Associate Professor, Te Roopū Rakahau Hauora Māori a Kāi Tahu (Ngāi Tahu Māori Health Research Unit), University of Otago, Dunedin, New Zealand.
Associate Professor, Injury Prevention Research Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
N Z Med J. 2022 Nov 11;135(1565):12-22. doi: 10.26635/6965.5804.
To examine if differences exist between injured Māori and non-Māori in accessing and receiving support from the Accident Compensation Corporation (ACC) for treatment and rehabilitation of subsequent injuries.
This cohort study utilised participants' self-reported data from the Prospective Outcomes of Injury Study, and ACC claims data.
Approximately one-third of Māori (32%) and non-Māori (35%) who self-reported a subsequent injury had no associated ACC claim. Statistically significant differences in this outcome (i.e., self-reported subsequent injury but no ACC claim) were found between Māori and non-Māori when comparing across occupation type and severity of participants' sentinel injuries. Few differences were observed between Māori and non-Māori in the percentages of ACC claims accepted that compensated various treatments and supports; this was similar for average compensation amounts provided.
Māori and non-Māori who received support from ACC for a sentinel injury prior to sustaining another injury appear to have received equitable ACC compensation for the treatment and rehabilitation of the subsequent injury with two potential exceptions. Further research is needed to determine how generalisable these findings are. Establishing routine systems for collecting data about the support needed, treatment pathways and outcomes once accessing ACC support is vital to ensure positive and equitable injury outcomes for Māori.
调查在因伤接受事故赔偿公司（ACC）的治疗和康复后续伤方面，毛利族裔和非毛利族裔之间是否存在差异。
本队列研究利用了《伤后前瞻性结果研究》中参与者的自我报告数据和 ACC 索赔数据。
约有三分之一的自报后续伤的毛利族裔（32%）和非毛利族裔（35%）没有相关的 ACC 索赔。在比较参与者的哨伤职业类型和严重程度时，在这种结果（即自我报告的后续伤但没有 ACC 索赔）上，毛利族裔和非毛利族裔之间存在统计学上的显著差异。毛利族裔和非毛利族裔在接受 ACC 赔偿的各种治疗和支持的百分比方面差异不大；提供的平均赔偿金额也相似。
在遭受另一伤之前因哨伤接受 ACC 支持的毛利族裔和非毛利族裔，似乎在后续伤的治疗和康复方面获得了公平的 ACC 赔偿，但有两个潜在的例外。需要进一步研究以确定这些发现的普遍性。建立收集关于接受 ACC 支持后所需支持、治疗途径和结果数据的常规系统，对于确保毛利族裔获得积极和公平的伤后结果至关重要。
