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  1. Home
  3. Health In Justice Or Health Injustice? Indigenous Māori Experiences Of Primary Care Following Release From New Zealand Prisons: A National Record Study.
  1. Home
  3. Health In Justice Or Health Injustice? Indigenous Māori Experiences Of Primary Care Following Release From New Zealand Prisons: A National Record Study.

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Health in justice or health injustice? Indigenous Māori experiences of primary care following release from New

Paula Toko King1, Frederieke Sanne Petrović-van der Deen2, Cheryl Davies3

  • 1Te Rōpū Rangahau Hauora a Eru Pōmare, Ōtākou Whakaihu Waka/University of Otago, New Zealand.

Social Science & Medicine (1982)
|September 17, 2025

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
HealthIndigenousMāoriPrison‘Community re-entry’‘Linked data’‘Primary care’

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Indigenous Māori released from prison face significant primary care access barriers and unmet health needs. Equitable, culturally safe primary care is crucial for successful community reintegration and upholding Indigenous health rights.

Area of Science:

  • Public Health
  • Indigenous Health
  • Health Services Research

Background:

  • Indigenous Māori in New Zealand experience disproportionately high rates of imprisonment due to historical and ongoing colonization, coloniality, and racism.
  • Community re-entry after incarceration presents significant challenges for accessing essential healthcare and services, increasing risks of morbidity and mortality.
  • Primary care is the gateway to secondary health services and crucial support systems within New Zealand's public health framework.

Purpose of the Study:

  • To examine the primary care experiences of Indigenous Māori within the 12 months following their release from prison.
  • To identify challenges and gaps in primary care access and utilization for this population.
  • To inform the development of culturally safe strategies to improve health outcomes and support successful community reintegration.

Main Methods:

  • Utilized deidentified, linked national administrative data, guided by the lived experiences of Indigenous Māori.
  • Analyzed primary care utilization, medication access, and emergency department/hospitalization rates for Māori individuals post-release.
  • Focused on the 12-month period following release from prison.

Main Results:

  • Over half of the 7398 Māori released between June 2021-May 2022 were reimprisoned within 12 months.
  • Only 76% were enrolled with a primary health organisation, leaving 24% without subsidized primary care access.
  • While 47% accessed primary care and 63% received medication, significant proportions accessed emergency care (26%) or experienced ambulatory sensitive hospitalizations (5%).

Conclusions:

  • Financial barriers impede Indigenous Māori's access to primary care post-release.
  • Current primary care services are failing to meet the significant health needs of this population, indicating a breach of Indigenous health rights.
  • Urgent implementation of evidence-informed, culturally safe strategies, co-designed with Māori with lived experience, is required to ensure equitable, high-quality primary care and support successful re-entry.