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The material supports a governance link from Health New Zealand to regional coordination and local teams, but does not establish a full statutory hierarchy for every organisation in New Zealand's health system.", "tags": [], "territory": "Aotearoa New Zealand", "title": "Health New Zealand's reported national, regional and local operating model", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://static.info.content.health.nz/docs/publications/HNZ%20Operating%20Model_July%202026_%20V1.0.pdf" }, { "kind": "source_reference", "source": "New Zealand Health Strategy", "url": "https://www.health.govt.nz/system/files/2023-07/new-zealand-health-strategy-oct23.pdf" }, { "kind": "source_reference", "source": "Ministry of Health Annual Report for the Year Ended 30 June 2025", "url": "https://www.health.govt.nz/system/files/2025-10/Ministry-of-Health-Annual-Report-for-the-year-ended-30-June-2025-201025.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "authoritative_pre_reform_review_with_explicit_non-current_boundary", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:NZL:relationships-networks:pre-reform-utilisation-and-facility-series-boundary", "source_projection_ids": [ "country-improvement-source:NZL:health-disability-system-review-2020" ], "support_state": "candidate_supported", "target_slot": "historical-series-availability-boundary", "target_view": "delivery", "typed_fields": { "boundary": "No values are transcribed because the available series describe the pre-2022 system and this mapping is not a current service observation.", "coverage": "Historical facility and utilisation material is discoverable as an evidence class", "historical_series": "The Review includes service, PHO, hospital-discharge and inter-district-flow sections" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health and Disability System Review: Final Report, 2020.", "country_ids": [ "NZL" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "observed_referral", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Review contents and sections on PHOs, hospital discharges and inter-district flows, pages 141 to 183." }, "material_id": "material:a92d77b1e4b621b2ef2a09e4", "notes": [ "Do not display null historical-series objects as zeroes or replace them with inferred current input or utilisation values." ], "origin": "candidate-analytical-mappings", "period": "Pre-2022 system evidence, including historical series noted in the 2020 Review.", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "1fc8f64338b95b3ed53c2c7d0ba96b9450c389a7194c8844f4c32093e003d040" }, "statement": "The authoritative 2020 Review contains historical primary-care, hospital-discharge, facility-context and inter-district-flow material. The wave records its availability while withholding values that would imply a current post-reform service observation.", "tags": [], "territory": "New Zealand", "title": "Historical service series are retained as evidence context, not current delivery data", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.govt.nz/system/files/2022-09/h-and-d-full-interim-report-august-2019.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "current_operating_model_and_dated_qualitative_reform_analysis", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:NZL:decision-rights-autonomy:autonomy-evidence-boundary", "source_projection_ids": [ "country-improvement-source:NZL:health-nz-operating-model-2026", "country-improvement-source:NZL:akmal-2023-pae-ora-study" ], "support_state": "candidate_supported", "target_slot": "no-general-provider-autonomy-score", "target_view": "autonomy", "typed_fields": { "boundary": "No source here measures hospital, practice or facility autonomy.", "reported_local_scope": "Local teams manage day-to-day operations in the July 2026 operating model", "research_context": "The 2023 qualitative study identifies a centralisation-local-autonomy tension in early reform design" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health New Zealand Operating Model, July 2026; Akmal et al., 2023.", "country_ids": [ "NZL" ], "coverage_domains": [ "autonomy", "decision_rights", "governance" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Operating Model pages 2 to 3; Akmal et al., Abstract and Discussion." }, "material_id": "material:b8b49634b1b8c2b283830aa5", "notes": [ "Do not promote an early-design research finding into an observed current performance or autonomy claim." ], "origin": "candidate-analytical-mappings", "period": "Operating model dated July 2026; research analysis published 2023.", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d5abfa8be0f98a7d78774d9b0bf8c5fd78709d38b1408583099d253e0451e009" }, "statement": "Health New Zealand reports local day-to-day management, while a dated qualitative analysis identifies a design tension between centralisation and local autonomy. Neither source establishes a comparable autonomy score for providers or facilities.", "tags": [], "territory": "New Zealand", "title": "Local operational management is reported; general provider autonomy is unresolved", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10843487/" }, { "kind": "source_reference", "source": "Health New Zealand Operating Model", "url": "https://static.info.content.health.nz/docs/publications/HNZ%20Operating%20Model_July%202026_%20V1.0.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "peer_reviewed_ownership_analysis_and_current_operating_model_context", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:NZL:delivery-referrals:ownership-forms-not-market-shares", "source_projection_ids": [ "country-improvement-source:NZL:reidy-2023-ownership", "country-improvement-source:NZL:health-nz-operating-model-2026" ], "support_state": "candidate_supported", "target_slot": "ownership-forms-analytical-classification", "target_view": "public-private", "typed_fields": { "boundary": "The source set does not establish market shares, a complete provider list or current ownership prevalence.", "delivery_context": "Health New Zealand reports primary and community delivery predominantly through external contracted organisations", "ownership_forms": "Research article identifies private for-profit, third-sector or community, government and Maori ownership forms" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Reidy et al., 2023; Health New Zealand Operating Model, July 2026.", "country_ids": [ "NZL" ], "coverage_domains": [ "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Reidy et al. pages 1 to 2; Operating Model page 7." }, "material_id": "material:bb6027c3dabb78fc4a56014d", "notes": [ "Do not render the categories as measured ownership shares or attach unverified organisations to them." ], "origin": "candidate-analytical-mappings", "period": "Research viewpoint published 2023; delivery context document dated July 2026.", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "1027c34c633b8b6f762ec1c90487a0b198d0e5ec68d465416121b689597be707" }, "statement": "A peer-reviewed viewpoint identifies four ownership forms relevant to New Zealand health services. Health New Zealand's reported external contracting context does not quantify those forms or establish their current distribution.", "tags": [], "territory": "Aotearoa New Zealand", "title": "Ownership forms are an analytical classification, not a market-share estimate", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://nzmj.org.nz/media/pages/journal/vol-136-no-1576/the-ownership-elephant-is-becoming-a-mammoth-a-policy-focus-on-ownership-is-needed-to-transform-aotearoa-new-zealands-health-sys/a62508ffec-1696474810/the-ownership-elephant-is-becoming-a-mammoth-a-policy-focus-on-ownership-is-needed-to-transform-aotearoa-new-zealands-health-sys.pdf" }, { "kind": "source_reference", "source": "Health New Zealand Operating Model", "url": "https://static.info.content.health.nz/docs/publications/HNZ%20Operating%20Model_July%202026_%20V1.0.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "reported_in_july_2026_health_new_zealand_operating_model", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:NZL:decision-rights:operating-model-decision-levels", "source_projection_ids": [ "country-improvement-source:NZL:health-nz-operating-model-2026", "country-improvement-source:NZL:pharmac-what-we-do" ], "support_state": "candidate_supported", "target_slot": "reported-national-regional-local-decision-levels", "target_view": "decisions", "typed_fields": { "boundary": "No general provider procurement, staffing or capital decision matrix is asserted.", "local": "Manages day-to-day operations", "national": "Sets organisational direction in Health New Zealand's reported model", "pharmac": "Decides which medicines and related products are funded within its remit", "regional": "Coordinates cross-local trade-offs and contracts in the reported model" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health New Zealand Operating Model, July 2026; Pharmac, What we do.", "country_ids": [ "NZL" ], "coverage_domains": [ "decision_rights", "governance", "market_structure" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Operating Model pages 2 to 3 and 10; Pharmac, What we do, Our role." }, "material_id": "material:8a084d9c0b9df1221331c09a", "notes": [ "Keep reported management levels separate from formal statutory authority and unobserved facility discretion." ], "origin": "candidate-analytical-mappings", "period": "Operating-model document dated July 2026; Pharmac page retrieved 2026-08-22.", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d5abfa8be0f98a7d78774d9b0bf8c5fd78709d38b1408583099d253e0451e009" }, "statement": "The 2026 Health New Zealand operating model distinguishes national direction, regional coordination and local operational management. Pharmac separately describes product-funding decisions. These sources do not support a complete national decision-rights matrix.", "tags": [], "territory": "New Zealand", "title": "Reported decision levels and a bounded pharmaceutical funding decision", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://static.info.content.health.nz/docs/publications/HNZ%20Operating%20Model_July%202026_%20V1.0.pdf" }, { "kind": "source_reference", "source": "What we do", "url": "https://www.pharmac.govt.nz/about/what-we-do" } ] }, { "analytical_mapping": { "mapping_basis": "reported_in_july_2026_health_new_zealand_operating_model", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:NZL:delivery-referrals:reported-delivery-settings", "source_projection_ids": [ "country-improvement-source:NZL:health-nz-operating-model-2026" ], "support_state": "candidate_supported", "target_slot": "public-hospitals-and-contracted-primary-community-care", "target_view": "delivery", "typed_fields": { "boundary": "No number of facilities, workforce denominator, service volumes or referral performance is given.", "primary_community": "Health New Zealand reports primary and community care as predominantly delivered by external organisations under contract", "public_delivery": "Health New Zealand reports that most of its services are delivered by clinical staff across hospitals and other care settings" } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health New Zealand Operating Model, July 2026.", "country_ids": [ "NZL" ], "coverage_domains": [ "facility_data", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Operating Model page 7, service-delivery description." }, "material_id": "material:7a82d8b711a18b079fd12032", "notes": [ "Do not add facility counts, staffing inputs, service volumes or quality outcomes without an explicit year, denominator and source." ], "origin": "candidate-analytical-mappings", "period": "Operating-model document dated July 2026.", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d5abfa8be0f98a7d78774d9b0bf8c5fd78709d38b1408583099d253e0451e009" }, "statement": "Health New Zealand's July 2026 operating model describes service delivery through hospitals and other care settings and reports predominantly external contracted delivery for primary and community care. 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Neither dated source is used to infer that all original entities or implementation mechanisms persist in 2026.", "tags": [], "territory": "New Zealand", "title": "The 2022 reform is a historical baseline, not a current-state shortcut", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10843487/" }, { "kind": "source_reference", "source": "New Zealand Health Strategy", "url": "https://www.health.govt.nz/system/files/2023-07/new-zealand-health-strategy-oct23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar. 2005. https://documents1.worldbank.org/curated/en/253691468215691871/pdf/363940REV0Keio0Paper0for0WB0Web.pdf", "country_ids": [ "NZL" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "the form of specific contract provisions for providers In contrast in Canada", "institution": null, "locator": { "physical_pdf_page": 7, "source_word_anchor": "the form of specific contract provisions for providers In contrast in Canada", "source_word_count": 12 }, "material_id": "material:8d08e0e491e06a9ede69bbd4", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 2005, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "76b9063b46ff55b0f06104d324f3e83b532ac12eb5a32a3853815d9ff659866e", "page_count": 201, "text_sha256": "e0a37c34520ff10e918d1487647e0db69bc746f5f2f514135f8957ddacd4633d" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "Reforming health social security : proceedings of an international seminar sponsored by the Global Security Institute, Keio University, and the World Bank, June 27-29, 2005, Tokyo, Japan : Reforming health social security : proceedings of an international seminar", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/253691468215691871/pdf/363940REV0Keio0Paper0for0WB0Web.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health Quality and Safety Commission Te Tahu Hauora. About the Health Quality and Safety Commission. https://www.hqsc.govt.nz/about-us/about-the-health-quality-and-safety-commission/", "country_ids": [ "NZL" ], "coverage_domains": [ "actors", "decision_rights", "governance" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "now function under the Pae Ora (Healthy Futures) Act 2022", "institution": "Health Quality and Safety Commission Te Tahu Hauora", "locator": { "locator_type": "web_section_anchor", "source_word_anchor": "now function under the Pae Ora", "source_word_count": 7 }, "material_id": "material:c1e3fc0ff86979a6c9f506cc", "notes": [ "Do not convert the Commission's quality-improvement role into a general commissioning or provider-ownership claim." ], "origin": "country-evidence-improvement-sources", "period": "Web page retrieved 2026-08-22", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f553592ea039d36f227e3cc5d97cfb6ec407bed76acc13901c0ac7a963522d2a" }, "statement": "The Commission states that it was established under the 2010 amendment legislation and now functions under the Pae Ora (Healthy Futures) Act 2022. This establishes a national quality-and-safety institutional role, not direct management of providers.", "tags": [], "territory": "New Zealand", "title": "About the Health Quality and Safety Commission", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.hqsc.govt.nz/about-us/about-the-health-quality-and-safety-commission/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health and Disability Commissioner. Code of Health and Disability Services Consumers' Rights. 2022. https://www.hdc.org.nz/media/550hs5ih/code-of-rights_online_5-sept-2022.pdf", "country_ids": [ "NZL" ], "coverage_domains": [ "governance", "patient_flows", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "applies to all health and disability services in New Zealand", "institution": "Health and Disability Commissioner", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "applies to all health and disability services", "source_word_count": 8 }, "material_id": "material:84776972eee4c20d1cb6762f", "notes": [ "This is a consumer-rights and provider-duty source, not evidence of referral volumes, wait times or performance." ], "origin": "country-evidence-improvement-sources", "period": "Consumer-rights booklet dated September 2022; it presents the Code and its scope.", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "54f18d987eca3dcc96f63791d37c4872b4779166575a70b5e783203b85f18ba5" }, "statement": "The booklet says the Code applies to all health and disability services in New Zealand, gives consumers rights and places obligations on providers. It identifies provider cooperation for quality and continuity as a right, but does not specify a national referral pathway.", "tags": [], "territory": "New Zealand health and disability services", "title": "Code of Health and Disability Services Consumers' Rights", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.hdc.org.nz/media/550hs5ih/code-of-rights_online_5-sept-2022.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health New Zealand | Te Whatu Ora. Operating Model, version 1.0. July 2026. https://static.info.content.health.nz/docs/publications/HNZ%20Operating%20Model_July%202026_%20V1.0.pdf", "country_ids": [ "NZL" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "locally delivered, regionally coordinated and nationally planned", "institution": "Health New Zealand | Te Whatu Ora", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "locally delivered, regionally coordinated and nationally planned", "source_word_count": 6 }, "material_id": "material:cbef02c36d449de979feca61", "notes": [ "Treat this as Health New Zealand's reported operating model, not a complete legal delegation matrix or a census of contractors." ], "origin": "country-evidence-improvement-sources", "period": "Operating-model document dated July 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "d5abfa8be0f98a7d78774d9b0bf8c5fd78709d38b1408583099d253e0451e009" }, "statement": "Health New Zealand reports an operating model that is locally delivered, regionally coordinated and nationally planned. It says local teams manage day-to-day operations, regions coordinate and manage relationships and contracts, and primary and community care is delivered predominantly by external organisations under contract.", "tags": [], "territory": "Aotearoa New Zealand; Health New Zealand operating-model scope", "title": "Health New Zealand Operating Model", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://static.info.content.health.nz/docs/publications/HNZ%20Operating%20Model_July%202026_%20V1.0.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health. Health System Reform Progress Report, Quarter 1. 2023. https://www.health.govt.nz/system/files/2023-11/system-reform-progress-report-q1-final-for-minister-11-sept-pr-watermarkd.pdf", "country_ids": [ "NZL" ], "coverage_domains": [ "governance", "hospital_organization", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Primary and Community Care", "institution": "Ministry of Health, Manatu Hauora", "locator": { "locator_type": "pdf_section_anchor", "source_word_anchor": "Primary and Community Care", "source_word_count": 4 }, "material_id": "material:ca6320342d5b61efb0329e02", "notes": [ "Use only as a dated implementation record. Do not represent its forecasts, prototypes or risks as current facts." ], "origin": "country-evidence-improvement-sources", "period": "Quarter 1 reform progress report issued in 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "37a7dab10d1a97451d640218309662719459bda8690add262c3f6ccff34f22dc" }, "statement": "The progress report records the 2023 implementation context, including then-proposed regional and locality planning, clinical governance and primary and community-care design work. It is not evidence that these arrangements were completed or remain unchanged.", "tags": [], "territory": "Aotearoa New Zealand", "title": "Health System Reform Progress Report", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.govt.nz/system/files/2023-11/system-reform-progress-report-q1-final-for-minister-11-sept-pr-watermarkd.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Health and Disability System Review. Health and Disability System Review: Final Report. Wellington: Ministry of Health, 2020. https://www.health.govt.nz/system/files/2022-09/h-and-d-full-interim-report-august-2019.pdf", "country_ids": [ "NZL" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "observed_referral", "ownership", "patient_flows", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Health and Disability System Review", "institution": "Health and Disability System Review; Ministry of Health repository", "locator": { "locator_type": "pdf_section_anchor", "source_word_anchor": "Inter-district flows", "source_word_count": 2 }, "material_id": "material:0718ea9b0614f275d1528c0a", "notes": [ "Do not use pre-reform District Health Board arrangements, historical facility series or inter-district flows as a description of the 2026 operating model." ], "origin": "country-evidence-improvement-sources", "period": "Review evidence primarily describes the pre-2022 system, including 2017/18 and earlier series.", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "1fc8f64338b95b3ed53c2c7d0ba96b9450c389a7194c8844f4c32093e003d040" }, "statement": "The Review documents the pre-reform system, including service, primary-health-organisation, hospital-discharge and inter-district-flow material. These historical descriptions and series are not imported as post-2022 or current observations.", "tags": [], "territory": "New Zealand", "title": "Health and Disability System Review: Final Report", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.govt.nz/system/files/2022-09/h-and-d-full-interim-report-august-2019.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health. Annual Report for the Year Ended 30 June 2025. Wellington: Manatu Hauora, 2025. https://www.health.govt.nz/system/files/2025-10/Ministry-of-Health-Annual-Report-for-the-year-ended-30-June-2025-201025.pdf", "country_ids": [ "NZL" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Annual Report for the Year Ended 30 June 2025", "institution": "Ministry of Health, Manatu Hauora", "locator": { "locator_type": "pdf_cover_title", "source_word_anchor": "Annual Report for the Year Ended 30 June 2025", "source_word_count": 9 }, "material_id": "material:affc01f3e04ff0719eb794c7", "notes": [ "Keep the financial-year boundary visible and do not translate reported activities into unqualified current-system claims." ], "origin": "country-evidence-improvement-sources", "period": "Financial year ended 30 June 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "df5a57eb91f7c5af4e0581281f5d23903b8b78b6bd77fda2d154d772edb04172" }, "statement": "The annual report records the Ministry's reported work and the Minister's Vote Health reporting for the 2024/25 financial year. It is period-bound administrative reporting and does not itself establish current operational authority for every health entity.", "tags": [], "territory": "New Zealand; Ministry reporting remit", "title": "Ministry of Health Annual Report for the Year Ended 30 June 2025", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.govt.nz/system/files/2025-10/Ministry-of-Health-Annual-Report-for-the-year-ended-30-June-2025-201025.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health. New Zealand Health Strategy. Wellington: Manatu Hauora, 2023. https://www.health.govt.nz/system/files/2023-07/new-zealand-health-strategy-oct23.pdf", "country_ids": [ "NZL" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "nationally managed and locally delivered", "institution": "Ministry of Health, Manatu Hauora", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "nationally managed and locally delivered", "source_word_count": 5 }, "material_id": "material:038abd53974a26880b1abc1f", "notes": [ "Use this as formal strategy evidence for 2023, not proof that every planned arrangement persisted or was implemented later." ], "origin": "country-evidence-improvement-sources", "period": "Strategy published October 2023; it documents the then-current reform architecture and is not a current operational register.", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "3bc0f07d0a50adf76dd539d79b31489b190df38b6d5279f328e47d2a7fcbd7f5" }, "statement": "The strategy describes a nationally managed and locally delivered health system and identifies the New Zealand Health Plan as the detailed service-planning instrument. Its named-entity descriptions must be read as 2023 strategy context.", "tags": [], "territory": "Aotearoa New Zealand", "title": "New Zealand Health Strategy", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.govt.nz/system/files/2023-07/new-zealand-health-strategy-oct23.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Akmal A, Podgorodnichenko N, Gauld R, Stokes T. New Zealand Pae Ora healthcare reforms 2022: viable by design? A qualitative study using the viable system model. International Journal of Health Policy and Management. 2023;12:7906. doi:10.34172/ijhpm.2023.7906. https://pmc.ncbi.nlm.nih.gov/articles/PMC10843487/", "country_ids": [ "NZL" ], "coverage_domains": [ "autonomy", "decision_rights", "governance", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "simultaneous increase in both centralisation and local autonomy", "institution": "International Journal of Health Policy and Management", "locator": { "locator_type": "article_section_anchor", "source_word_anchor": "simultaneous increase in both centralisation and local autonomy", "source_word_count": 8 }, "material_id": "material:326a7eaaa10116c780bbeab4", "notes": [ "Keep the authors' assessment distinct from formal authority and from observed service performance." ], "origin": "country-evidence-improvement-sources", "period": "Qualitative analysis of the design and early implementation context of the 2022 reforms, published 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "4ffd3f5a2d8346f262b64a8867e6acaebc97a9e713935bab08c13bf894420ad6" }, "statement": "The study analyses the design of the 2022 reforms and identifies a tension between centralisation and local autonomy. Its conclusions concern the authors' analytic assessment of early reform design, not an observation of current organisational performance.", "tags": [], "territory": "Aotearoa New Zealand", "title": "New Zealand Pae Ora Healthcare Reforms 2022: Viable by Design? A Qualitative Study Using the Viable System Model", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10843487/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Reidy J, Matheson D, Keenan R, Crampton P. The ownership elephant is becoming a mammoth: a policy focus on ownership is needed to transform Aotearoa New Zealand's health system. New Zealand Medical Journal. 2023;136(1576):74-81. https://nzmj.org.nz/media/pages/journal/vol-136-no-1576/the-ownership-elephant-is-becoming-a-mammoth-a-policy-focus-on-ownership-is-needed-to-transform-aotearoa-new-zealands-health-sys/a62508ffec-1696474810/the-ownership-elephant-is-becoming-a-mammoth-a-policy-focus-on-ownership-is-needed-to-transform-aotearoa-new-zealands-health-sys.pdf", "country_ids": [ "NZL" ], "coverage_domains": [ "government_responsibilities", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "private for-profit, NGOs and community, government and Maori", "institution": "New Zealand Medical Journal", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "private for-profit, NGOs and community, government and Maori", "source_word_count": 8 }, "material_id": "material:33e6dbf57dbb4689fddf467a", "notes": [ "Use the ownership categories as an analytical classification, not as a quantified current market-share estimate." ], "origin": "country-evidence-improvement-sources", "period": "Viewpoint published May 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "1027c34c633b8b6f762ec1c90487a0b198d0e5ec68d465416121b689597be707" }, "statement": "This peer-reviewed viewpoint describes four analytically relevant ownership forms: private for-profit, third-sector or community, government and Maori ownership. It argues that ownership policy warrants attention; it does not supply a current provider census or ownership shares.", "tags": [], "territory": "Aotearoa New Zealand", "title": "The ownership elephant is becoming a mammoth: a policy focus on ownership is needed to transform Aotearoa New Zealand's health system", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://nzmj.org.nz/media/pages/journal/vol-136-no-1576/the-ownership-elephant-is-becoming-a-mammoth-a-policy-focus-on-ownership-is-needed-to-transform-aotearoa-new-zealands-health-sys/a62508ffec-1696474810/the-ownership-elephant-is-becoming-a-mammoth-a-policy-focus-on-ownership-is-needed-to-transform-aotearoa-new-zealands-health-sys.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pharmac | Te Pataka Whaioranga. What we do. 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