Self-advocacy means speaking up for yourself, making your own choices about your life, learning how to get information so that you can understand things that are interesting to you, finding out who will support you in your journey, and reaching out to others when you need help and friendship. It also involves knowing your rights and responsibilities, solving problems, listening, and learning, developing self-determination.

Induced demand (ID) is a long debated topic in the field of health economics. It is defined as the change in demand for healthcare associated with the discretionary influence of providers over their patients. As a complex and multi-dimensional phenomenon, ID is a major challenge for health systems worldwide that creates an imbalance between needs and available resources, thus increasing the incidence of a health expenditure rise.

For a while now, there has been a strong case to take a second look at the structure of NZ’s health system. Earlier this year, the government announced a major restructure of New Zealand’s health system. DHBs will be replaced by primary and community care organised in locality networks.

In healthcare, mistakes can have consequences that can vary from losing time to affecting patient outcomes. Without doubt, healthcare presents special challenges where judgment and individuality are involved.

Bad boards destroy more companies than bad management or bad tech. The business environment has changed enormously over the past decade. However, our level of business model innovation has not been matched in the way we operate our boards. There has been little innovation in board practice and it is demonstrably falling short of being fit-for-purpose. 

In 1973, Rittel and Webber introduced the term ‘wicked problem’ into social planning vocabulary. Wicked issues are different because traditional processes can’t resolve them. A wicked problem has innumerable causes, is tough to describe, and doesn’t have a right answer. Healthcare is a prime example.

In the previous post, we briefly looked at clinical governance which includes caring for patients, managing clinical practices and administration. We now turn to corporate governance.

Governance is a framework that accounts for all the processes of governing organisations and businesses. The role of governance in healthcare organisations looks a bit different than it does in other types of industries.

Most people experience a decline in health and ability as they age. Just over half of New Zealanders aged 65-74 and nearly 2/3rds of those aged 75 years and over have two or more long-term conditions. Improving the health and wellbeing of older people through home-based support is not an easy outcome to achieve.

Health targets were a set of national performance measures in place from 2007 to 2020, designed to improve the performance of health services. However, health targets have had their share of criticism of never being a reliable assessment of how well health services are performing. These targets have now been replaced by the Health System Indicators (HSI).

Historically healthcare has been delivered offline. This is changing with the emergence of digital therapeutics (DTx). Worldwide, there are over 318,000 mobile health apps available, and around 200 apps are being added to app stores each day. To ensure patient and consumer safety, it is important that health apps are assessed for safety, functionality, quality, data protection, data security, and positive effects on care.

The Allied Health Science and Technical workforce encompass over 40 professions and more than 40,000 individual professionals. It represents the second largest health workforce in New Zealand.

According to data from worldwide outbreaks, around 5% of people who test positive for COVID-19 end up requiring intensive care. Intensive care services are fundamental to delivering healthcare.

Equity and workforce shortages are important concerns under New Zealand's current health system. Adding to the conversation, is the question around whether the private health system is complementary or detrimental to the public system.