With the current activity around Clinical Integration warming up politics and providers in the health sector, Don Matheson’s paper Great to Good has provided an insight into the fiscal and philosophical dilemmas and dicotomies that DHBs have been exposed to, as they attempt to meet targets imposed by the Minister, whilst balancing the need to [...]
Archive for category Political
Good, Better, Best
Mar 5
I admit to not being very smart when it comes to big business. I know the reality of private enterprise. But I dont get how big companies owning residential aged care (RAC) facilities can have the gall to crow about big, no I mean HUGE profits made out of money taken off older NZ adults. [...]
Dissected to death????
Jun 8
What is it about nursing that makes funders/academics/anyone have to dissect every aspect of the nursing process/service/experience. We don’t see that volume of scrutiny focused on the doctoring process that I have ever noticed. Is it because we need to justify and prove the value of nursing because the financial benefits to an organisation from [...]
Penny wise, pound foolish?
May 27
I get really nervous when I hear of “specialists” being hired to “analyse” health services….especially when they are focusing on nursing. Maybe it is a hangover from the 1990′s when entire hospitals were brought to their metaphorical knees and plunged into a black hole of despair by such”analyst experts”. So I read the recent [...]
Just call me Poly Filler
May 19
Sometimes the tug of war (almost literally it seems at times!) between NPs and MDs just gets ridiculous, and I suspect this article will only add fuel to the tuggers. The point of difference here is that the author is an economist so approaches the evidence from the fiscal angle- which will make a whole [...]
what’s in a day?….
May 13
I always have an uncomfortable niggle at the thought of “Nurses Day”. I get the same feeling when I consider the “special” nurses conference day that the GPCME conference offers. Its a “pat on the head and be good/silent for the rest of the year” kind of niggle. And I see that I am not [...]
NP’s miss the cut-again?
May 4
I don’t know, maybe I am partisan, but I would kind of expect to see some explicit mention of NPs in any national health workforce plan- especially because they are a new animal in the NZ health landscape and there is so much international evidence to say how well they improve health outcomes. But no, [...]
Retreating under fire?
Apr 15
Well, it seems that the USA medical profession may be retreating under fire with the Obama health reforms. This article suggests that need and healthcare reform may be assisting the nurses to edge ahead on the age old doctor vs nurse practitioner power struggle.Going by the comments the public is divided re the benefits/risk analysis. [...]
Reform across the ditch…
Apr 5
Looks like the Aussies are in for some changes to the primary health care landscape, although it can’t be as radical as what our Labour Govt tried during their tenure (2001..)i.e., mucking around with the GPs’ incomes, because I didn’t hear any screams last month when the news hit the airwaves. Apparently Rudd’s crowd is [...]
Much ado about iFHC n’ all
Feb 18
I admit to being rather bemused and bewildered at the conclusionof the recent RNZCGP Quality Symposium last week- mainly because there did not seem to be much about Quality and more about intergrated Family Health Centres. It seems that the meeting had been hijacked to pass the word down the line about the latest MOH [...]