Associate Professor, Health Policy, School of Population Health
University of Auckland, New Zealand
New Zealand shares many important health system characteristics with Canada generally, and Ontario specifically. NZ’s Primary Health Care Strategy of 2001 attempted to re-orient the health system towards primary care. The whole health system was restructured to bring primary, community and hospital services under single organizations at the local level.
While these reforms were potentially transformative, this potential was not realized due to a combination of factors. These included active resistance from primary care doctors to some elements of Primary Health Care Strategy, the perpetuation of hospital dominance after the restructuring of the system, a failure of the Ministry of Health to monitor and adapt to emergent trends in implementation of both policies, and a highly constrained funding environment from 2010 onwards. Nevertheless, the successes in the development of local-level integration, and the emergence of a widespread commitment to reducing inequities of access and outcomes provide some hope for the future.
***M.Sc. Students in Health Systems, this event can count towards one of the six mandatory Research Seminars Series needed to attend (MHS6991).***
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Tim Tenbensel is an Associate Professor of health policy at the School of Population Health, University of Auckland. He is a political scientist and his research interests include health policy implementation, comparative health policy, primary care, performance management in health systems and the application of complexity theory to health system contexts. He has had a longstanding interest in comparisons between New Zealand and Canadian health policy and is an investigator on the iCOACH (integrated care for older adults with complex health conditions) project which investigated innovative models of community-based primary health care in Ontario, Quebec and New Zealand.