Specialist doctor shortage: More than a third of adults not getting healthcare they need
More than a third of adult New Zealanders are not getting the healthcare they need, a new study by the senior doctors union has found.
Patients who need specialist care were being left “in limbo” with their GPs, while the number of people turning up to emergency departments in life-threatening situations is growing.
The report by the Association of Salaried Medical Specialists used official data including patient surveys, wait lists for non-surgical care and information about the number of people referred to a specialist but declined care.
About 1.75 million people were missing out on dental care, while 329,000 and 55,000 children were not getting the treatment they needed for mental health or addiction, it said.
The number of people who did not receive specialist care within four months was six times higher in September last year than in July 2019, it found.
In an editorial on the study in the New Zealand Medical Journal, the authors said that had big implications.
“As access to hospital specialists declines, growing numbers of patients are left in limbo under the care of their GPs, adding further to the pressures on access to primary care services, and risks patients’ condition deteriorating and quality of life worsening,” they said.
The report said the number of people turning up to hospital emergency departments has grown by 22 per cent in the nine years to 2023.
And the proportion of them arriving with immediately or potentially life-threatening conditions has grown from a half to two-thirds, it said.
The union said the situation was much worse than in comparable European countries and urgent investigations were needed.
It said any change needed to be much wider than just the health system, addressing the problems that could contribute to bad health including poverty.
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Poll: Have you ever been bullied?
People associate bullying with children in schools, but it can actually stretch beyond childhood to workplaces or neighbourhoods.
This Friday is Pink Shirt Day, which began in Canada in 2007 when two students took a stand against homophobic bullying after a new student was harassed for wearing pink. People across the globe are now encouraged to wear pink on this day to take a stand against bullying and promote inclusivity.
Have you or your whānau ever experienced bullying? Share your thoughts on Pink Shirt Day below.
Type 'Not For Print' if you wish your comments to be excluded from the Conversations column of your local paper.
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79.9% Yes
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19.8% No
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0.4% Other - I'll share below
VERY UGLY
I’m very ugly
So don’t try to convince me that
I am a very beautiful person,
Because at the end of the day
I hate myself in every single way.
And I am not going to lie to myself by
saying there is beauty inside of me that matters.
So rest assured I will remind myself that
I am a worthless, terrible person.
And nothing you say will make me believe
I still deserve love.
Because no matter what, I am not good enough to be loved
And I am in no position to believe that
beauty does exist within me
Whenever I look in the mirror
I always think
Am I as ugly as people say?
Now read Bot->Top
Record numbers are leaving NZ – who could blame them?
Migration figures show a record number of New Zealanders are choosing not to stick around – and you don’t have to look hard to figure out why, writes Q+A presenter Jack Tame.
No data point says more about the current state of our country than the fact that record numbers of New Zealanders don’t want to be here.
Over the last two years, the quarterly release of migration statistics has steadily plotted a massive exodus of New Zealand citizens.
Once all citizen returns and departures were accounted for in the year to March 31, provisional net numbers indicated New Zealand lost more than a thousand Kiwis every week.
But why?
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The pandemic restrictions are over and the borders have been open for New Zealanders for more than two years.
Pent-up demand for overseas adventure could explain the initial post-Covid surge in departures, and some New Zealanders who returned during the worst of Covid-19 have left again. But the more recent departures are better attributed to other factors.
As I’ve noted before, what’s perhaps most extraordinary about the huge outward migration of New Zealand citizens is it has coincided with near-record inbound migration of non-citizens.
Facing pressure from business groups amidst a global labour shortage, the previous government responded by massively relaxing immigration settings.
In the year to March 31, New Zealand recorded a net migration gain of 163,000 non-citizens.
Accounting for both the provisional citizen and non-citizen migration flows, there are 111,000 extra people in New Zealand than the year before. Add to that the births and deaths for the same period, and our overall population has increased by approximately 130,000 people in the last year.
During the same period, however, the number of consents issued for new houses dropped 25% on the previous 12 months.
As our population surges and construction slows, the average rent paid by the generation of New Zealanders most likely not to own their own homes has increased. TradeMe Property recorded a median rent increase of 8.3% in the year to March 2024 — more than double the corresponding annual increase in wages.
This renting generation, coincidentally, is the same generation most likely to have left New Zealand.
Of all migrant departures of New Zealand citizens, people between the ages of 18 and 30 made up almost 40%.
But even older New Zealanders — who are more likely to have established careers, families, and assets — are leaving in huge numbers. Accounting for all arrivals and departures, a net total of more than 7500 New Zealand citizens between the ages of 31-40 left our shores.
So, what will stem the bleed?
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In the short term, at least, there is perhaps little economic reason to stay.
The new Government has moved swiftly to tighten immigration settings but, as the full impact of higher interest rates seeps through the economy, unemployment is steadily increasing.
The national unemployment rate currently sits at 4.3% and most economists expect it to climb above 5% in the coming months. The Māori unemployment rate is already at its highest point in four years at 8.2%.
Young Zealanders now find themselves competing with more people for relatively fewer houses and relatively fewer jobs.
And, as we enter a winter of economic discontent, who could blame them for leaving?
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