From providers to primary health organisations

An institutional analysis of nonprofit primary health care governance in New Zealand

Bibliographic Data

ID20201206
AuthorsBronwyn Howell (0000-0001-9048-0674, Victoria University of Wellington), Carolyn Cordery (0000-0001-9511-7671, Victoria University of Wellington)
Year2013
Volume25
Issue1
Pages4-40
Publication date2013-03-01
Open AccessYes
TypeARTICLE
VenueJournal of Public Budgeting Accounting & Financial Management (JOURNAL)
Journal identifiersISSN: 1096-3367 • E-ISSN: 1945-1814
PublisherEmerald (PUBLISHER)
DOI10.1108/jpbafm-25-01-2013-b002
OpenAlexW2772475616
LanguageEN
Citations received1
References cited21

Policy reforms to primary health care delivery in New Zealand required government-funded firms overseeing care delivery to be constituted as nonprofit entities with governance shared between consumers and producers. This paper examines the consumer and producer interests in these firmsʼ allocation of ownership and control utilising theories of competition. Consistent with pre-reform patterns of ownership and control, provider interests appear to have exerted effective control over these entitiesʼ formation and governance in all but a few cases where community (consumer) control pre-existed. Their ability to do so is implied from the absence of a defined ownership stake and the changes to incentives facing the different stakeholding groups. It appears that the pre-existing patterns will prevail and further intervention will be required if policy-makers are to achieve their underlying aims

Business · Corporate governance · Economic interventionism · Economics · Incentive · Management · Market economy · Political science · Politics · Primary care · Public economics · Public relations · Healthcare innovation and challenges · Healthcare Policy and Management · Medicine · Nonprofit Sector and Volunteering · Nursing · Public Administration · Finance

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