scholarly journals Employment Relations in the New Zealand Public Health Sector - A Survey

1970 ◽  
Author(s):  
Michael Pye ◽  
Joanna Cullinane
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Workforce Development ◽  
Care Delivery ◽  
Industrial Relations ◽  
Health Sector ◽  
Employment Relations ◽  
State Sector ◽  
Public Health Sector ◽  
The Impact

The New Zealand Public Health sector has undergone significant political, Legislative and managerial changes since 1986. These changes have had a major impact on the nature of employment relations in the sector. The unified, state sector industrial relations regime has been restructured and replaced a by diverse set of practices. Many of the changes of the last decade have had time to 'mature' and become embedded into the system and it now seems appropriate to start to identify issues that have arisen from the impact of the new regime of employment relations. This paper presents the results of a survey of related public health sector organisations including employers, unions, professional organisations, statutory bodies and funding agencies. Five distinct areas for future employment relations research, with varying Levels of priority, were identified by the respondents including; 1) Workforce development and planning. 2) The nature, scope and negotiation of employment contracts. 3) The problematic of people management of largely 'professional ' group of workers. 4) Relationships with external organisations such as the 'NZQA 'and the 'Health and Disability Commissioner' and the impact on internal employment relations. 5) The effects of uncertainty about current health care delivery structures and possible further politically directed restructuring are having on employment relations.

scholarly journals Health Needs Assessment: Impact on Planning and Purchasing in the Public Health Sector in New Zealand

2021 ◽  
Author(s):  
◽  
Gregor David Coster
Keyword(s):  
Public Health ◽  
New Zealand ◽  
Needs Assessment ◽  
Health Sector ◽  
Document Analysis ◽  
Health Needs ◽  
Health Needs Assessment ◽  
The Public ◽  
Strategic Plans ◽  
The Impact

<p>Health needs assessment (HNA) is one of the features of the New Zealand health system established by the New Zealand Public Health and Disability Act 2000. District Health Boards (DHBs) are to conduct HNAs, and planning of health services is intended to take into account the health needs of the population. Key questions for research relate to the impact of HNA on DHB planning and purchasing in a political/bureaucratic model of governance. This research was undertaken within a public policy framework that focused on evaluating the reforms against policy goals and expectations, and particularly against the influences that might be predicted from the HNA and prioritisation policy. Consideration was given to the range and effectiveness of past HNAs as well as the expectations and experiences of the DHB model in regard to HNA. Document analysis and 34 interviews were conducted regarding 50 HNAs conducted in the public health sector from 1991-2000 to assess their impact on service delivery, decision-making, and policy. Document analysis was undertaken on DHB HNAs, prioritisation frameworks, board priorities, District Strategic Plans, and District Annual Plans for each of 20 DHBs. Planning and Funding managers were interviewed using semi-structured interview techniques to ascertain their experiences and views regarding the use of HNAs in planning. Grounded theory approaches were mainly used for the interview analysis. Case studies of five DHBs provided an in-depth understanding of the connections between health needs assessment, prioritisation, District Strategic Plans and District Annual Plans. Collection of contextual data provided an understanding of the influence of other policy decisions made locally or nationally. Using triangulation, conclusions were drawn regarding the effectiveness and impact of HNA and prioritisation on planning and health service purchasing by DHBs. The implications for public policy were then considered. Recent needs assessments conducted by DHBs mostly met the minimum requirements of the Ministry of Health, but the quality was variable. DHB Planning and Funding Managers were unanimously positive regarding the usefulness of HNAs, and felt that there were good connections between them and the planning process (Connection Score). However, the impact of HNAs on planning and purchasing measured using document analysis (Impact Factor) was lower than expected. A number of barriers to effective use were identified. More focused HNA by DHBs is recommended with the use of mixed scanning approaches and service development groups directed towards specific service planning areas. Recommendations are made regarding future policy for HNA and prioritisation.</p>

scholarly journals Impact of government budget deficits on public health sector output in Nigeria

2021 ◽  
Vol 11 (2) ◽  
pp. 350-364
Author(s):  
Chinedu Anthony Umeh ◽  
Chinedu Daniel Ochuba ◽  
Ugochukwu Remigius Ihezie
Keyword(s):  
Public Health ◽  
Capital Expenditure ◽  
Health Sector ◽  
Budget Deficits ◽  
Government Budget ◽  
The Public ◽  
Public Health Sector ◽  
National Health Act ◽  
External Borrowing ◽  
The Impact

The study examined the impact of government budget deficits on the public health sector output in Nigeria over a period of 1980 to 2018. The specifically study sought to: investigate the impact of government budget deficits affect the public health sector output in Nigeria, ascertain the impact of external borrowing on the public health sector output in Nigeria and evaluate the impact of domestic borrowing budget deficits financing on the public health sector output in Nigeria. The methods of data analysis range from argument dickey fuller unit root test, Johansen co-integration test and finally error correction method. The following results were the basic findings of the study: (1) government budget deficits have positive insignificant impact on public health sector output in Nigeria (t – statistics (0.5663) < t0.05 (1.684); (2) external borrowing of financing budget deficits has negative insignificant impact on Health sector output in Nigeria (t – statistics (-1.2746) < t0.05 (1.684) and (3) domestic borrowing of financing budget deficits has positive significant impact on Health sector output in Nigeria (t – statistics (2.1711) > t0.05 (1.684). This study concludes that the budget deficits of government have positive insignificant impact on Health sector output in Nigeria because more budget allocations are put in health recurrent government expenditure than health capital expenditure whereas health capital expenditure is the engine of growth in health sector output. The study recommended that the Federal Government should commence and continue to execute the National Health Act. Allocation’s map-out for the Basic Health Care Provision Fund (BHCPF) should be drawn directly from the National Health Act, which is not less than 1% of the Consolidated Revenue (CRF) Fund of the Federation and is to flow from the FG's share of revenue.

scholarly journals An exploratory study on Telemedicine in the South African Public Health Sector: A case of Gauteng Province

10.29007/vpdt ◽  
2019 ◽  
Author(s):  
Tope Samuel Adeyelure ◽  
Billy Mathias Kalema
Keyword(s):  
Public Health ◽  
Technology Acceptance ◽  
South African ◽  
Rural Areas ◽  
Care Delivery ◽  
Health Sector ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Research Approach ◽  
Public Health Sector

Health systems in South African comprises of both the private sector and the public sector, run by the government. Majority of the population access health services through public clinics and hospitals. Public health sectors are understaffed, with inadequate resources, especially in rural areas. Information and communication technology and its applications can be seen as a way forward to counteract some of the challenges faced in public health sectors. Telemedicine can be tool to assist in bridging the gaps in this regard. Telemedicine is health-care delivery concept that enables distant to be examined by medical practitioners using telecommunications technologies. Therefore, this research study aimed to investigate factors that influences users’ readiness to accept telemedicine in South African public health sectors environment. To achieve this objective, this study followed a positivism paradigm, supported by the quantitative research approach. Organization and Environment (in TOE framework) constructs, technology compatibility (in model of information technology implementation), perceived usefulness and perceived ease of use (in Technology Acceptance Model, (TAM))guided the development of hypotheses and their testing for this study. The findings reveal that technology, environment, organization, information quality, and security are factors that inform pre-implementation of telemedicine in South African public health sector.

Sign in / Sign up

Export Citation Format

Share Document