Continuity amid Chaos Health Care Management and Delivery in New Zealand

by Gauld, Robin

• ISBN13: 9781877276514
• ISBN10: 1877276510
• Format: Paperback
• Copyright: 2003-01-01
• Publisher: Otago University Press

Summary

Robin Gauld brings together health-care practitioners from the New Zealand health sector in order to provide a ground floor view of how the island nation's health care is managed and delivered. The material primarily consists of case studies of institutions and programs with which the authors have firsthand experience. The studies address topics such as the management of information systems, the use waiting lists, the impact of hospital restructuring on nursing, and managing a rural community health trust. A few of the papers are broader in scope, offering overviews of particular health sectors or critiquing existing policy assumptions.

Author Biography

Robin Gauld is Associate Professor of Health Policy, Department of Preventative and Social Medicine, University of Otago. He is the author of Revolving Doors: New Zealand’s Health Reforms and co-author of The Hong Kong Health Sector, with Derek Gould. Gauld's research interests include comparative health policy, primary care, and health information and technology. He has written and contributed to numerous books and over 40 peer-reviewed journal articles, which have been published in journals such as the Journal of Health Politics, Policy and Law, Medical Care, the British Medical Journal, Health Policy, and the New Zealand Medical Journal. Gauld's research on the impact of New Zealand's health restructurings has been cited by the Australian Health Minister. Gauld holds a PhD in public administration from the University of Hong Kong, and a Master's degree with distinction from Victoria University, Wellington.

Table of Contents

Contributors	7	(5)
Acknowledgements	12	(1)
Introduction: Continuity Amid Chaos: The context of health care management and delivery in New Zealand
Robin Gauld	13	(14)
1. The Challenges of Running a District Health Board
Bill Adam	27	(22)
2. Service Planning and Prioritisation in a District Health Board
Martin Hefford and Marty de Boer	49	(20)
3. Continuing Change in Primary Care: Issues for independent practice associations and primary health organisations
Tom Love	69	(14)
4. Health Care Information Systems: The Counties Manukau District Health Board experience
Phil Brimacombe	83	(12)
5. Aiming for a Quality Health Service: Quality improvement in the New Zealand health sector
Mary Seddon	95	(8)
6. Managing Waiting Lists
Justin Roake	103	(20)
7. Hospital Restructuring: The impact on nursing
Suzanne Gower; Mary Finlayson and Jane Turnbull	123	(14)
8. The Changing Landscape of Maternity Services
Glenn Blanchette	137	(14)
9. Tui Ora Limited: A Taranaki experience in Maori health development
Hayden Wano	151	(18)
10. Tackling the Rise of Infectious Diseases in Auckland: A regional public health service's response
Chris Bullen and Greg Simmons	169	(14)
11. Organising National Cancer Screening Programmes in New Zealand
Kirsten Coppell and Thelma Brown	183	(18)
12. Integrated Care: Reflections from research
Marie Russell, Jackie Gumming, Adrian Slack, Debbie Peterson and Amanda Gilbert	201	(14)
13. Managing a Rural Community Health Trust: The Hokianga health enterprise trust in the 1990's
Bridget Allan	215	(14)
14. Mental Health Services and Deinstitutionalisation: How community agencies can deliver effective services for people with intellectual disabilities
Gerry Walmisley	229	(12)
15. Working in the Community: The CCS experience in delivering disability support services
Graham Hambleton	241	(12)
16. 'It's Not my Home Any More': A critique of in-home care
Beatrice Hale	253	(12)
17. Dissolving the Health Funding Authority: The impact on officials and lessons for the management of change
Robin Gauld	265	(10)
Notes	275	(6)
References	281	(18)
Index	299