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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

General practice evolution in New Zealand: hybridisation in action

Carol Atmore
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1 Department of General Practice and Rural Health, University of Otago, New Zealand

Correspondence to: Carol Atmore, Department of General Practice and Rural Health, University of Otago, Dunedin 9054, New Zealand. Email: carol.atmore@otago.ac.nz

Journal of Primary Health Care 9(3) 220-224 https://doi.org/10.1071/HC17043
Published: 25 September 2017

Journal Compilation © Royal New Zealand College of General Practitioners 2017.
This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Abstract

This viewpoint outlines a brief history of primary care health reforms over the last 25 years, and how this history has influenced the business of caring. It also suggests where we should next look to improve the provision of equitable patient-centred care in the current climate of fiscal constraint, while meeting the challenges of an ageing population and increasing multimorbidity.


References

[1]  Malcolm L, Wright L, Barnett P. The Development of Primary Care Organisations in New Zealand. Wellington: Ministry of Health; 1999.

[2]  Atmore C. The role of medical generalism in the New Zealand health system into the future. N Z Med J. 2015; 128 50–5.

[3]  Thorlby R, Smith J, Barnett P, Mays N. Primary care for the 21st century. Learning from New Zealand’s independent practitioner associations. London: Nuffield Trust; 2012.

[4]  Malcolm L. GP budget holding in New Zealand: lessons for Britain and elsewhere? BMJ. 1997; 314 1890–2.
GP budget holding in New Zealand: lessons for Britain and elsewhere?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2szmslCgsQ%3D%3D&md5=b66c6c0ed27d0b74d936392e680093e5CAS |

[5]  King A. The Primary Health Care Strategy. Wellington: Ministry of Health; 2001.

[6]  Smith J, Cumming J. Where next for primary health organisations in New Zealand? Wellington: Victoria University of Wellington; 2009.

[7]  King A. Minimum Requirements for Primary Health Organisations. Wellington: Ministry of Health; 2001.

[8]  Hefford M, Crampton P, Foley J. Reducing health disparities through primary care reform: the New Zealand experiment. Health Policy. 2005; 72 9–23.
Reducing health disparities through primary care reform: the New Zealand experiment.Crossref | GoogleScholarGoogle Scholar |

[9]  Brady K. Ministry of Health and district health boards: effectiveness of the “Get Checked” diabetes programme. Wellington: Office of the Auditor-General; 2007.

[10]  Smith J, McDonald J, Cumming J. Developing and implementing high impact changes for primary health care in New Zealand: a discussion document. Wellington: Victoria University of Wellington; 2008.

[11]  Ministry of Health. Better, Sooner, More Convenient health care in the community. Wellington: Ministry of Health; 2011.

[12]  Timmins N, Ham C. The quest for integrated health and social care: a case study in Canterbury, New Zealand. London: The King’s Fund; 2013.

[13]  Gauld R. What should governance for integrated care look like? New Zealand’s alliances provide some pointers. Med J Aust. 2014; 201 S67–S68.
What should governance for integrated care look like? New Zealand’s alliances provide some pointers.Crossref | GoogleScholarGoogle Scholar |

[14]  DHB Shared Services. Alliance Agreement and Alliance Leadership Team Charter. Wellington: DHB Shared Services; 2013.

[15]  Lovelock K, Martin G, Cumming J, Gauld R. The evaluation of the Better, Sooner, More Convenient Business Cases in MidCentral and the West Coast District Health Boards. Wellington: Victoria University of Wellington; 2014.

[16]  Ministry of Health. System Level Measures Framework Update January 2017. Wellington: Ministry of Health; 2017.

[17]  Canterbury Clinical Network. Alliancing in a health context. May 2015, Canterbury Clinical Network. [cited 2017 August 29]. Available from: http://ccn.health.nz/OurHealthSystem/OurWayofWorking.aspx

[18]  Doolan-Noble F, Lyndon M, Hill A,, et al. Developing and implementing a framework for system level measures: lessons from New Zealand. Asia Pacific J Health Manag. 2016; 11 18–26.

[19]  Ashton T. Measuring health system performance: a new approach to accountability and quality improvement in New Zealand. Health Policy. 2015; 119 999–1004.
Measuring health system performance: a new approach to accountability and quality improvement in New Zealand.Crossref | GoogleScholarGoogle Scholar |

[20]  Ministry of Health. Guide to Using the System Level Measures Framework for Quality Improvement. Wellington: Ministry of Health; 2016.

[21]  Scott G, Horn M, Durie M, et al. Expert Advisory Group Report on the Integrated Performance and Incentive Framework. Wellington: Ministry of Health; 2014.

[22]  West Coast PHO, West Coast DHB. Building a Better Buller Health System: Buller Integrated Family Health Centre Development Plan & Indicative/Strategic Business Case. Greymouth: West Coast DHB; 2011.

[23]  Ernst & Young. Evaluation of the New Zealand Health Care Home, 2010–2016. Auckland: Ernst & Young; 2017.

[24]  Ministry of Health. Health of the Health Workforce 2015. Wellington: Ministry of Health; 2016.

[25]  Schneider EC, Sarnak DO, Squires D, et al. International Comparison Reflects Flaws and Opportunities for Better U.S. Health Care. The Commonwealth Fund, July 2017.

[26]  Love T, Blick G. Primary care funding - a discussion paper. Wellington: Sapere Research Group; 2014.

[27]  The Health Safety and Quality Commission. The Triple Aim. Wellington: The Health Safety and Quality Commission. [cited 2017 May 23]. Available from: http://www.hqsc.govt.nz/news-and-events/news/126/