National Cross-Sectional Study of the Sociodemographic Characteristics of Aotearoa New Zealand’s Regulated Health Workforce Pre-Registration Students: A Mirror on Society?

aut.relation.articlenumbere065380
aut.relation.issue3
aut.relation.journalBMJ Open
aut.relation.startpagee065380
aut.relation.volume13
dc.contributor.authorCrampton, P
dc.contributor.authorBagg, W
dc.contributor.authorBristowe, Z
dc.contributor.authorBrunton, P
dc.contributor.authorCurtis, E
dc.contributor.authorHendry, C
dc.contributor.authorKool, B
dc.contributor.authorScarf, D
dc.contributor.authorShaw, S
dc.contributor.authorTukuitonga, C
dc.contributor.authorWilliman, J
dc.contributor.authorWilson, D
dc.date.accessioned2023-04-11T23:44:16Z
dc.date.available2023-04-11T23:44:16Z
dc.date.issued2023-03-13
dc.description.abstractObjectives To provide a sociodemographic profile of students enrolled in their first year of a health professional pre-registration programme offered within New Zealand (NZ) tertiary institutions. Design Observational, cross-sectional study. Data were sought from NZ tertiary education institutions for all eligible students accepted into the first ar of a health professional programme for the 5-year period 2016-2020 inclusive. Variables of interest: gender, citizenship, ethnicity, rural classification, socioeconomic deprivation, school type and school socioeconomic scores. Analyses were carried out using the R statistics software. Setting Aotearoa NZ. Participants All students (domestic and international) accepted into the first ar of a health professional programme leading to registration under the Health Practitioners Competence Assurance Act 2003. Results NZ's health workforce pre-registration students do not reflect the diverse communities they will serve in several important dimensions. There is a systematic under-representation of students who identify as Māori and Pacific, and students who come from low socioeconomic and rural backgrounds. The enrolment rate for Māori students is about 99 per 100 000 eligible population and for some Pacific ethnic groups is lower still, compared with 152 per 100 000 for NZ European students. The unadjusted rate ratio for enrolment for both Māori students and Pacific students versus Other' students is approximately 0.7. Conclusions We recommend that: (1) there should be a nationally coordinated system for collecting and reporting on the sociodemographic characteristics of the health workforce pre-registration; (2) mechanisms be developed to allow the agencies that fund tertiary education to base their funding decisions directly on the projected health workforce needs of the health system and (3) tertiary education funding decisions be based on Te Tiriti o Waitangi (the foundational constitutional agreement between the Indigenous people, Māori and the British Crown signed in 1840) and have a strong pro-equity focus.
dc.identifier.citationBMJ Open, ISSN: 2044-6055 (Print); 2044-6055 (Online), BMJ, 13(3), e065380-. doi: 10.1136/bmjopen-2022-065380
dc.identifier.doi10.1136/bmjopen-2022-065380
dc.identifier.issn2044-6055
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10292/16070
dc.languageeng
dc.publisherBMJ
dc.relation.urihttps://bmjopen.bmj.com/content/13/3/e065380
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjecthealth policy
dc.subjectorganisation of health services
dc.subjectpublic health
dc.subject4203 Health Services and Systems
dc.subject4206 Public Health
dc.subject42 Health Sciences
dc.subject4 Quality Education
dc.subject1103 Clinical Sciences
dc.subject1117 Public Health and Health Services
dc.subject1199 Other Medical and Health Sciences
dc.subject32 Biomedical and clinical sciences
dc.subject42 Health sciences
dc.subject52 Psychology
dc.subject.meshHumans
dc.subject.meshCross-Sectional Studies
dc.subject.meshEthnicity
dc.subject.meshHealth Workforce
dc.subject.meshNew Zealand
dc.subject.meshStudents
dc.subject.meshHumans
dc.subject.meshCross-Sectional Studies
dc.subject.meshStudents
dc.subject.meshNew Zealand
dc.subject.meshHealth Workforce
dc.subject.meshEthnicity
dc.subject.meshHumans
dc.subject.meshHealth Workforce
dc.subject.meshCross-Sectional Studies
dc.subject.meshNew Zealand
dc.subject.meshEthnicity
dc.subject.meshStudents
dc.titleNational Cross-Sectional Study of the Sociodemographic Characteristics of Aotearoa New Zealand’s Regulated Health Workforce Pre-Registration Students: A Mirror on Society?
dc.typeJournal Article
pubs.elements-id496047
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