{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T04:11:19Z","timestamp":1750911079365,"version":"3.41.0"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1617","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: We examined equity in the provision of cochlear implant services for New Zealand M\u0101ori compared with other New Zealanders.\nmethods: The client databases of both Aotearoa New Zealand cochlear implant programmes were searched and an anonymised dataset was provided to the audit team. Ethics committee approval was not required. Ethnicity was categorised as M\u0101ori or non-M\u0101ori.\nresults: There is no significant difference between M\u0101ori and non-M\u0101ori with respect to acceptance for surgery rates and time from acceptance to surgery. M\u0101ori children and adults have a higher rate of proceeding to surgery than non-M\u0101ori ethnic groups. Average days to surgery for adult clients reduced over the period studied. Time to surgery was low for both child ethnic groups. When a measure of prioritisation (clinical priority access criteria [CPAC]) was incorporated into the evaluation, we found that M\u0101ori clients waited slightly, but not significantly less time per unit of CPAC scored.\nconclusion: We were able to demonstrate that once M\u0101ori clients accessed the cochlear implant programmes, they were implanted at a similar rate as non-M\u0101ori, and adult clients experienced equivalent waiting times even when adjusted for CPAC score. These favourable results suggest that our internal systems and pathways are promoting equity.<\/jats:p>","DOI":"10.26635\/6965.6807","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T22:21:54Z","timestamp":1750890114000},"page":"50-61","source":"Crossref","is-referenced-by-count":0,"title":["Aotearoa New Zealand cochlear implant programmes equity audit: addressing disparities and equity for M\u0101ori with severe and profound hearing loss"],"prefix":"10.26635","volume":"138","author":[{"given":"Pat","family":"Tuohy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Heslop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill","family":"Mustard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Bird","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly","family":"Teagle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Gunn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11177","published-online":{"date-parts":[[2025,6,27]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T22:21:55Z","timestamp":1750890115000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-138-no-1617\/aotearoa-new-zealand-cochlear-implant-programmes-equity-audit-addressing-disparities-and-equity-for-maori-with-severe-and-profou"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,27]]},"references-count":0,"journal-issue":{"issue":"1617","published-online":{"date-parts":[[2025,6,27]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.6807","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,27]]}}}