Population health in New Zealand 2000–2013: From determinants of health to targets:

SAGE Open Medicine

Nicolette FSheridan¹ 

关键词: Population health;    health system restructuring;    health targets;   

DOI  :  10.1177/2050312115573654

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objective:To determine how ‘population health’ has been understood in practice and policy and has influenced health system restructuring in New Zealand since 2000.Methods:Interviews in 2007–2008 with managers, clinicians, government policy advisors and academics were undertaken to explore the relationships between population health, determinants of health, and health system restructuring. This was augmented by a review of major government health policies from 2009 to 2013 to establish which notions of population health were reflected.Results:Population health shifted from a broad notion of health determinants to focus on a small number of quantifiable health targets driven by financial incentives. Meantime, an emphasis on ‘quality and safety’ impeded population health activities. District Health Board programmes to identify high risk individuals, by disease or hospital service utilisation, diverted attention from broader population health outcomes. District Health Boards were not held accountable for inte...

【 授权许可】

CC BY