The impact of health needs assessment and prioritisation on District Health Board planning in New Zealand

The International Journal of Health Planning and Management
Gregor CosterJacqueline Cumming

Abstract

District Health Boards (DHBs) in New Zealand are mandated to assess and prioritise the health needs of their resident populations. This paper evaluates the impact of those health needs assessments (HNAs) and prioritisation practices on health service planning and purchasing in the first 3 years of the DHBs (2001-2003). DHB HNAs, 5-yearly strategic plans, and annual plans were evaluated using document analysis to determine the impact of needs assessments on prioritisation and planning by boards. Key informant interviews with DHB senior managers were used to identify differences between boards. HNAs had relatively little influence on the direction of planning and purchasing. HNAs conducted in DHBs that focussed on planning at the service level and in relation to population subgroups using a 'mixed-scanning' approach and 'service planning groups' had a greater impact on planning and purchasing than more comprehensive approaches. DHBs found prioritisation difficult due to the level of control exercised by central government over their actions. HNAs in New Zealand need to be less ambitious, more focussed and more closely institutionally linked to prioritisation, service planning and purchasing processes if they are to have an impact...Continue Reading

References

Dec 1, 1991·Journal of Epidemiology and Community Health·S Frankel
Jan 1, 1997·The American Journal of Emergency Medicine·M Fulop
Oct 7, 1997·Health Affairs·R H Miller, H S Luft
Jan 1, 1997·American Journal of Nephrology·M Fulop
May 23, 1998·BMJ : British Medical Journal·J WrightJ R Wilkinson
Jun 6, 1998·BMJ : British Medical Journal·A Stevens, S Gillam
Jun 17, 1998·BMJ : British Medical Journal·J JordanM Mort
Jun 24, 1998·BMJ : British Medical Journal·J Wright, J Walley
Jul 1, 1999·Journal of Health Services Research & Policy·M Hensher, N Fulop
Jan 18, 2002·Journal of Urban Health : Bulletin of the New York Academy of Medicine·UNKNOWN New York City Department of Health HIV Epidemiology Group
Apr 6, 2002·Journal of Health Services Research & Policy·Joanne JordanRhys Williams

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Citations

Jan 15, 2015·Applied Health Economics and Health Policy·Jacqueline Cumming
May 16, 2017·Australian Health Review : a Publication of the Australian Hospital Association·Matthew AnsteyLisa Angus
Jul 9, 2010·Nephrology·Sarah DerrettRob Walker
May 2, 2013·Epidemiology and Infection·J Hone
Dec 1, 2015·Healthcare Informatics Research·Jae Dong LeeHyo Soung Cha
Jul 24, 2014·BMC Medical Research Methodology·Joanna B BroadMartin J Connolly

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