Health Services and Systems
Latest | Media coverage | Commentary | Academic Literature | Legislation | Reports and Government Documents
Covering developments in the provision, funding and organisation of health care services, including the recent restructuring of Aotearoa’s health system.
Latest
Media coverage
Health service cuts: ‘New Zealanders are waiting too long’
Patients are facing months of wait-time for elective surgeries, while others are choosing the private route and spending thousands for timely treatment. Read...
Minister Shane Reti defends claim of five-day financial failure at Health NZ
Health New Zealand’s board went from “receiving the level of reporting it needed”, to its financial situation being “suddenly ... quite different” in just five days, Health Minister Shane Reti says. Read...
Sledgehammer’ hospital back office cuts hurting patients, clinicians warn
Hospital admin staff are losing their jobs or not being replaced, forcing stressed doctors and nurses to pick up their workload on top of their own. Read...
Commentary
NZ already spends less on health than Australia or Canada – we need proper funding, not ‘crisis’ management
We are being told the health system is in crisis, “on the brink of failure” – spending beyond its budget, waiting times getting longer, suffering from widespread staff shortages. Read...
Anatomy of a health crisis
Aotearoa New Zealand’s public healthcare services are increasingly unable to meet the population’s health need, be it in hospital and specialist services, mental health and addiction (MHA) or primary and community care. Read...
What Does A Functioning Healthcare System Look Like? – Expert Q&A
Amid ongoing news coverage of medical staff shortages and drastic changes to Te Whatu Ora leadership, the SMC asked experts to provide an overview of what public healthcare systems need in order to thrive. Read...
Academic Literature
The ownership elephant is becoming a mammoth: a policy focus on ownership is needed to transform Aotearoa New Zealand’s health system
Explicit government policy about ownership of health services is an important yet missing element in Aotearoa New Zealand’s health system. Policy has not systematically addressed ownership as a health system policy tool since the late 1930s. Read...
Closed books: restrictions to primary healthcare access in Aotearoa New Zealand—reporting results from a survey across general practices
In Aotearoa New Zealand, primary care is organised by enrolling patients with a primary care provider. However, the benefits of this arrangement are frustrated when providers “close their books” due to insufficient capacity for new patients. Read...
Quantifying and understanding the impact of unmet need on New Zealand general practice
Not getting access to appropriate specialist healthcare is having a significant detrimental effect on patients, health professionals and general practices, a University of Otago report has found.
Legislation and Parliament
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Reports and Government Documents
Cabinet and briefing material: Disestablishment of the Māori Health Authority
Cabinet. The Government has committed in its 100-day plan to disestablish the Māori Health Authority. Cabinet directed me to report back in mid-January with legislative options. This paper sets out my proposed approach to disestablishing the Authority. Read...
Cabinet Material: Pae Ora Health Strategies
Ministry of Health 2022. This Cabinet paper and attachments include five final drafts, and one provisional draft version (Disabled People Strategy) of the Pae Ora Strategies for improving the health status of New Zealanders. Read...
Interim Government Policy Statement Measures Snapshot Report 2022/23
Ministry of Health. The Ministry of Health – Manatū Hauora has developed a snapshot report to monitor the progress the health system is making on delivery against the Interim Government Policy Statement on Health 2022–2024 (iGPS). Read...
Key issues
HEALTH SERVICES AND SYSTEMS
EQUITY
DRUGS, DEVICE AND DIAGNOSTICS
PUBLIC HEALTH
DIGITAL HEALTH
TE TIRITI