Effects of Health Policy Reforms on Nursing Resources and Patient Outcomes in New Zealand

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dc.citation.issue4
dc.citation.volume11
dc.contributor.authorCarryer JB
dc.contributor.authorDiers D
dc.contributor.authorMcCloskey B
dc.contributor.authorWilson D
dc.coverage.spatialUnited States
dc.date.available2010-11
dc.date.issued2010
dc.description.abstractHealth policy reforms in New Zealand during the 1990s impacted on hospital operations, on the nursing workforce, and on patients. This study analyses changes in rates of 20 adverse patient outcomes that are potentially sensitive to nursing (OPSNs) before (1989-1993), during (1993-2000), and after (2000-2006) the policy reforms, using all New Zealand public hospital inpatient discharge data for this period. Comparisons of changes in mean annual rates across periods revealed the expected trajectory of acceleration during the reform period relative to the prereform period, and a subsequent deceleration in the postreform period. This S-shaped pattern was clearly evident in 16 of the 20 OPSNs, and partially evident in the remaining 4. These results are interpreted as evidence that the 1990s policy reforms inspired by managerialism had deleterious effects on patient outcomes, and that these effects coincided with changes in nursing resources and the work environment.
dc.description.publication-statusPublished
dc.format.extent275 - 285
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/21288928
dc.identifier1527154410393360
dc.identifier.citationPolicy Polit Nurs Pract, 2010, 11 (4), pp. 275 - 285
dc.identifier.doi10.1177/1527154410393360
dc.identifier.eissn1552-7468
dc.identifier.elements-id94234
dc.languageeng
dc.publisherSage
dc.relation.isPartOfPolicy Polit Nurs Pract
dc.subjectHealth Care Reform
dc.subjectHealth Policy
dc.subjectHospitals, Public
dc.subjectHumans
dc.subjectMale
dc.subjectNew Zealand
dc.subjectNurse's Role
dc.subjectNursing Staff, Hospital
dc.subjectPatient Satisfaction
dc.subjectPersonnel Staffing and Scheduling
dc.subjectProgram Evaluation
dc.subjectQuality of Health Care
dc.subjectTreatment Outcome
dc.subjectWorkload
dc.subject.anzsrc1110 Nursing
dc.titleEffects of Health Policy Reforms on Nursing Resources and Patient Outcomes in New Zealand
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/School of Nursing
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