One Country, Four Systems
Comparing Changing Health Policies in New Zealand
Bibliographic Data
| ID | 6297715 |
|---|---|
| Authors | Richard Gauld (0000-0001-5401-1192, corresponding author), Robin Gauld |
| Year | 2003 |
| Volume | 24 |
| Issue | 2 |
| Pages | 199-218 |
| Publication date | 2003-04-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Political Science Review (JOURNAL) |
| Journal identifiers | ISSN: 0192-5121 • E-ISSN: 1460-373X |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/0192512103024002003 |
| OpenAlex | W2085901787 |
| Language | EN |
| Citations received | 5 |
| References cited | 23 |
There is a growing literature in comparative health policy that analyzes the experiences of different countries. This article draws upon the comparative tradition, but has an intra-country focus. It considers the case of New Zealand, which has had four different public health sector structures in a decade, with fundamental changes enacted following general elections in 1990, 1996 and 1999. New Zealand's structures have included a system of locally based area health boards responsible for both funding and services delivery in their regions; a competitive, profit-oriented market system with separate agencies purchasing and providing health-care services; a centralized system with one corporate agency planning for population needs and purchasing services from a range of providers; and a system in which planning and purchasing is devolved to district boards. In tandem with the constant restructurings, a variety of policy and service innovations have emerged in areas such as the organization of primary-care physicians, indigenous Maori health care, pharmaceutical purchasing and the prioritization of services and patients. First, the article reviews the field of comparative health policy studies. Next, it outlines New Zealand's four health sector structures. Lastly, the article discusses the performance, implications and lessons of New Zealand's successive health sector changes
Agency (philosophy · Business · Economic growth · Economics · Economy · Health care · Political science · Private sector · Public sector · Purchasing · Service (business · Service delivery framework · Sociology · Global Health Workforce Issues · Healthcare Policy and Management · Public Administration · Social Issues and Policies · Health Policy · Marketing
Electoral discourse and formative structural narratives of welfare divergence in multi-level systems
One step forward, one step back? Restructuring, evolving policy, and information management and technology in the New Zealand health sector
Principal-Agent Theory and Organisational Change
Patterns of family doctor decision making in practice context. What are the implications for medical practice variation and social disparities
Sites of institutional racism in public health policy making in New Zealand
| Citations per year | 0.23 |
|---|---|
| Citation span | 2004 - 2014 (11) |
| Highly cited | No |