title: Health reform in New Zealand: short-term gain but long-term pain?
abstract: Following a period of quite radical structural reform during the 1990s, health reform in New Zealand is now more incremental and often 'under the radar' of public scrutiny and debate. However, many changes have been made to the roles and functions of key agencies and this could have a profound effect on the direction and performance of the public health system. In particular, the objective of reform at the national level has shifted away from improving population health and reducing health disparities towards improving the performance of service providers. This article describes some of the reforms that have been introduced in recent years and discusses some implications of these changes. We argue that policy settings that are concerned only with getting the right services to the right people at the right time are inherently short-sighted if they fail to tackle the long-term causes of increasing demand for future health services.
authors.affiliation: School of Population Health, University of Auckland, Private Bag 92019, Auckland, New Zealand. toni.ashton@auckland.ac.nz
authors.forename: Toni
authors.initials: T
authors.lastname: Ashton
authors.forename: Tim
authors.initials: T
authors.lastname: Tenbensel
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards / Q000639:trends; D018166:Health Care Reform / Q000458:organization & administration*; D006291:Health Policy; D006301:Health Services Needs and Demand / Q000639:trends; D006304:Health Status; D054624:Health Status Disparities; D006801:Humans; D009520:New Zealand; D011634:Public Health; D013997:Time Factors