Unmet need Some funding is Ten percent of the total An adjustment is made The for climate There is no adjustment Indigenous and ‘Index from the total funding will now be in the area of circulatory and is applied for unmet need. homeless populations latitude’ allocation to based on deprivation disease, as this is the to are given additional Somatic care. compensate for gaps in levels to reflect unmet only area in which there is weighting in the immigrants’ utilisation data; this is need, with the intent of is consistent evidence applied to psychiatric population count to targeted towards tackling health of a shortfall in use of services and reflect unmet need. populations inequalities. these services due to is ‘Metropolitan area’ (those living in NZDep deprivation levels. applied to substance quintiles 4/5, and abuse services. Māori Pacific peoples). Ethnicity Ethnicity is a variable Inadequate information No adjustment is made The variable The proportion of Aboriginal and Torres within the cost weights to summarise at this for ethnicity, as the is immigrants is Strait Islanders are given immigrants’ Pacific peoples time. deprivation index included in the factored in to the additional weighting in (Māori, and Other). sufficiently captures the Psychiatric Care postcode area the population count. additional needs of component. clustering. They also receive ethnic minorities that additional weighting in are to their the Health Need Index, deprivation. to reflect their higher need for acute care hospital admissions.
Unmet need Some funding is from the total allocation to compensate for gaps in utilisation data; this is targeted towards populations (those living in NZDep quintiles 4/5, Māori and Pacific peoples). Ten percent of the total funding will now be based on deprivation levels to reflect unmet need, with the intent of tackling health inequalities. An adjustment is made in the area of circulatory disease, as this is the only area in which there is consistent evidence of a shortfall in use of these services due to deprivation levels. The ‘Index for climate and latitude’ is applied to Somatic care. immigrants’ is applied to psychiatric services and ‘Metropolitan area’ is applied to substance abuse services. There is no adjustment for unmet need. Indigenous and homeless populations are given additional weighting in the population count to reflect unmet need. Ethnicity Ethnicity is a variable within the cost weights (Māori, Pacific peoples and Other). Inadequate information to summarise at this time. No adjustment is made for ethnicity, as the deprivation index sufficiently captures the additional needs of ethnic minorities that are to their deprivation. The variable immigrants’ is included in the Psychiatric Care component. The proportion of immigrants is factored in to the postcode area clustering. Aboriginal and Torres Strait Islanders are given additional weighting in the population count. They also receive additional weighting in the Health Need Index, to reflect their higher need for acute care hospital admissions.
population-based-funding-formula-review-2015-technical-report-mar2016.docx