental care in particular more accessible.
OBJECTIVE: We examined the demographic, socioeconomic, health behaviour and health determinants of financial barriers to access to general practitioner services, prescription drugs and dental care in New Zealand (NZ). METHODS: Data from SoFIE-health, which is an add-on to the Statistics New Zealand-led Survey of Family, Income and Employment (SoFIE), were analyzed using logistic regression. RESULTS: Of the total of 18,320 respondents, 2845 (15.5%), 4175 (22.8%), and 1165 (6.4%), reported that they had deferred seeing their doctor/s, dentist and buying a prescription, respectively, at least once during the preceding 12 months, because they could not afford the cost of a visit or prescription. Younger age, female sex, low or middle income tertile, living in a least deprived area, having more individual deprivation characteristics (5+), current smokers, reporting high and very high levels of psychological distress and more than two co-morbid diseases were all independently associated with increased odds of deferring doctors' visits, collecting medications and dental visits. CONCLUSIONS: Financial barriers to needed primary care exist for a substantial subgroup of people in New Zealand. A key policy lever is lowering cost barriers to make primary health care in general and dental care in particular more accessible.
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