Show simple item record

dc.contributor.authorPerkins, Matthew R Ven_NZ
dc.date.available2011-04-07T03:09:21Z
dc.date.copyright2000en_NZ
dc.identifier.citationPerkins, M. R. V. (2000). An exploration of Maori health state preferences (Dissertation, Postgraduate Diploma in Commerce). Retrieved from http://hdl.handle.net/10523/1156en
dc.identifier.urihttp://hdl.handle.net/10523/1156
dc.description.abstractThe allocation of publicly funded resources in the health sector via Cost Utility Analysis requires preferences for different health states to be known. While preferences for New Zealanders as a whole have been elicited, the possibility of different preferences among Maori remain. This research explores this possibility as well as looking at what Maori perceive as health and draws conclusions from these findings relating to priority setting and resource allocation in the health sector. Using the EQ-5D (a generic health state classification system) and a Visual Analogue Scale (VAS) preferences were elicited for a sample of 64 Maori from three main groups in a face-to-face interview style setting. An additional five participants were involved in a post questionnaire interview to try and gain greater understanding of the process involved in the questionnaire completion. Data from participants was scaled according to conventional procedures with full health and "dead" anchored at 1 and 0 respectively and other valuations interpolated and extrapolated appropriately. Statistical tests comparing the mean values of each health state from the current sample to both Maori and non-Maori from a New Zealand wide postal survey were then undertaken. The health state preferences for the Maori group were found to be very similar to both the Maori and non-Maori from the previous research. Unfortunately the vast majority of participants neglected to place the health state "dead" on the VAS meaning that their valuations were unable to be scaled and included in the majority of the analysis. Qualitative data from both the questionnaire and the interviews suggest that there is more to health than as described in the questionnaire but this is not Maori specific and related equally to non-Maori, The lack of difference in preferences implies that it does not matter whose valuations are used in priority setting as the end result will be the same. Further research would be beneficial to investigate why the state "dead" was omitted from being valued. Also, a larger sample of Maori would be useful to provide stronger conclusions than the limited ones drawn here as a result of the low number of participants valuing "dead".en_NZ
dc.subjectpublicly funded resourcesen_NZ
dc.subjectCost Utility Analysisen_NZ
dc.subjectMaori health state preferenceen_NZ
dc.subject.lcshHF Commerceen_NZ
dc.subject.lcshHF5601 Accountingen_NZ
dc.subject.lcshH Social Sciences (General)en_NZ
dc.subject.lcshHB Economic Theoryen_NZ
dc.titleAn exploration of Maori health state preferencesen_NZ
dc.typeDissertationen_NZ
dc.description.versionUnpublisheden_NZ
otago.bitstream.pages82en_NZ
otago.date.accession2006-10-06en_NZ
otago.schoolEconomicsen_NZ
thesis.degree.disciplineEconomicsen_NZ
thesis.degree.namePostgraduate Diploma in Commerce
thesis.degree.grantorUniversity of Otagoen_NZ
otago.interloanyesen_NZ
otago.openaccessAbstract Only
dc.identifier.eprints416en_NZ
otago.school.eprintsEconomicsen_NZ
dc.description.referencesAshton, T., Cumming, J. and Devlin, N. (1999) "Prioritising health and disability support services: principles, processes and problems" Wellington: National Health Committee, 1999. Bethwaite, J. (1999a) "Prioritising health and disability support services: processes and problems - Comments on the National Health Committee report from Maori Health" Wellington, Health Funding Authority. Bethwaite, J. (1999b) "How Shall We Prioritise Health and Disability Services? Comments on the August 98 paper from Maori Health" Health Funding Authority. Bland, J.M. and Altman, D.G. (1986) "Statistical methods for assessing agreement between two methods of clinical measurement" The Lancet 307-310. Brooks, R., EuroQol Group (1996) "EuroQol: the current state of play" Health Policy 37: 53-72. Croxson, B. (1990) "QALY's - The use of Quality Adjusted Life Years as an Indicator of Health Care Benefits. Part 1: An Introductory Survey" The University of Auckland, Department of Economics, Policy Discussion Papers, No. 8. Curtis, R et al (1989) "A slice of health economics; issues in measuring quality of life in patients with chronic diseases." Unpublished paper. Department of Community Health, Auckland University School of Medicine. As cited in Croxson, B. (1990) "QALY's - The use of Quality Adjusted Life Years as an Indicator of Health Care Benefits. Part 1: An Introductory Survey" The University of Auckland, Department of Economics, Policy Discussion Papers. Devlin, N.J. (1996) "Economics and ethics: ethical issues regarding the application of economic methods to health care" pages 161-173 in McMillan and Hall (eds.) Bioethics Research Summer Seminar Otago Conference Series 4. Devlin, N. and Hansen, P. (1999) "Ethical precepts of Cost Utility Analysis" Otago Bioethics Report, 8 (2): 16-20. Devlin, N.J., Hansen, P., Kind, P. and Williams, A.H. (2000a) "The health state preferences and logical inconsistencies of New Zealanders: A tale of two tariffs" Discussion Paper 180, Centre for Health Economics, University of York. Devlin, N., Hansen, P. and Herbison, P. (2000b) "Variations in self-reported health status: results from a New Zealand survey" New Zealand Medical Journal Forthcoming. Devlin, N. and Williams, A. (1999) "Valuing quality of life: results for New Zealand health professionals" New Zealand Medical Journal 112: 68-71. Dolan, P. (1999) "Valuing Health-Related Quality of Life: Issues and Controversies" PharmacoEconomics 15: 119-127. Dolan, P. and Kind, P. (1996) "Inconsistency and health state valuations" Social Science and Medicine 42 (4): 609-615. Drummond, M.F., O'Brien, B.J., Stoddart, G.L. and Torrance, G.W. (1997) Methods for the Economic Evaluation of health care programmes Oxford Medical Publications. Durk, M. (1998) Whairoa - Maori Health Development 2nd Ed. Oxford University Press, Auckland. Froberg, D.C. and Kane, R.L. (1989) "Methodology for Measuring Health-state Preferences – III: population and context effects" Journal of Clinical Epidemiology 42: 585-92. Health Funding Authority (1998) "How Shall We Prioritise Health and Disability Services?" Wellington, Health Funding Authority. Karetu, T. (1990) "The Clue to Identity" New Zealand Geographic 5: 112-117. Kind, P. and Dolan, P. (1995) "The Effect of Past and Present Illness Experience on the Valuations of Health States" Medical Care 33 (4): AS255-AS263. PHARMAC (1999) "A prescription for pharmacoeconomic analysis" Version 1, Wellington: PHARMAC. Rosser, R.M. and Kind, P. (1978) "A scale of valuations of states of illness: is there a social consensus" International Journal of Epidemiology 7: 347-58. Sackett, D.L. and Torrance, G.W. (1978) "The Utility of Different Health States" Journal of Chronic Diseases 31: 697-704. Scott, K.M., Sarfati, D., Tobias, and Haslett, S.J. (2000) "A challenge to the cross-cultural validity of the SF-36 health survey: factor structure in Maori, Pacific and New Zealand European ethnic groups" Social Science and Medicine 51 (11): 1655-1664. Shipman, M. (1988) The limitations of social research 3 rd Ed. Longman, New York. Statistics New Zealand (1997) 1996 Census of Population and Dwellings. National Summary Wellington: Statistics New Zealand. Weinstein, M.C., Siegel, J.E., Gold, M.R., Kamlet, M.S., and Russel, L.B; for the Panel on Cost Effectiveness in Health and Medicine (1996) "Recommendation of the Panel on Cost-Effectiveness in Health and Medicine" Journal of the American Medical Association 276 (15): 1253-8. Wiseman, V. (1998) "Issues involved in measuring quality of life in Aboriginal and Torres Strait Islander communities" Discussion Paper 2/98, Social & Public Health Economics Research Group, Department of Public Health & Community Medicine, University of Sydney.en_NZ
 Find in your library

Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item is not available in full-text via OUR Archive.

If you would like to read this item, please apply for an inter-library loan from the University of Otago via your local library.

If you are the author of this item, please contact us if you wish to discuss making the full text publicly available.

This item appears in the following Collection(s)

Show simple item record