DHB decision-making in times of scarcity and its impact on services
In mid 2012 Professor Don Matheson was asked by a community group to assist them in understanding why the primary health
care service they were using was having its funding reduced.
Prof. Matheson says, “The funding reduction occurred in spite of the commitment the New Zealand health system has to
reducing disparities, improving frontline services and access to primary health care.”
“The community’s request led me to attend a Capital and Coast District Health Board (CCDHB) meeting where the
community’s concerns were heard but the Board went ahead anyway and reduced the funding for a service that provides
comprehensive primary health care to refugees, large numbers of people experiencing mental illness, and a high Maori and
Pacific population.”
“In an attempt to understand the rationale used by the Board in reaching a decision that would seriously impact on the
frontline services for a clearly vulnerable population I requested under the Official Information Act (OIA) papers that
would throw light on the Board’s decision-making processes between 2009 and 2012,” Prof. Matheson says.
Prof. Matheson has written an analysis of the content of the materials supplied by the Board under the OIA request
called “From Great to Good; how a leading New Zealand DHB lost its ability to focus on equity during a period of
economic constraint” which can be found at the following link http://www.publichealth.ac.nz/assets/Uploads/Great-to-Good-Final-.pdf
Prof. Matheson presented his findings today at a Centre for Public Health Research, Massey University seminar. http://www.publichealth.ac.nz/home/events/seminars/#88
ENDS