title: Restructuring and hospital care: Sub-national trends, differentials, and their impacts; New Zealand from 1981

authors: Pool, Ian

abstract: An analysis of the "nation's health" is the central concern of this study. Its genesis was a detailed, technical, time-series research on regional and ethnic differentials in health in New Zealand. But as this work progressed it became increasingly evident that the results of this more narrow analysis could make a wider contribution to the development of a knowledge-base on health trends and on the impacts of policy on these. In a sense, the analysis provides a demographic audit of health trends over the last two decades.
The focus here is different from that in most other studies on restructuring of the New Zealand health system as their concern was either to review in detail the rewriting of policy per se, and attendant structural and institutional changes (Fougere 2001), or to identify how these changes relate to changes in mortality (Blakely et al. 2008). The research question reported here was, instead, to analyse the most crucial of health outcomes, „how long we live and how often we end up in hospital‟, identified in the earlier quotation, to report patterns and trends in hospital use nationally and sub-nationally over the period under review, and to determine the degrees to which various sub-populations benefited, or did not benefit, from these changes. The analysis focuses on the hospital sector in the system, but it will also show relations between this and other sectors, formal (e.g. primary health) and less formal (notably the healthcare afforded sickness and invalid beneficiaries). Thus two questions are addressed:
1. whether or not the nation‟s population health improved over the period and;
2. whether or not there was a convergence in patterns of health gain across its constituent sub-populations defined geographically and ethnically.
This monograph deals with sub-national differences in health in New Zealand over a period of substantial socio-economic restructuring and associated radical changes in health policy, health systems and their related information systems (see also, Text Appendix A). It complements the recently published analysis of national ethnic trends in mortality (Blakely et al. 2004), but differs in several critical respects. That study reviewed health status by emphasising aetiologies and causes of death. In contrast, the present analysis focuses on actuarial dimensions of both mortality and morbidity and on health as measured by functional capacity rather than the disease orientated „burden of disease‟. It goes beyond health status issues to look at the system itself, to assess whether health policy outcomes were generated more through efficiency-gain (economic or service delivery, such as those resulting in a convergence sub-nationally of supply and demand effects), or through health gains, or ideally, by both.
To do this, and as a by-product to analyse changes in health status and the system in an era of restructuring, innovative methodologies and composite time-series indices combining the two dimensions of a „nation‟s health‟, needing hospital care and longevity, have had to be custom-designed. To achieve this objective, the ensuing analysis is often technical, and may introduce concepts that are unfamiliar to some readers. In order to look at possible inequalities of outcome, comparisons were made between regions and ethnic groups, as well as age-groups and genders, and as a result, in places the analysis becomes rather complex.

text: Restructuring and hospital care: Sub-national trends, differentials, and their impacts; New Zealand from 1981 An analysis of the "nation's health" is the central concern of this study. Its genesis was a detailed, technical, time-series research on regional and ethnic differentials in health in New Zealand. But as this work progressed it became increasingly evident that the results of this more narrow analysis could make a wider contribution to the development of a knowledge-base on health trends and on the impacts of policy on these. In a sense, the analysis provides a demographic audit of health trends over the last two decades.
The focus here is different from that in most other studies on restructuring of the New Zealand health system as their concern was either to review in detail the rewriting of policy per se, and attendant structural and institutional changes (Fougere 2001), or to identify how these changes relate to changes in mortality (Blakely et al. 2008). The research question reported here was, instead, to analyse the most crucial of health outcomes, „how long we live and how often we end up in hospital‟, identified in the earlier quotation, to report patterns and trends in hospital use nationally and sub-nationally over the period under review, and to determine the degrees to which various sub-populations benefited, or did not benefit, from these changes. The analysis focuses on the hospital sector in the system, but it will also show relations between this and other sectors, formal (e.g. primary health) and less formal (notably the healthcare afforded sickness and invalid beneficiaries). Thus two questions are addressed:
1. whether or not the nation‟s population health improved over the period and;
2. whether or not there was a convergence in patterns of health gain across its constituent sub-populations defined geographically and ethnically.
This monograph deals with sub-national differences in health in New Zealand over a period of substantial socio-economic restructuring and associated radical changes in health policy, health systems and their related information systems (see also, Text Appendix A). It complements the recently published analysis of national ethnic trends in mortality (Blakely et al. 2004), but differs in several critical respects. That study reviewed health status by emphasising aetiologies and causes of death. In contrast, the present analysis focuses on actuarial dimensions of both mortality and morbidity and on health as measured by functional capacity rather than the disease orientated „burden of disease‟. It goes beyond health status issues to look at the system itself, to assess whether health policy outcomes were generated more through efficiency-gain (economic or service delivery, such as those resulting in a convergence sub-nationally of supply and demand effects), or through health gains, or ideally, by both.
To do this, and as a by-product to analyse changes in health status and the system in an era of restructuring, innovative methodologies and composite time-series indices combining the two dimensions of a „nation‟s health‟, needing hospital care and longevity, have had to be custom-designed. To achieve this objective, the ensuing analysis is often technical, and may introduce concepts that are unfamiliar to some readers. In order to look at possible inequalities of outcome, comparisons were made between regions and ethnic groups, as well as age-groups and genders, and as a result, in places the analysis becomes rather complex.

year: 2009

title: Development and care of pā harakeke in 19th century New Zealand: Voices from the past

authors: McAllum, Priscilla M

subjects: Raranga

abstract: Māori weaving is experiencing a resurgence. Some weavers are involved in the planting of pā harakeke so that they have a high quality resource on hand ready for use.  A number of recent scientific publications, undertaken jointly with weavers, have explored the unique fibre qualities of different harakeke varieties along with specific aspects of Māori use of these varieties. In this paper, I examine Māori planting practices of pā harakeke and other aspects of resource management as revealed in literature sources from the late 18th to the early 20th centuries.  Although some of the practices outlined here may have fallen into disuse over time, they may, nevertheless, continue to be appropriate for contemporary pā harakeke. It is hoped, therefore, that the information provided here will be of interest to contemporary weavers.

text: Development and care of pā harakeke in 19th century New Zealand: Voices from the past Māori weaving is experiencing a resurgence. Some weavers are involved in the planting of pā harakeke so that they have a high quality resource on hand ready for use.  A number of recent scientific publications, undertaken jointly with weavers, have explored the unique fibre qualities of different harakeke varieties along with specific aspects of Māori use of these varieties. In this paper, I examine Māori planting practices of pā harakeke and other aspects of resource management as revealed in literature sources from the late 18th to the early 20th centuries.  Although some of the practices outlined here may have fallen into disuse over time, they may, nevertheless, continue to be appropriate for contemporary pā harakeke. It is hoped, therefore, that the information provided here will be of interest to contemporary weavers.

year: 2005-02

title: The principal as learner: perceptions, beliefs and experiences of nineteen New Zealand principals

authors: Townsend, Frances Mary

abstract: The research began with a personal question about how one learnt educational management. The research participants consisted of 19 principals who were selected on the basis of distribution between primary, secondary, male and female. Two questions guided the research. How did these principals perceive that they learnt to be principals? How did they perceive that their learning impacted on their practice? A self-study paralleled the study of the principals, as a study of an educational manager who was not a principal.

The qualitative methodology applied in the study was grounded theory. The methodology and the retrospective, biographical nature of the study through interview, meant that the research was phenomenological and interpretative. The main source of raw data was the transcripts of interviews, documents and literature. 

These principals perceived that their critical learning related to educational management was learning of attitudes and values as well as knowledge and skills. This learning could be traced in the first instance to family and upbringing, to their own education and their careers in teaching and middle management. Because this learning was the foundation on which their learning as principals, was based, I called this foundational learning. The research indicated that foundational learning influenced the nature of the principalship.

The learning of principals after appointment was conceptualised as experiential and intentional. Experiential learning occurred in the contexts of initiation, dealing with crises and problems, routine management, managing change, taking part in specific events, and through the process of being a principal for an extended period. Experiential learning appeared to consist of two main types, situational and emergent. The latter comprised new learning created by learning over time from a variety of experiences. Intentional learning aimed to meet learning needs and included all the deliberate formal and informal learning activities such as gaining qualifications, attending courses and conferences, visiting other institutions and reading professional literature. Barriers and limitations to learning constituted another relevant aspect of principals’ learning.

The principals perceived that their foundational learning had a major impact on practice as the source of values, attitudes, systemic knowledge of educational management and management skills. They perceived that their experiential learning had the most direct and significant impact on their practice because it was most likely to produce practical and relevant learning. Intentional learning had a subsidiary function, supporting and growing experiential learning. In this way, intentional learning impacted on practice. Personal, systemic and external learning barriers and limitations appeared to impact on practice in idiosyncratic ways.

Foundational, experiential and intentional learning was cumulative, contextualised within particular schools and situations and inter-related through impact on practice. Consequently each principal’s story was different and unique. I concluded that each principal was a unique product of learning, accumulated over a life time and developed within schools, each of which represented a unique environment. As a result, each particular combination of principal and school represented a unique configuration in terms of learning to be and being a principal. The self-study supported these conclusions. On the basis of the findings of the research, I drew out a number of professional development implications. If heeded, the professional development implications could reorient educational management education by focusing on the unique configuration of principal as sum of foundational, experiential and intentional learning, and his or her particular school or organisation as a particularised environment of educational problems. These problems may need to be defined uniquely to be resolved.

text: The principal as learner: perceptions, beliefs and experiences of nineteen New Zealand principals The research began with a personal question about how one learnt educational management. The research participants consisted of 19 principals who were selected on the basis of distribution between primary, secondary, male and female. Two questions guided the research. How did these principals perceive that they learnt to be principals? How did they perceive that their learning impacted on their practice? A self-study paralleled the study of the principals, as a study of an educational manager who was not a principal.

The qualitative methodology applied in the study was grounded theory. The methodology and the retrospective, biographical nature of the study through interview, meant that the research was phenomenological and interpretative. The main source of raw data was the transcripts of interviews, documents and literature. 

These principals perceived that their critical learning related to educational management was learning of attitudes and values as well as knowledge and skills. This learning could be traced in the first instance to family and upbringing, to their own education and their careers in teaching and middle management. Because this learning was the foundation on which their learning as principals, was based, I called this foundational learning. The research indicated that foundational learning influenced the nature of the principalship.

The learning of principals after appointment was conceptualised as experiential and intentional. Experiential learning occurred in the contexts of initiation, dealing with crises and problems, routine management, managing change, taking part in specific events, and through the process of being a principal for an extended period. Experiential learning appeared to consist of two main types, situational and emergent. The latter comprised new learning created by learning over time from a variety of experiences. Intentional learning aimed to meet learning needs and included all the deliberate formal and informal learning activities such as gaining qualifications, attending courses and conferences, visiting other institutions and reading professional literature. Barriers and limitations to learning constituted another relevant aspect of principals’ learning.

The principals perceived that their foundational learning had a major impact on practice as the source of values, attitudes, systemic knowledge of educational management and management skills. They perceived that their experiential learning had the most direct and significant impact on their practice because it was most likely to produce practical and relevant learning. Intentional learning had a subsidiary function, supporting and growing experiential learning. In this way, intentional learning impacted on practice. Personal, systemic and external learning barriers and limitations appeared to impact on practice in idiosyncratic ways.

Foundational, experiential and intentional learning was cumulative, contextualised within particular schools and situations and inter-related through impact on practice. Consequently each principal’s story was different and unique. I concluded that each principal was a unique product of learning, accumulated over a life time and developed within schools, each of which represented a unique environment. As a result, each particular combination of principal and school represented a unique configuration in terms of learning to be and being a principal. The self-study supported these conclusions. On the basis of the findings of the research, I drew out a number of professional development implications. If heeded, the professional development implications could reorient educational management education by focusing on the unique configuration of principal as sum of foundational, experiential and intentional learning, and his or her particular school or organisation as a particularised environment of educational problems. These problems may need to be defined uniquely to be resolved.

year: 1999