Restructuring Primary Health Care Markets in New Zealand: from Welfare Benefits to Insurance Markets

Howell, Bronwyn

doi:10.1186/1743-8462-2-20

Cited by 10 publications

(15 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…NOTES 1. The authors acknowledge that the wider health care sector embodies the nexus of markets for health care delivery and markets for the provision of risk management (insurance -either privately or socially provided -see Howell, 2005). However, for the purposes of this paper, we have chosen to address only those aspects relating to the exchange of products and services in the health care delivery markets -that is, care transactions between patients and service providers.…”

Section: Discussionmentioning

confidence: 99%

“…2. In turn PHOs have entered into contracts for service provision with a vast range of service providers, including community and charitable trusts, indigenous (Maori) incorporations and trades unions, and independent practitioners associations (IPAs), as well as traditional privately-owned for-profit firms (usually General Practitioner clinics -GPs) (Howell, 2005a).…”

Section: Discussionmentioning

confidence: 99%

“…In practice, the competitive interactions emerging under the NZPHCS made speed of PHO formation the main imperative (Howell, 2005). As community-controlled groups were almost always nonowned nonprofits, often with some (minority) provider representation already in place on their boards, migration to PHO status occurred quickly.…”

Section: Consumer-governed Modelsmentioning

confidence: 99%

“…While there is a mix of owned and non-owned provider firms, the case study in Howell (2005) of a large urban PHO provides an example of a non-owned provider PHO where the governance arrangements "on paper" met the NZPHCS requirements for governance by mutual interests, but in practice these were biased towards the interests of their originating IPA stakeholders. The IPA controlled the process by which community representatives were appointed.…”

Section: Consumer-governed Modelsmentioning

confidence: 99%

“…20. Howell (2005) reports one PHO representative (service provider) noting that it took eighteen months for the consumer…”

mentioning

confidence: 99%

See 4 more Smart Citations

From providers to primary health organisations: An institutional analysis of nonprofit primary health care governance in New Zealand

Howell

Cordery

2013

Journal of Public Budgeting, Accounting &Amp; Financial Management

Self Cite

View full text Add to dashboard Cite

Policy reforms to primary health care delivery in New Zealand required government-funded firms overseeing care delivery to be constituted as nonprofit entities with governance shared between consumers and producers. This paper examines the consumer and producer interests in these firmsʼ allocation of ownership and control utilising theories of competition. Consistent with pre-reform patterns of ownership and control, provider interests appear to have exerted effective control over these entitiesʼ formation and governance in all but a few cases where community (consumer) control pre-existed. Their ability to do so is implied from the absence of a defined ownership stake and the changes to incentives facing the different stakeholding groups. It appears that the pre-existing patterns will prevail and further intervention will be required if policy-makers are to achieve their underlying aims.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Consumer-governed Modelsmentioning

confidence: 99%

Section: Consumer-governed Modelsmentioning

confidence: 99%

“…20. Howell (2005) reports one PHO representative (service provider) noting that it took eighteen months for the consumer…”

mentioning

confidence: 99%

See 3 more Smart Citations

From providers to primary health organisations: An institutional analysis of nonprofit primary health care governance in New Zealand

Howell

Cordery

2013

Journal of Public Budgeting, Accounting &Amp; Financial Management

Self Cite

View full text Add to dashboard Cite

show abstract

Catchments of general practice in different countries– a literature review

Allan

2014

Int J Health Geogr

View full text Add to dashboard Cite

The purpose of this paper is to review the current research on catchment areas of private general practices in different developed countries because healthcare reform, including primary health care, has featured prominently as an important political issue in a number of developed countries. The debates around health reform have had a significant health geographic focus.Conceptually, GP catchments describe the distribution, composition and profile of patients who access a general practitioner or a general practice (i.e. a site or facility comprising one or more general practitioners). Therefore, GP catchments provide important information into the geographic variation of access rates, utilisation of services and health outcomes by all of the population or different population groups in a defined area or aggregated area.This review highlights a wide range of diversity in the literature as to how GP catchments can be described, the indicators and measures used to frame the scale of catchments. Patient access to general practice health care services should be considered from a range of locational concepts, and not necessarily constrained by their place of residence. An analysis of catchment patterns of general practitioners should be considered as dynamic and multi-perspective. Geographic information systems provide opportunities to contribute valuable methodologies to study these relationships. However, researchers acknowledge that a conceptual framework for the analysis of GP catchments requires access to real world data. Recent studies have shown promising developments in the use of real world data, especially from studies in the UK.Understanding the catchment profiles of individual GP surgeries is important if governments are serious about patient choice being a key part of proposed primary health reforms. Future health planning should incorporate models of GP catchments as planning tools, at the micro level as well as the macro level, to assist policies on the allocation of resources so that opportunities for good health outcomes for all groups within society, especially those who have been systematically denied equitable access, are maximised.

show abstract

Why Institutions Are Not the Only Thing That Matters: Twenty-Five Years of Health Care Reform in New Zealand

Starke

2010

Journal of Health Politics, Policy and Law

View full text Add to dashboard Cite

The literature on the causes of health care reform is dominated by institutionalist accounts, and political institutions are among the most prominent factors cited to explain why change takes place. However, institutionalist accounts have difficulty explaining both the timing and the content of reforms. By applying a range of explanatory approaches to a case study of health reform in New Zealand since the 1970s, this article explores some of the theories of reform beyond institutionalism, particularly those that take into account problem pressure, policy ideas, and the more agency-centered factor of partisan ideology. The aim is not to dismiss institutionalism but to try to fill some of the gaps that cannot be addressed with institutionalist theories alone. The detailed analysis shows that various factors played a role in conjunction, namely, problem pressure, policy ideas, and the ideology of parties in government. Partisan ideology, in particular, has perhaps been prematurely ignored by health care scholars.

show abstract

Restructuring Primary Health Care Markets in New Zealand: from Welfare Benefits to Insurance Markets

Cited by 10 publications

References 19 publications

From providers to primary health organisations: An institutional analysis of nonprofit primary health care governance in New Zealand

From providers to primary health organisations: An institutional analysis of nonprofit primary health care governance in New Zealand

Catchments of general practice in different countries– a literature review

Why Institutions Are Not the Only Thing That Matters: Twenty-Five Years of Health Care Reform in New Zealand

Contact Info

Product

Resources

About