A research note: the exploration of political accountability in primary healthcare organisations

Research output: Contribution to journalArticle

Abstract

Increasing demands on publicly funded healthcare systems have led to calls for reform and improved performance especially in primary healthcare, where early detection and treatment of disease along with the promotion of healthy lifestyles, should lead to improve social and economic outcomes (WHO, 1978). In New Zealand, recent primary healthcare reforms have increased funding to private not-for-profit organisations, and consequent performance monitoring requires them to be fully and openly accountable and be responsive to their communities (Minister of Health, 2001). These requirements follow the perceived wisdom that increased community input leads to more cost-effective primary healthcare delivery. However, this exploratory study illustrates that when political accountability is transferred to semi-autonomous organisations, effective processes and relationships take time to develop. Government funders should balance their expectations against those of providers and communities, in order to build and sustain healthy relationships for a more effective health system.
Original languageEnglish
Pages (from-to)296-313
Number of pages18
JournalInternational Journal of Public Policy (IJPP)
Volume4
Issue number3
DOIs
Publication statusPublished - 2009

Fingerprint

responsibility
community
performance monitoring
reform
health
WHO
minister
wisdom
New Zealand
profit
promotion
funding
Disease
costs
performance
economics
time

Cite this

Cordery, Carolyn J. / A research note: the exploration of political accountability in primary healthcare organisations. In: International Journal of Public Policy (IJPP). 2009 ; Vol. 4, No. 3. pp. 296-313.
@article{a3b9978639584eb6b87763223a5d4e7f,
title = "A research note: the exploration of political accountability in primary healthcare organisations",
abstract = "Increasing demands on publicly funded healthcare systems have led to calls for reform and improved performance especially in primary healthcare, where early detection and treatment of disease along with the promotion of healthy lifestyles, should lead to improve social and economic outcomes (WHO, 1978). In New Zealand, recent primary healthcare reforms have increased funding to private not-for-profit organisations, and consequent performance monitoring requires them to be fully and openly accountable and be responsive to their communities (Minister of Health, 2001). These requirements follow the perceived wisdom that increased community input leads to more cost-effective primary healthcare delivery. However, this exploratory study illustrates that when political accountability is transferred to semi-autonomous organisations, effective processes and relationships take time to develop. Government funders should balance their expectations against those of providers and communities, in order to build and sustain healthy relationships for a more effective health system.",
author = "Cordery, {Carolyn J.}",
year = "2009",
doi = "10.1504/ijpp.2009.023494",
language = "English",
volume = "4",
pages = "296--313",
number = "3",

}

A research note: the exploration of political accountability in primary healthcare organisations. / Cordery, Carolyn J.

In: International Journal of Public Policy (IJPP), Vol. 4, No. 3, 2009, p. 296-313.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A research note: the exploration of political accountability in primary healthcare organisations

AU - Cordery, Carolyn J.

PY - 2009

Y1 - 2009

N2 - Increasing demands on publicly funded healthcare systems have led to calls for reform and improved performance especially in primary healthcare, where early detection and treatment of disease along with the promotion of healthy lifestyles, should lead to improve social and economic outcomes (WHO, 1978). In New Zealand, recent primary healthcare reforms have increased funding to private not-for-profit organisations, and consequent performance monitoring requires them to be fully and openly accountable and be responsive to their communities (Minister of Health, 2001). These requirements follow the perceived wisdom that increased community input leads to more cost-effective primary healthcare delivery. However, this exploratory study illustrates that when political accountability is transferred to semi-autonomous organisations, effective processes and relationships take time to develop. Government funders should balance their expectations against those of providers and communities, in order to build and sustain healthy relationships for a more effective health system.

AB - Increasing demands on publicly funded healthcare systems have led to calls for reform and improved performance especially in primary healthcare, where early detection and treatment of disease along with the promotion of healthy lifestyles, should lead to improve social and economic outcomes (WHO, 1978). In New Zealand, recent primary healthcare reforms have increased funding to private not-for-profit organisations, and consequent performance monitoring requires them to be fully and openly accountable and be responsive to their communities (Minister of Health, 2001). These requirements follow the perceived wisdom that increased community input leads to more cost-effective primary healthcare delivery. However, this exploratory study illustrates that when political accountability is transferred to semi-autonomous organisations, effective processes and relationships take time to develop. Government funders should balance their expectations against those of providers and communities, in order to build and sustain healthy relationships for a more effective health system.

UR - http://www.inderscience.com/offer.php?id=23494

U2 - 10.1504/ijpp.2009.023494

DO - 10.1504/ijpp.2009.023494

M3 - Article

VL - 4

SP - 296

EP - 313

IS - 3

ER -