Do we need to review our electronic health record policies to ensure that investment is better targeted across the system?
The drive towards integrated care in NZ began over two decades ago. The 1990s saw the establishment of Independent Practice Associations (IPAs) among general practitioners (GPs) to share resources and improve care delivery. These IPAs laid the groundwork for more collaborative approaches in primary care, despite the concurrent governmental push for competition among public hospitals, rebranded as 'Crown Health Enterprises'.
In 2001, the government introduced the Primary Health Care Strategy, which aimed to promote universal patient enrolment and facilitate closer working relationships between primary care clinicians, community agencies, and non-governmental organisations. This strategy marked a significant shift towards a more collaborative healthcare model.
One of the most successful examples of integrated care in NZ is the Canterbury Clinical Network (CCN). Formed in response to the devastating Christchurch earthquakes of 2010-2011, the CCN exemplifies the alliance approach, where stakeholders across the health system collaborate to design and implement integrated services. This model has been instrumental in reducing acute hospital admissions and improving community-based care.
The introduction of HealthPathways and HealthInfo further facilitated integration by providing shared care and referral pathways accessible to healthcare providers across the region.
Data integration is a key component of successful healthcare integration. Integrated data systems enable healthcare providers to access comprehensive patient information, leading to more informed decision-making and improved patient outcomes. The New Zealand government has been actively supporting integrated care through various policies and initiatives.
The Government Policy Statement on Health (2024-2027) outlines the strategic priorities for the healthcare system, including further integration of services, enhancing digital health capabilities, and improving health equity. These priorities align with the broader goals of creating a more cohesive and efficient healthcare system. Despite the progress made, several challenges remain in achieving fully integrated healthcare in New Zealand. These include: Fragmentation of Services, Inequities in Health Outcomes, and Sustainability of Funding Models.
New Zealand's journey towards integrated healthcare has seen significant milestones, driven by both policy initiatives and grassroots efforts among healthcare providers. The integration of digital health technologies and collaborative care models has enhanced the efficiency and effectiveness of the healthcare system. However, continued efforts are needed to address existing challenges and fully realise the potential of integrated care in improving health outcomes for all New Zealanders.