Auckland District Health Board


Deaths, hospitalisations and cancer registrations



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Deaths, hospitalisations and cancer registrations

Ethnicity


Most indicators are presented for Māori and non-Māori. In each data set a person was classified as Māori if any one of their recorded ethnicity was Māori. No adjusters for undercount of hospitalisations, cancer registrations, or deaths were applied.

Residence


The DHB of residence was determined from the domicile code attached to the public hospital discharge record, the death registration, or the cancer registration.

Hospital transfers


For ambulatory sensitive hospitalisations and analyses of hospitalisations by cause (such as asthma, ischaemic heart disease) transfers to other services or others hospitals were not counted as an admission if the admission had an ambulatory sensitive diagnosis or had the same principal diagnosis group respectively, was on the same day or the following day as the initial admission and either had its admission source code as ‘transfer from another hospital facility’ or initial admission had its event end type code indicating a discharge to an acute facility, another healthcare facility, or other service within same facility. For avoidable hospitalisations, all admissions, the tables of hospitalisations for mental disorders, causes of hospital admissions for injuries and causes of admissions, admissions were not counted if the admission had its admission source code as ‘transfer from another hospital facility’.

Suppression of causes of death or hospitalisation


In tables presenting data on causes of death, hospitalisation, or cancer registrations by site, data is not presented where there were fewer than five Māori events during the period represented by the data.

Ninety-five percent confidence intervals


The rates and ratios presented are estimates of the ‘true’ rate or ratio, calculated using data available. The 95% confidence interval (CI) indicates the interval that has a 95% probability of enclosing the ‘true’ value.

The CI is influenced by the population size of the group. When the population is small, the CI becomes wider and there is less certainty about the rate.

When the CIs of two groups do not overlap, the difference in rates between the groups is statistically significant. Sometimes, even when there are overlapping CIs, the difference between the groups may be statistically significant. In this report, if CIs overlap but a difference has been reported, a test of statistical significance (the log-transformation method) was performed (Clayton and Hills 1993).

Age standardisation


Age-standardised rates adjust for differences in age distribution of the populations being compared. They are artificial rates created to allow comparisons to be made with differing groups. Age-standardised rates are calculated by applying age-specific rates to a standard population; they should only be compared with other adjusted rates that were calculated using the same ‘standard’ population. The standard population used in this report was the 2001 Census Māori population (shown below).

Rates for the total Māori and non-Māori populations were age–sex-standardised. This means the rates were standardised to a population with equal numbers of males and females and the age distribution of the total Māori population from the 2001 Census (Robson, Purdie et al 2007).

Standardising to the Māori population provides age-standardised rates that closely approximate the crude Māori rates (the actual rates among the Māori population) while also allowing comparisons with the non-Māori population. Care should be taken when using data from another source that are standardised using a different standard population, as they are not comparable.

Table : 2001 Census total Māori population



Age group(years)

2001 Census total Māori population

Weighting

0–4

67,404

12.81

5–9

66,186

12.58

10–14

62,838

11.94

15–19

49,587

9.42

20–24

42,153

8.01

25–29

40,218

7.64

30–34

39,231

7.46

35–39

38,412

7.30

40–44

32,832

6.24

45–49

25,101

4.77

50–54

19,335

3.67

55–59

13,740

2.61

60–64

11,424

2.17

65–69

8,043

1.53

70–74

5,046

0.96

75–79

2,736

0.52

80–84

1,251

0.24

85 and over

699

0.13



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