IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v134y2023ics0168851023001136.html
   My bibliography  Save this article

The 2022 restructure of Aotearoa New Zealand's health system: Will it succeed in advancing equity where others have failed?

Author

Listed:
  • Tenbensel, Tim
  • Cumming, Jacqueline
  • Willing, Esther

Abstract

Aotearoa New Zealand has restructured its health system with the objective of addressing inequitable access to health services and inequitable health outcomes, particularly those affecting the indigenous Māori population. In July 2022, two new organisations were created to centralise planning, funding and provision responsibilities for publicly funded health services in Aotearoa New Zealand. Health New Zealand and the Māori Health Authority have been created to drive transformational change within the national health system and monitor and improve the health and wellbeing of Māori. At the local level, new Localities are to be formed with the aim of integrating services between government and non-government health and social services providers, while incorporating local Māori and local communities in co-design of services. These changes will be of interest to those in many other countries who are grappling with their own colonial histories and struggling to provide health services in ways that are equitable and contribute to positive health outcomes for their whole population. Although key aspects of the reforms are well supported within the health sector, the ambitious scope and timing of their introduction in the context of the COVID-19 pandemic and health workforce shortages can be expected to generate significant implementation challenges.

Suggested Citation

  • Tenbensel, Tim & Cumming, Jacqueline & Willing, Esther, 2023. "The 2022 restructure of Aotearoa New Zealand's health system: Will it succeed in advancing equity where others have failed?," Health Policy, Elsevier, vol. 134(C).
    • Handle: RePEc:eee:hepoli:v:134:y:2023:i:c:s0168851023001136
    DOI: 10.1016/j.healthpol.2023.104828
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851023001136
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2023.104828?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

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

    References listed on IDEAS

    as
    1. Friedson, Andrew & Li, Moyan & Meckel, Katherine & Rees, Daniel I. & Sacks, Daniel W., 2023. "Cigarette taxes, smoking, and health in the long run," Journal of Public Economics, Elsevier, vol. 222(C).
    2. Zhang, Baobao & Weissinger, Laurin & Himmelreich, Johannes & McMurry, Nina & Li, Tiffany & Scheinerman, Naomi & Kreps, Sarah, 2020. "Building robust and ethical vaccination verification systems," OSF Preprints x2ucp, Center for Open Science.
    3. Li, Guiqiang & Xuan, Qingdong & Akram, M.W. & Golizadeh Akhlaghi, Yousef & Liu, Haowen & Shittu, Samson, 2020. "Building integrated solar concentrating systems: A review," Applied Energy, Elsevier, vol. 260(C).
    4. Rabeh Morrar & Samer Jabr & Rula Ghandour & Niveen ME Abu‐Rmeileh & Dana A. Forgione & Mustafa Younis, 2021. "Identifying healthcare cost drivers in Palestine," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 911-924, May.
    5. 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.
    6. Kung, Claryn S. J. & Pudney, Stephen & Shields, Michael A., 2021. "Economic Gradients in Social Health in Britain," IZA Discussion Papers 14731, Institute of Labor Economics (IZA).
    7. Alessandro L. V. Coradini & Cara B. Hull & Ian M. Ehrenreich, 2020. "Building genomes to understand biology," Nature Communications, Nature, vol. 11(1), pages 1-11, December.
    8. Harris, R. & Cormack, D. & Tobias, M. & Yeh, L.-C. & Talamaivao, N. & Minster, J. & Timutimu, R., 2012. "Self-reported experience of racial discrimination and health care use in New Zealand: Results from the 2006/07 New Zealand Health Survey," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 1012-1019.
    9. Chin, Marshall H. & King, Paula T. & Jones, Rhys G. & Jones, Bryn & Ameratunga, Shanthi N. & Muramatsu, Naoko & Derrett, Sarah, 2018. "Lessons for achieving health equity comparing Aotearoa/New Zealand and the United States," Health Policy, Elsevier, vol. 122(8), pages 837-853.
    10. Rainer Alt & Olaf Reinhold, 2020. "Social CRM: Evolution and Building Blocks," Management for Professionals, in: Social Customer Relationship Management, chapter 1, pages 1-19, Springer.
    11. Edward J. D. Webb & Paul Kind & David Meads & Adam Martin, 2021. "Does a health crisis change how we value health?," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2547-2560, September.
    12. Parmar, Rashik & Leiponen, Aija & Thomas, Llewellyn D.W., 2020. "Building an organizational digital twin," Business Horizons, Elsevier, vol. 63(6), pages 725-736.
    13. Pushpika Vishwanathan & Hans (J.) van Oosterhout & Pursey P. M. A. R. Heugens & Patricio Duran & Marc van Essen, 2020. "Strategic CSR: A Concept Building Meta‐Analysis," Journal of Management Studies, Wiley Blackwell, vol. 57(2), pages 314-350, March.
    14. Galina Churkina & Alan Organschi & Christopher P. O. Reyer & Andrew Ruff & Kira Vinke & Zhu Liu & Barbara K. Reck & T. E. Graedel & Hans Joachim Schellnhuber, 2020. "Buildings as a global carbon sink," Nature Sustainability, Nature, vol. 3(4), pages 269-276, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Li, Shengping & Rismanchi, Behzad & Aye, Lu, 2022. "A simulation-based bottom-up approach for analysing the evolution of residential buildings’ material stocks and environmental impacts – A case study of Inner Melbourne," Applied Energy, Elsevier, vol. 314(C).
    2. Sinha, Shreya & Narain, Nivedita & Bhanjdeo, Arundhita, 2022. "Building back better? Resilience as wellbeing for rural migrant households in Bihar, India," World Development, Elsevier, vol. 159(C).
    3. Lin Crase, 2021. "Lessons in Policy Incoherence: A Review of Recent Water Policies, Water Planning and Drought Policy in Australia," Economic Papers, The Economic Society of Australia, vol. 40(4), pages 313-330, December.
    4. Pradhan, Rudra P. & Arvin, Mak B. & Nair, Mahendhiran S. & Bennett, Sara E., 2023. "Does foreign aid affect innovation and institutional quality in middle-income countries?," Evaluation and Program Planning, Elsevier, vol. 100(C).
    5. Madurai Elavarasan, Rajvikram & Pugazhendhi, Rishi & Jamal, Taskin & Dyduch, Joanna & Arif, M.T. & Manoj Kumar, Nallapaneni & Shafiullah, GM & Chopra, Shauhrat S. & Nadarajah, Mithulananthan, 2021. "Envisioning the UN Sustainable Development Goals (SDGs) through the lens of energy sustainability (SDG 7) in the post-COVID-19 world," Applied Energy, Elsevier, vol. 292(C).
    6. Deng, Cheng-gang & Chen, Fei, 2021. "Model verification and photo-thermal conversion assessment of a novel facade embedded compound parabolic concentrator," Energy, Elsevier, vol. 220(C).
    7. Sörries, Bernd & Franken, Matthias & Baischew, Dajan & Lucidi, Stefano, 2020. "Einfluss von Versorgungsauflagen auf die Mobilfunkabdeckung in der EU," WIK Discussion Papers 470, WIK Wissenschaftliches Institut für Infrastruktur und Kommunikationsdienste GmbH.
    8. Davila, Jessenia & Duran, Patricio & Gómez-Mejía, Luis & Sanchez-Bueno, Maria J., 2023. "Socioemotional wealth and family firm performance: A meta-analytic integration," Journal of Family Business Strategy, Elsevier, vol. 14(2).
    9. Chen, Haifei & Li, Guiqiang & Zhong, Yang & Wang, Yunjie & Cai, Baorui & Yang, Jie & Badiei, Ali & Zhang, Yang, 2021. "Exergy analysis of a high concentration photovoltaic and thermal system for comprehensive use of heat and electricity," Energy, Elsevier, vol. 225(C).
    10. Cindy X. Chen & Francesca Pierobon & Susan Jones & Ian Maples & Yingchun Gong & Indroneil Ganguly, 2021. "Comparative Life Cycle Assessment of Mass Timber and Concrete Residential Buildings: A Case Study in China," Sustainability, MDPI, vol. 14(1), pages 1-17, December.
    11. Criaco, Giuseppe & van Oosterhout, J. (Hans) & Nordqvist, Mattias, 2021. "Is blood always thicker than water? Family firm parents, kinship ties, and the survival of spawns," Journal of Business Venturing, Elsevier, vol. 36(6).
    12. Pérez-Sánchez, Laura À. & Velasco-Fernández, Raúl & Giampietro, Mario, 2022. "Factors and actions for the sustainability of the residential sector. The nexus of energy, materials, space, and time use," Renewable and Sustainable Energy Reviews, Elsevier, vol. 161(C).
    13. Creutzburg, Leonard & Lieberherr, Eva, 2021. "To log or not to log? Actor preferences and networks in Swiss forest policy," Forest Policy and Economics, Elsevier, vol. 125(C).
    14. Bridgette Masters-Awatere & Donna Cormack & Rebekah Graham & Rachel Brown, 2020. "Observations by and Conversations with Health Workers and Hospital Personnel Involved in Transferring Māori Patients and Whānau to Waikato Hospital in Aotearoa New Zealand," IJERPH, MDPI, vol. 17(23), pages 1-13, November.
    15. Dominik Noll & Christian Lauk & Willi Haas & Simron Jit Singh & Panos Petridis & Dominik Wiedenhofer, 2022. "The sociometabolic transition of a small Greek island: Assessing stock dynamics, resource flows, and material circularity from 1929 to 2019," Journal of Industrial Ecology, Yale University, vol. 26(2), pages 577-591, April.
    16. Li, Yufan & Teng, Weichen & Tsai, Limin & Lin, Tom M.Y., 2022. "Does English proficiency support the economic development of non-English-speaking countries? The case of Asia," International Journal of Educational Development, Elsevier, vol. 92(C).
    17. Zeeshan Ullah & Ahmad Arslan & Vesa Puhakka, 2021. "Corporate social responsibility strategy, sustainable product attributes, and export performance," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 28(6), pages 1840-1853, November.
    18. Daewoung Choi & Hyunju Shin & Kyoungmi Kim, 2023. "CEO’s Childhood Experience of Natural Disaster and CSR Activities," Journal of Business Ethics, Springer, vol. 188(2), pages 281-306, November.
    19. Marek Nagy & Katarina Valaskova & Pavol Durana, 2022. "The Effect of CSR Policy on Earnings Management Behavior: Evidence from Visegrad Publicly Listed Enterprises," Risks, MDPI, vol. 10(11), pages 1-14, October.
    20. Xuan, Qingdong & Li, Guiqiang & Yang, Honglun & Gao, Cai & Jiang, Bin & Liu, Xiangnong & Ji, Jie & Zhao, Xudong & Pei, Gang, 2021. "Performance evaluation for the dielectric asymmetric compound parabolic concentrator with almost unity angular acceptance efficiency," Energy, Elsevier, vol. 233(C).

    Corrections

    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:134:y:2023:i:c:s0168851023001136. See general information about how to correct material in RePEc.

    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 bibliographic 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.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.