{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:25:57Z","timestamp":1755224757939,"version":"3.43.0"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1620","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: This audit aims to evaluate differences in access and care between M\u0101ori and P\u0101keh\u0101 patients, as well as between urban, rural and\naged residential care (ARC) populations.\nmethod: A regional clinical audit reviewed 511 patients referred to community specialist palliative care services in the Waikato Region\nfrom January 2021 to January 2023. Key endpoints included time from referral to death, time to first phone and face-to-face contact,\nand medical team engagement.\nresults: Referral times were equal between M\u0101ori and P\u0101keh\u0101, though rural patients were referred significantly earlier than urban\npatients, with medians of 59 and 36 days, respectively (p&lt;0.001). Rural patients also had higher rates of medical team input (52%)\ncompared with urban patients (40%), with ARC patients receiving significantly less at 8.7% (p&lt;001).\nconclusion: While referral times were similar for M\u0101ori and P\u0101keh\u0101, this may overlook delays for M\u0101ori, who likely have greater\nspecialist palliative care needs. Rural patients were referred earlier and received more medical input, reflecting both greater needs\nand opportunities to improve urban referrer relationships. Disparities in specialist palliative care for aged care patients merit further\ninvestigation, particularly with the projected growth of this population.<\/jats:p>","DOI":"10.26635\/6965.6711","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T01:51:33Z","timestamp":1755049893000},"page":"54-64","source":"Crossref","is-referenced-by-count":0,"title":["Examining ethnic and geographic disparities in end-of-life care pathways and community specialist palliative care engagement: insights from the Waikato Region"],"prefix":"10.26635","volume":"138","author":[{"given":"Rebecca","family":"Stevenson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lana","family":"Ferguson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11177","published-online":{"date-parts":[[2025,8,15]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T01:51:34Z","timestamp":1755049894000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-138-no-1620\/examining-ethnic-and-geographic-disparities-in-end-of-life-care-pathways-and-community-specialist-palliative-care-engagement-ins"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,15]]},"references-count":0,"journal-issue":{"issue":"1620","published-online":{"date-parts":[[2025,8,15]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.6711","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,15]]}}}