Improving quality (IQ): a systems approach for the New Zealand health and disability sector.

Decentralisation of Health Services in Fiji: A Decision Space Analysis

Background Decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. Fiji has attempted two approaches to decentralisation. The current approach refl...

Decentralisation; The Question of Management Capacity: A Response to Recent Commentaries

Gaming New Zealand’s Emergency Department Target: How and Why Did It Vary Over Time and Between Organisations?

Background Gaming is a potentially dysfunctional consequence of performance measurement and management systems in the health sector and more generally. In 2009, the New Zealand government initiated a Shorter Stays in Emergency Department (SSED) target in which 95% of patients would be admitted, discharged or transferred from an emergency department (ED) within 6 hours. The implementation ...

A Study on Energy Efficiency and Economic Productivity of New Zealand’s Agricultural Sector

The realization of sustainable development depends on the efficient use of energy resources. Energy consumption productivity and efficiency are among important indices that play a critical role in explaining the behavior of energy consumption structure of different economic sectors, which in turn, plays a key role in policy making. From among economic sectors, the agriculture sector, as an impo...

Governance, Government, and the Search for New Provider Models

A central problem in designing effective models of provider governance in health systems has been to ensure an appropriate balance between the concerns of public sector and/or government decision-makers, on the one hand, and of non-governmental health services actors in civil society and private life, on the other. In tax-funded European health systems up to the 1980s, the state and other publi...