Te Kupenga Hauora Māori, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, Aotearoa, New Zealand.
Heart Lung Circ. 2010 May-Jun;19(5-6):316-24. doi: 10.1016/j.hlc.2010.04.129. Epub 2010 May 4.
Ischaemic Heart Disease (IHD) is a leading cause of death in New Zealand and the burden falls disproportionately on Māori, the indigenous population of Aotearoa New Zealand.
Data for Māori:non-Māori disparities in risk factors, hospitalisation, procedure receipt and mortality for IHD are analysed. Age-adjusted rates of IHD mortality (2000-2004) and publicly funded hospitalisations and procedures (2003-2005) for Māori and non-Māori are reported and compared.
Significant inequalities between Māori and non-Māori in IHD risk factors, hospitalisations, mortality and the receipt of related procedures exist. IHD hospitalisation rates for Māori are 1.4 times that of non-Māori, however mortality rates are more than twice that of non-Māori. In recent years Māori revascularisation rates have increased (as have non-Māori rates) but are still considerably less than might be expected given the much higher mortality rates.
Despite high need, Māori receive relatively low access to appropriate care for IHD. The role of society, policy, and the clinician are three key factors to be considered in reducing inequalities for IHD between Māori and non-Māori.
缺血性心脏病（IHD）是新西兰的主要死因，其负担不成比例地落在毛利人（新西兰的土著居民）身上。
分析毛利人（Māori）和非毛利人（non-Māori）在 IHD 风险因素、住院、手术接受和死亡率方面的差异。报告并比较了毛利人和非毛利人在 IHD 死亡率（2000-2004 年）和公共资助的住院和手术（2003-2005 年）方面的年龄调整率。
毛利人和非毛利人在 IHD 风险因素、住院、死亡率和相关手术接受方面存在显著的不平等。毛利人 IHD 的住院率是非毛利人的 1.4 倍，但死亡率是非毛利人的两倍多。近年来，毛利人的血运重建率有所上升（而非毛利人也是如此），但鉴于死亡率高得多，其比率仍明显低于预期。
尽管有很高的需求，但毛利人获得适当 IHD 护理的机会相对较少。社会、政策和临床医生的作用是减少毛利人和非毛利人之间 IHD 不平等的三个关键因素。
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