Better Sooner More Convenient Primary Care - New Zealand Doctor

Improving Access:
increasing co-location of a range of primary, community and secondary services
increasing multi-disciplinary working
implementing navigator/Kaiawhina positions to provide practical assistance to access
services
implementing Māori nursing positions within each integrated family health centre
increasing mainstream service effectiveness by increasing cultural competencies among
non-Māori staff
changing models of care to increasing nurse/allied health led services, including
advancing development of nurse practitioners and working understanding orders.
Improving pathways through care:
reviewing pathways across through primary, community, secondary services across a
number of disease states
navigator/kaiawhina positions implemented to „navigate‟ patients through care.
Take a population health approach:
matching services to identified health needs, including Māori health needs
increasing self-management education.
8. How will the intervention affect health inequalities?
Inequalities in enrolments and utilization of services will reduce with the interventions,
particularly with the focus on enrolment and access of the kaiawhina position, and the
increasing responsiveness of mainstream services with specific Māori nursing positions
within each Integrated Family Health Centre, and increasing cultural competencies among
non Māori staff.
Implementation of these initiatives will also reduce inequalities in health outcomes over
time.
9. Who will benefit the most?
Those enrolled in primary practice and utilizing primary health services will benefit the
most from access to better sooner more convenient primary health services and improved
quality of service and care pathways through primary-community-secondary health
services
Business case appendices V12 AC 25Feb2010 Page 4