000			02727cam a2200265 a 4500
005			20250625151333.0
008			130703s2012 nz b 001 0 eng
020			_a9781877578274 (pbk.) :
040			_aNZNB _cBTCTA _dCDX _dNZNB _dHAP _dAU _dAFVC
042			_anznb
043			_au-nz---
082	0	4	_a362.1068 LAU
100	1		_aLaugesen, Miriam. _93181
245	1	0	_aDemocratic governance and health : _bhospitals, politics and health policy in New Zealand _cMiriam J. Laugesen & Robin Gauld.
246	1	4	_aDemocratic governance & health
260			_bDunedin, N.Z. : _bOtago University Press, _c2012.
300			_a214 p. ; _c23 cm.
504			_aIncludes bibliographical references (p. 177-202) and index.
505	0		_a1 . Democratic governance and health: an introduction -- 2. Cross-national models of health system governance -- 3. The creation of universal health care 1925 to 1960 -- 4. Rational planning meets democratic forces -- 5. Inching towards marketisation, 1984 to 1990 -- 6. The end of elected boards -- 7. The rise and demise of the Health Funding Authority -- 8. The establishment and performance of District Health Boards -- 9. Conclusion: realism and representation.
520			_a"New Zealand is the only country in the world where elected health boards have long been a core feature of the health care system. These boards are conceptually important and aspirational for policy-makers and communities across the world grappling with issues of how to increase public participation in health care. The influence of the district health boards is vast. In 2011, they were responsible for much of the $12 billion in public expenditure directly funded by taxpayers via the Ministry of Health. They also made all major decisions as to how health services were configured in the areas they serve, including which services were to be funded, and for whom and where they should be located. This book traces the development of New Zealand's elected health boards, from the 1930s to the present District Health Board structure, analysing the history of democratic governance of health care, how boards have functioned, the politics surrounding their reform, and the idea of local democracy in health care decision-making. Based on extensive primary research, it assesses the capacity of elected boards to effectively govern the allocation of public expenditure on behalf of taxpayers and patients. Are there alternatives to the existing District Health Board model? How might the electoral model be improved upon? The concluding chapter provides some suggestions"--From Publisher.
650	2	7	_aHEALTH SERVICES _9290
651		4	_aNEW ZEALAND _92588
700	1		_aGauld, Robin. _93182
942			_2ddc _cBOOK
999			_c4166 _d4166