Service management: A new zealand model for shifting the balance from hospital to community care
✍ Scribed by Laurence Malcolm
- Publisher
- John Wiley and Sons
- Year
- 1991
- Tongue
- English
- Weight
- 732 KB
- Volume
- 6
- Category
- Article
- ISSN
- 0749-6753
No coin nor oath required. For personal study only.
✦ Synopsis
New Zealand's health system has undergone a radical reform in recent years. A central feature of this reform is the area health board, a partly elected and partly appointed body responsible for all health services for its defined population. Within the area health board, the organizational structure which is based upon general management is moving away from institutional towards service or programme management. This is involving clinicians in the management process as service managers, within an accountability structure which cuts across the traditional hospitakommunity service boundaries. This is a major paradigm shift in health services management which could have major implications for a shift from hospital to community-based care and from secondary to primary health care.