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Hauora : Report On Stage One Of The Health Services And Outcomes Kaupapa Inquiry Wai 2575
Alfred Street (University of Auckland Store)
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Hauora : Report On Stage One Of The Health Services And Outcomes Kaupapa Inquiry Wai 2575
Paperback Edition: 1
Wai 2575.
Hauora: Report on Stage One of the Health Services and Outcomes Kaupapa Inquiry. The Health Services and Outcomes Kaupapa Inquiry is an ongoing inquiry into the ways the Crown has responded to health inequities experienced by Maori.
The stage one report addresses two claims concerning the ways the primary health care system in New Zealand has been legislated, administered, funded and held to account by the Crown since the passing of the New Zealand Public Health and Disability Act 2000. The Act laid out a new structure for the health care system centred on the creation of district health boards to deliver health care to distinct populations.
Maori saw great potential in the reforms to primary health care introduced by the Act and the new Primary Health Care Strategy, released in 2002, and were optimistic that the reforms would improve Maori health outcomes. The reforms introduced new statutory and strategic commitments to Maori health, and created primary health organisations, or PHOs, to coordinate delivery of primary health care services. Maori saw PHOs as an opportunity to exercise tino rangatiratanga guaranteed under the Treaty by controlling the design and delivery of primary health care for their communities.
However, all parties in the stage one inquiry, including the Crown, acknowledged the situation has not substantially improved since 2000: Maori continue to experience the worst health outcomes of any population group in New Zealand. The Tribunal found that the reforms ushered in by the Act in 2000 failed to consistently state a commitment to achieving equity of health outcomes for Maori.
The stage one report examines how, despite the promise of the reforms, the Crown fails to properly fund the primary health care sector to pursue equitable health outcomes for Maori, by failing to target funding where it is needed most and failing to ensure money earmarked for Maori health issues is used for that purpose.
Publisher : Waitangi Tribunal
Publication date : 2023-03-21
Subjects: Non-fiction, Published in New Zealand, Māori