One step forward, one step back? Restructuring, evolving policy, and information management and technology in the New Zealand health sector

Government Information Quarterly

Volumn 21, Issue 2, 2004, Pages 125-142

  Gauld, Robin ^a  

^a UNIVERSITY OF OTAGO   (New Zealand)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 2942668098     PISSN: 0740624X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.giq.2003.12.011     Document Type: Article

References (58)

1. WAVE Advisory Board From strategy to reality: The WAVE project 2001 Ministry of Health Wellington
2. NHS Executive. (1998). Information for health: An information strategy for the modern NHS 1998-2005. West Yorkshire: Department of Health Publications. National Health Information Management Advisory Council. (1999) Health online: A health information action plan for Australia Canberr: National Health Information Management Advisory Council. Advisory Council on Health Infostructure. (1999). Canada health infoway: Paths to better health. Advisory Council on Health Infostructure
3. Casilino L. Gillies R.R. Shortell S.M. et al. External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseases Journal of the American Medical Association 289 4 2003 434-441
4. Satinsky, M. (1998). The foundations of integrated care: Facing the challenges of change. Buckingham: American Hospital Publications.
5. Robinson R. Steiner A. Managed health care: US evidence and lessons for the National Health Service 1998 Open University Press Buckingham
6. I b i d.
7. Landsbergen D. Wolken G. Realizing the promise: Government information systems and the fourth generation of information technology Public Administration Review 61 2 2001 206-220
8. Smith, J. (2000). Health management information systems: A handbook for decision-makers. Chichester: Open University Press.
9. Norris A.C. Essentials of telemedicine and telecare 2002 Wiley Chichester
10. Hovenga E. Lloyd S. Working with information In Harris M. (Ed.), Managing health services: Concepts and practice 2002 195-228 Maclennen and Petty Eastgardens, NSW
11. Kuperman, G.J., Spurr, C., Flammini, S., et al. (2000). A clinical information systems strategy for a large integrated delivery network. Journal of the American Medical Informatics Association, 7(5), 438-442.
12. Jones D.T. Duncan R. Langberg M.L. Shabot M. Technology architecture guidelines for a health care system Journal of the American Medical Informatics Association 7 5 2000 399-402
13. Dunleavy, P., & Margetts, H. (2000, September 4). The advent of digital government: Public bureaucracies and the state in the Internet age. Paper presented to the annual conference of the American Political Science Association, Washington. Norris, A. C. (2002). Current trends and challenges in health informatics. Health Informatics Journal, 8. 205-213.
14. Norris, A. C. (2002). Current trends and challenges in health informatics. Health Informatics Journal, 8, 205-213.
15. Gauld, R. (2003). One country, four systems: Comparing changing health policies in New Zealand. International Political Science Review, 24(2), 199-218.
16. Cumming, J., & Mays, N. (2003). How sustainable is New Zealand's latest health system restructuring? Journal of Health Services Research and Policy, 7(Suppl. 1), 46-55.
17. Gauld R. Revolving doors: New Zealand's health reforms 2001 Institute of Policy Studies and Health Services Research Centre, Victoria University of Wellington Wellington
18. Scott, C., Fougere, G., & Marwick, J. (1986). Choices for health care: Report of the Health Benefits Review. Wellington: Health Benefits Review
19. Gibbs A. Fraser D. Scott J. Unshacking the hospitals: Report of the Hospital and Related Services Taskforce 1986 Hospital and Related Services Taskforce Wellington
20. King A. The New Zealand health strategy 2001 Minister of Health Wellington
21. Williamson M. Health information strategy for New Zealand: A joint venture between the area health boards and the Department of Health 1991 Department of Health Wellington
22. Ibid., 1.
23. The NHI is a registration system used for identifying health service users. Each user is assigned a unique number to be used in encounters with the health system. The NMDS gathers national data on public and private hospital discharges. All NMDS records are identified by the NHI.
24. Ibid., 5.
25. New Zealand Health Information Service Issues in developing and implementing a health information system 1993 New Zealand Health Information Service Wellington
26. Shipley J. Advancing health in New Zealand 1995 Minister of Health Wellington
27. Shipley J. Health information strategy for the year 2000 1996 Minister of Health Wellington
28. Ibid., 4.
29. Ibid., 9.
30. Health Funding Authority Health Funding Authority strategic plan for information and technology management 1999 Author Wellington
31. I b i d.
32. Ibid., 9.
33. Ibid., 10.
34. Ibid., 27-31.
35. Health Funding Authority and Ministry of Health Riding the wave: Health information priorities 2000 Author Wellington
36. Ibid., 7.
37. WAVE Advisory Board From strategy to reality: The WAVE project 2001 11 Ministry of Health Wellington
38. WAVE Organisation Design Project. (2001). Organisation design (working paper) (p.21). Memorandum for Board Meeting of 24 May 2001.
39. WAVE Advisory Board From strategy to reality: The WAVE project 2001 65 Ministry of Health Wellington
40. WAVE Organisation Design Project. (2001). Organisation design (working paper). Unpublished memorandum for Board Meeting of 24 May 2001. (p. 21).
41. There is debate over the validity of Systems Architecture team's work in that its findings were an assessment of the present reality against an expectation of technically perfect information collection and ICT systems. The views forwarded showed no recognition of the well-documented need to mesh information systems needs with the reality that incremental progress in developing information systems in health care settings leads to greater clinical acceptance and long-term success.
42. See Gamm, L.D., Barsukiewicz, C.K., Dansky, K.H., & Vasey, J.J. (1998). Investigating changes in enduser satisfaction with installation of an electronic medical record in ambulatory caresettings. Journal of Healthcare Information Management, 12(4), 53-65.
43. Heeks, R., Mundy, D., & Salazar, A. (1999). Why health care information systems succeed or fail. Information systems for public sector management (working paper series, paper no. 9). Institute for Development Policy and Management: Manchester University.
44. Systems Architecture Project Team. (2001). Systems architecture: Current state analysis. Unpublished report to the WAVE Board. (p. 26).
45. I b i d.
46. Ibid., 27.
47. Ibid., 47.
48. Ibid., 48-52.
49. Ibid., 67.
50. Ibid., 70.
51. Ibid., 76.
52. Ibid., 93.
53. Ibid., 114-115.
54. Rowe I. Brimacombe P. Integrated care information technology New Zealand Medical Journal 116 1169 2003 Available: http://www.nzma.org.nz/journal/116-1169/330/ Accessed February 22, 2003.
55. Ministry of Health Doing better for New Zealanders: Better health, better participation, reduced inequalities: Advice to the incoming minister of health 2002 67 Ministry of Health Wellington
56. See: http://www.healthit.org.nz
57. Available at: http://www.moh.govt.nz/publications
58. Thanks to Ray Delany, New Zealand Health Information Service, for supplying this figure. Numbers in the figure do not correspond with the number of DHBs (twenty-one) either because of missing data or because electronic systems are not installed.