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New Zealand's post-2008 health system reforms: Toward re-centralization of organizational arrangements


  • Gauld, Robin


The election of a centre-right government in 2008 has spawned a series of ongoing reforms to the structures for governing New Zealand's health system. These mainly involve creation of a series of new national agencies designed to stimulate national coordination and centralization of some planning and service delivery functions along with performance improvements in specific areas, namely quality, information technology, service efficiency, reduction of administrative costs, and comparative-effectiveness research. This brief article provides an overview of the post-2008 reforms. It notes that, while there appears to be agreement within the health system that the reforms are moving in the right direction, the new institutional arrangements are perhaps overly complicated.

Suggested Citation

  • Gauld, Robin, 2012. "New Zealand's post-2008 health system reforms: Toward re-centralization of organizational arrangements," Health Policy, Elsevier, vol. 106(2), pages 110-113.
  • Handle: RePEc:eee:hepoli:v:106:y:2012:i:2:p:110-113
    DOI: 10.1016/j.healthpol.2012.03.018

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    References listed on IDEAS

    1. Tenbensel, Tim & Cumming, Jacqueline & Ashton, Toni & Barnett, Pauline, 2008. "Where there's a will, is there a way?: Is New Zealand's publicly funded health sector able to steer towards population health?," Social Science & Medicine, Elsevier, vol. 67(7), pages 1143-1152, October.
    2. Ashton, Toni & Mays, Nicholas & Devlin, Nancy, 2005. "Continuity through change: The rhetoric and reality of health reform in New Zealand," Social Science & Medicine, Elsevier, vol. 61(2), pages 253-262, July.
    3. Pascal Zurn & Jean-Christophe Dumont, 2008. "Health Workforce and International Migration: Can New Zealand Compete?," OECD Health Working Papers 33, OECD Publishing.
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    Cited by:

    1. Griffin, Edward & McCarthy, John P. & Thomas, Fiona & Kingham, Simon, 2017. "New Zealand Healthline call data used to measure the effect of travel time on the use of the emergency department," Social Science & Medicine, Elsevier, vol. 179(C), pages 91-96.

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    New Zealand; Health reforms;


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