Authors: Craig Green
Transforming New Zealand’s Healthcare System: A Patient-Centred Approach
New Zealand’s public healthcare system faces significant challenges, including fragmented care pathways, inequitable access, and resource constraints. This project explores how a transformative healthcare model could improve patient outcomes, enhance system efficiency, and ensure sustainable, high-quality care for all.
Project Objectives
This research sought to move beyond traditional cost-cutting measures and focus on value-based healthcare. The key objectives were to:
- Identify the characteristics of an ideal healthcare system for New Zealand.
- Understand the barriers and enablers to achieving this vision at national, organisational, and management levels.
- Develop a data-driven roadmap for improving healthcare integration, accessibility, and patient-centred care.
Approach
A Delphi study gathered insights from experts, healthcare professionals, and stakeholders to define an optimal system. Participants reflected on current challenges and proposed solutions to improve equitable access, service coordination, and patient experiences. A Fuzzy DEMATEL analysis was then used to map cause-and-effect relationships, helping to identify the most impactful factors for change.
Impact
By prioritising consumer needs and strategic system improvements, this research provides a clear framework for policymakers, healthcare leaders, and practitioners to implement meaningful reforms. The study highlights how a patient-centred, integrated approach can create a more efficient, equitable, and sustainable healthcare system for New Zealand.