History Of New Zealand Public Health Sector Essay

Since 1983 the New Zealand public health sector has undergone four structural transformations. With each change there was a new set of organisations to fund and deliver health services: 1983-1993 Area Health Boards (AHBs); 1993-1997 Regional Health Authorities (RHAs) and Crown Health Enterprises (CHEs); 1998-2001 Health Funding Authority (HFA) and Hospital and Health Services (HHSs); and 2001 District Health Boards (DHBs). These changes were designed to improve health outcomes, increase accountability and efficiency and to reduce escalating health expenditure. In 2001, 21 District Health Boards were established through the New Zealand Public Health and Disability Act 2000. DHBs are Crown entities that are responsible to the Minister of Health and funded via a population-based formula by the Ministry of Health. DHBs are required to focus on reducing inequalities among their populations, prioritising health services within budget and providing access to disability support, mental healt h services and primary health care. DHBs are governed by an 11 member committee; seven locally elected, and up to four ministerial appointees, including the Chair. Each Board must have at least two Maori members (they are appointed if not elected). Under the New Zealand Public Health and Disability Act 2000, DHBs are required to develop partnerships with Maori by developing formal iwi relationships in their regions. Public health services are split between the 12 Ministry of Health funded (butShow MoreRelatedThe Common Health Inequalities Of New Zealand Essay1744 Words   |  7 Pagestreated fairly in every aspect of human life. Health in humans is the ability of each individual or communities to adapt and cope to challenges in relation to social, physical, or mental aspects. 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