Massey Documents by Type
Permanent URI for this communityhttps://mro.massey.ac.nz/handle/10179/294
Browse
3 results
Search Results
Item Enabled at last? : a study of the development of three Maori health providers from 1994 - 2001 : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Social Policy at Massey University(Massey University, 2007) Barcham, Joan May RangioueThis thesis is a study of the experiences of three Maori health providers in the Heretaunga (Hawkes Bay) region, New Zealand. Focusing on the first six to seven years of their existence this study examines how government policies of devolution and the associated creation of appropriate health care organisations for Maori affected the operation of these organisations. The following topics were utilised throughout the thesis as a structure for analysis: the contracting model used, the reporting required by the funders, inadequate funding, professional intolerance, competition for resources, and health system restructuring resulting in short term policies. Looking at the issue of tino rangatiratanga this thesis draws on these topics to determine whether or not this new policy environment has actually led to increased tino rangatiratanga for Maori - specifically Maori working in Maori health providers. The evidence provided in this thesis shows that in many respects this has not been the case. While increased tino rangatiratanga has been an outcome of the devolution process, the process has not delivered the extent of tino rangatiratanga that some hoped would be delivered through the devolution of service delivery to Maori. However, despite the relatively bleak picture that this thesis has painted of the experiences of these Maori health providers, their experiences should still be seen as an example of success. The changes in government policy which led to the creation of Maori service providers as discussed in this thesis have led to the creation of an environment in which a greater degree of Maori control over Maori health issues has been achieved. This thesis shows that unfortunately this change has not been to the extent that the women interviewed for this thesis hoped it would be when they first set up their organisations. The problem is that the policies, structures and processes, which they as Maori health practitioners and workers in Maori health provider organisations have had to work through, have at points, seemed to impede the operation of their organisations. However, despite these problems, shifts in government policy combined with their ongoing efforts have created a space in which they are able to assert their tino rangatiratanga through the practice of their mana wahine.Item Kaupapa Maori and responsiveness : management responsiveness to Maori health issues in the reformed health service of the 1990's : a thesis presented in partial fulfilment of the requirements for the degree of Master of Social Policy, Department of Social Policy and Social Work, Massey University, Aotearoa(Massey University, 1995) Mackay, BettyThis thesis is about the responsiveness of the health system and health services to Maori needs. It examines the relationship of the Treaty of Waitangi to health and the commitment of organisations to biculturalism in health care provision. It focuses on the poor health status of Maori people and explores the issues of racialism, racism and exclusion as factors in the health and wellbeing of Maori people by drawing on literature, day to day observations and recordings as well as the responses of ten health service managers to the idea of biculturalism and the low status of Maori health. It takes the position that Maori people have been and continue to be disadvantaged by monocultural attitudes, beliefs and practices in the health system and that managers have the power to change that. The time it was written in was a time of major restructuring in health and encompassed the change from Area Health Boards through the funder provider split to Regional Health Authorities as purchasers and Crown Health Enterprises as providers of services. Change was everywhere, yet the major inequality between Maori and non Maori health status in Aotearoa remained stable. The thesis begins and ends with the Treaty of Waitangi, thus the past becomes the present and the future, for as the Royal Commission on Social Policy notes: The Treaty is always speaking. It has relevance to all economic and social policies. Not.only must the past be reviewed in the light of its principles, but the Treaty's promise must also be seen as fundamental to those principles, which underlie social well being in years to come. (Royal Commission on Social Policy. Vol. 2.3.-151.)Item Te mana whakahaere, te whaiora Māori : change management and Māori health development : a study on the management of Māori health strategies in a changing health sector from the 1991 health reforms to the year 2001 : a thesis submitted for the degree of Doctor of Philosophy in Social Science, Massey University, Palmerston North, January 2002(Massey University, 2002) Manaia, William Wiremu LanceTwo themes form the basis of this thesis. One is Maori health development, and the other is Māori health management or, in particular, the management of health sector change by Māori health professionals. Both themes are inextricably linked. One is about definitions of Maori progress and is focussed on health gains. The other is about process. Although both are examined in the context of positive development and differing perspectives, this research is essentially about Māori health management strategies, or processes through change for achieving best outcomes for Maori health service delivery. This thesis is primarily focussed within the time span 1991 to 2001, though there are speculations that go beyond that period of time. For convenience sake, the focus period for this thesis is continuously referred to as 'the 1990s'. In 1991 the National Government introduced a series of significant health reforms which accelerated a privatisation trend, making the health sector more accountable in business and commercial terms. Democratic control of hospital boards was replaced by appointed boards with business objectives, thus forming a market place within the health sector. This transformation was justified by the needs for efficiency, cost containment and accountability to consumers but in the process it increased the growing importance of management through social policy reform.