School of Social and Political Sciences - Theses

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Start date: 1990 × Subject: medical policy ×

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    A failed innovation?: General practitioners in community health centres
    Payne, Lorna ( 1993)
    This paper seeks to examine central policy and practice issues arising out of the presence of doctors in community health centres. The community health program was shaped by the Whitlam era and there were great hopes for its success in delivering new forms of health services. Integral to it was the presence of G.P.'s working from community health centres. The research aims at discovering whether or not community health has successfully incorporated G.P.'s into the program. (From Introduction)
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    The Politics of hospital reform in New Zealand, 1935-1995
    Laugesen, Miriam ( 2000)
    From the 1950s to the 1990s, New Zealand governments repeatedly tried to reform hospital boards. Hospital boards served two functions: they provided hospital services and they functioned as institutions of political representation. Governments tried repeatedly to regionalise health services and remove elected officials from hospital boards. Governments' ability to shape health policy was constrained however by the sequence of hospital board development prior to the development of universal access to health care in 1938. In addition, public support for localised hospitals and hospital boards reinforced their staying power. The power of hospital boards was finally challenged in 1989 and then in 1991, when Labour and then National, took dramatic and decisive action and altered the rules of hospital policy to regionalise services and to reduce the influence of elected board members. This study suggests that scholars should recast the notion that Westminster or centralised systems necessarily make reform easy. Localised institutions are shown to be powerful within an apparently highly centralised political structure, and policy legacies and embedded institutions influence and constrain policy options. This study also shows that the timing and sequence of the expansion of universal access to health care is critical to understanding how health care systems are organised.