Embedded Files
This is a list of Key Resources about the New Zealand Health System. You can request any books of interest, or access the resources through the links provided.
This is a list of Key Resources about the New Zealand Health System. You can request any books of interest, or access the resources through the links provided.
Current Context
Current Context
Manatū Hauora in partnership with Te Aka Whai Ora and Te Whatu Ora is developing a series of health strategies, which will set out our health service priorities and system improvements over the next 5–10 years.
The Health and Disability System Review was charged with taking a system-wide approach to what needs to change to ensure our future system achieves better and more equitable health and wellbeing outcomes for all New Zealanders. The final report discusses a range of detailed proposals regarding all the elements that need to change for the New Zealand health and disability system to produce more equitable health outcomes and to become more financially sustainable.
Te Pae Tata outlines the first steps to becoming a health service delivery system that better serves our people and communities. This plan covers a period of reset while the foundations of our health system change. As an initial plan, it outlines what we will do differently to establish the basis of a unified, affordable and sustainable health system.
Following the general election, the Ministry of Health produced Briefing to the Incoming Minister of Health, as is usual practice. The New Zealand health and disability support system has many strengths, and intersects the life of every New Zealander. It is looking after New Zealanders well, especially when we are acutely ill or injured. The system is, however, under pressure, is facing significant contextual change, and will need to operate very differently if it is to continue to deliver for New Zealanders. This publication outlines the challenges and opportunities that face our health and disability system.
This Health Systems in Transition (HiT) profile, New Zealand Health System Review, is a country-based report providing a detailed description of a health system and of reform and policy initiatives in progress or under development in New Zealand. Current challenges for the health system include reducing inequalities in health, managing noncommunicable diseases and chronic conditions, reducing waiting times, improving productivity, and ensuring greater integration and coordination of services within and between primary and secondary care, and intersectorally with other social services.
International Profiles of Health Care Systems presents overviews of the health care systems of Australia, Canada, China, Denmark, England, France, Germany, India, Israel, Italy, Japan, the Netherlands, New Zealand, Norway, Singapore, Sweden, Switzerland, Taiwan, and the United States. In the 2020 edition, users can find information on how nations organize, govern, and finance their health systems; efforts to improve quality of care, contain costs, and reduce racial and ethnic disparities; innovations in health care delivery; and other recent reforms.
Since the late-1980s, a series of significant reforms has been thrust upon New Zealand’s health sector. The nature of these reforms, together with their rationale, implementation and impacts, were examined in the 2001 predecessor to this book. ‘Revolving Doors: New Zealand’s Health Reforms - The Continuing Saga’ updates the 2001 book with a new chapter on subsequent developments, including the performance of district health boards, and the primary care reforms.
Dr Morgan finds a substantial mismatch between the public's expectations and what the health system actually delivers. Health Cheque explores the consequences of ongoing avoidance of the tough calls on rationing and prioritisation. It considers how many New Zealanders are already suffering or missing out from health care because of ad-hoc interventions in response to pressure groups. This book takes no prisoners as it explores which patients and treatments need to be given priority.
See chapter 10 - New Zealand's Healthcare System: Rapid Reform and Incremental Change. Health Reforms Across the World presents the health reform experiences over the past three decades of twelve small and medium-sized nations that are not often included in international comparative studies in this field. The major conclusion of the study is that despite many similarities in policy goals, policy challenges and in the menu of policy options for countries that seek to offer universal coverage to their population.
Historical Context
Historical Context
Check out the Chronology of the New Zealand Health System
A health service for New Zealand (1974) - The Government's White Paper on the reorganisation of health services. Extract from the book - "It is appropriate that the Government's White Paper on the reorganisation of the health services should be prefaced by the principles of the World Health Organisation (WHO). These principles display clearly the attitudes to health which have developed during the twentieth century. Concepts of an earlier age which concentrated on the treatment of disease have now been widened to emphasise the promotion of good health by all the means at our disposal."
New Zealand health policy : a comparative study (1994) - This book puts New Zealand's health policy in an international context, comparing the New Zealand developments with those taking place in other countries, especially the United States. The principal emphasis of the book is on how societal goals are being altered by social, economic, and political forces that extend well beyond one country's boundaries.
Health and public policy in New Zealand (2001) - The health policy landscape in New Zealand has changed dramatically in the last fifteen years. New Zealand has pioneered policies in health promotion (in relation to smoking and AIDS for instance), witnessed major controversies over the health conditions of key groups (such as women and Maori), and undertaken one of the most far-reaching programmes of health system restructuring of any country in the developed world. While much has been said about the content of these policies, little has been said about what we can learn from this experience. Health and Policy in New Zealand explores the key changes that have occurred over the last fifteen years and, drawing on a body of case study material, makes a significant contribution to the study of health policy.
Health and Society in Aotearoa New Zealand - There have been tensions between governments and health care professionals; the public has a profound and frequently personal interest in issues of health and health care; and there is now a wide range of health practitioners and providers of health and fitness related goods and services in an increasingly congested market. Health and Society in Aotearoa New Zealand seeks to place this dynamic and controversial sector within a coherent and illuminating framework.
Health and health care in New Zealand (1981) - This book presents an alternative perspective on health and health care in New Zealand. It challenges the traditional medical approach to health issues, analysing it in detail and illustrating the argument with a wide range of statistics previously unpublished or not readily available; and it outlines a perspective that is more preventative in emphasis and that promises a more humane and effective approach to health care delivery. This is supported with a wealth of information on the social, political and economic aspects of health, with particular reference to New Zealand.
Safeguarding the public health: a history of the New Zealand Department of Health (1995) - The New Zealand Department of Public Health came into exisence in 1900. In addition to charting the development of the Department, this history traces the evolution of public health in New Zealand since 1840, and helps to place some of the current debates about the New Zealand health system into their historical context. It also explores the ongoing search, which pre-dates the establishment of the Department, for ways to reduce the disparities between Maori and Pakeha health.
Democratic Governance and Health - Hospitals, politics and Health Policy in New Zealand (2012) - This book traces the development of New Zealand's elected health boards, from the 1930s to the present District Health Board structure, analyzing the history of democratic governance of health care, how boards have functioned, the politics surrounding their reform, and the idea of local democracy in health care decision-making. Based on extensive primary research, the book assesses the capacity of elected boards to effectively govern the allocation of public expenditure on behalf of taxpayers and patients. Are there alternatives to the existing District Health Board model? How might the electoral model be improved upon? The concluding chapter provides some suggestions. Democratic Governance and Health contains valuable lessons for other countries interested in public participation in health care.
New Zealand Health System Reforms (2009) - Provides an overview of the New Zealand Health System and Reforms between 1938 and 2001.
Choices for health care : report of the Health Benefits Review (1986) - The focus of this report is on the appropriate role for government in providing, financing and regulating health care. It examines and analyses the current New Zealand system, drawing on its history, on overseas experience and on the parts played by important groups in shaping the health care system.
Your Health & the Public Health: A Statement of Government Health Policy (1991) - This publication examined the possible future options for the health care system in New Zealand. Table of Contents--Introduction--The Role of Purchasers and Providers--Managing Total Health Care--Choice of Health Care Plans--Core Health Services--Financing Health Care--The Public Health--Other Key Components of the Health System--Implementation--Submissions
Unshackling the hospitals: Report of the hospital and related services taskforce (1988) - A wide ranging review was conducted of the New Zealand hospital system and international developments in health economics and the management of health systems. Table of Contents--Introduction--Objectives--Perceived Problems--Management Deficiencies--Unshackling Hospitals--Implementation
Last Updated 2023-02-22
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