IDEAS home Printed from
   My bibliography  Save this article

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

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    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.
    Full references (including those not matched with items on IDEAS)


    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.

    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.

    More about this item


    New Zealand; Health reforms;


    Access and download statistics


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:106:y:2012:i:2:p:110-113. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu) or (). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.