title: A symbiotic model for transforming public healthcare in New Zealand

authors: Green, Craig J.

abstract: Given the poor state of public healthcare in New Zealand, this study challenges researchers and practitioners to expand their conceptual repertoire beyond mere cost-cutting and piecemeal improvements to consider potentially transformative business models. It invites stakeholders to consider how they ascribe meaning to behaviour, events, and environments when participating in every aspect of healthcare provision.  

A Delphi study garnered expert opinion on the ideal healthcare system for New Zealand, which senior District Health Board interviewees confirmed should involve equitable access, patient-centred care, service integration, and shared resources. To deliver this ideal, traditional pipeline model elements and an emergent platform ecosystem were merged, creating a symbiotic, hybrid healthcare concept in which the pipeline’s efficient methodical processes and the platform’s flexible facilitation of patient/provider engagements combine to offer a context-specific approach to healthcare provision, superior value-based outcomes and fair distribution of resources. Model validation extended to consideration of a comprehensive implementation roadmap that emerged from the main mechanisms and stakeholder behaviours required to transform today’s healthcare system.  

As the healthcare landscape evolves, embracing dynamic and inclusive approaches that prioritise patients and harness the potential of technological advancements is crucial. By inviting practitioners to reflect on their participation in healthcare provision, this study contributes to the ongoing discourse on healthcare delivery models. It provides valuable insights for researchers, policymakers, and practitioners navigating the complex world of contemporary healthcare.

text: A symbiotic model for transforming public healthcare in New Zealand Given the poor state of public healthcare in New Zealand, this study challenges researchers and practitioners to expand their conceptual repertoire beyond mere cost-cutting and piecemeal improvements to consider potentially transformative business models. It invites stakeholders to consider how they ascribe meaning to behaviour, events, and environments when participating in every aspect of healthcare provision.  

A Delphi study garnered expert opinion on the ideal healthcare system for New Zealand, which senior District Health Board interviewees confirmed should involve equitable access, patient-centred care, service integration, and shared resources. To deliver this ideal, traditional pipeline model elements and an emergent platform ecosystem were merged, creating a symbiotic, hybrid healthcare concept in which the pipeline’s efficient methodical processes and the platform’s flexible facilitation of patient/provider engagements combine to offer a context-specific approach to healthcare provision, superior value-based outcomes and fair distribution of resources. Model validation extended to consideration of a comprehensive implementation roadmap that emerged from the main mechanisms and stakeholder behaviours required to transform today’s healthcare system.  

As the healthcare landscape evolves, embracing dynamic and inclusive approaches that prioritise patients and harness the potential of technological advancements is crucial. By inviting practitioners to reflect on their participation in healthcare provision, this study contributes to the ongoing discourse on healthcare delivery models. It provides valuable insights for researchers, policymakers, and practitioners navigating the complex world of contemporary healthcare.

year: 2025

title: Once despised now desired: innovative land use and management of multilayered Pumice Soils in the Taupo and Galatea areas, central North Island, New Zealand

authors: Lowe, David J.

abstract: The tour brings together innovative land use change and management associated with dairy farming, and land-based effluent disposal, on weakly weathered and multi-layered, glass-rich, Pumice Soils (Vitrands) in the Taupo and Galatea areas. These changes and their effects, together with environmental and sustainability issues, form a central theme of the trip. Four main stops are planned, two before lunch and two after: (1) plantation pine-to-dairy farm conversion and impacts, the Taupo eruption deposits (AD 232 ± 10) and the Taupo soil, at Tahorakuri; (2) overview of the application of secondary-treated wastewater and nitrogen leaching and uptake, Rotokawa; (3) a sequence of five Holocene tephras and buried soils, including Kaharoa eruption deposits (AD 1314 ± 12) and the Galatea soil, Smeith Farm, Murupara; and (4) enhancing pasture production on ‘new’ soils formed by excavating and mixing (‘flipping’) buried soil horizons (paleosols) on Smeith’s farm. During the trip − which helps mark Waikato University’s 50th anniversary − we will see a spectacular range of volcanic and fluvial landscapes and deposits, together with impacts of tectonism, as we traverse the famous Taupo Volcanic Zone ((TVZ) in the central volcanic region. Landforms and soils dominated by tephras (volcanic ash) become generally younger towards the loci of volcanic activity. Extensive areas of soils have been formed repeatedly from the fragmental eruptive products of the two most frequently active and productive rhyolite (silica-rich) volcanic centres known, namely Taupo and Okataina. Thus soil stratigraphy and upbuilding pedogenesis form a second theme on the trip. The first part of the guidebook thus contains sections including (i) volcanism and its products, (ii) Quaternary volcanism in TVZ including deposits erupted recently from Taupo and Tarawera volcanoes from which Pumice Soils have been formed, (iii) tephra-derived soils including Pumice Soils, their classification, special problems, and (low) fertility, (iv) allophane and its formation, and (v) the interplay between geological and pedological processes relating to tephras (upbuilding pedogenesis). The second part then comprises notes and illustrations pertaining to each stop (note that figure and table numbers are self-contained at each stop, or not used). Broad overviews of the region’s geology are covered by Leonard et al. (2010), and the soils are outlined by Rijkse and Guinto (2010) and S-map. Further compilations of data are available in tour guides by Lowe (2008) and Lowe et al. (2010).

text: Once despised now desired: innovative land use and management of multilayered Pumice Soils in the Taupo and Galatea areas, central North Island, New Zealand The tour brings together innovative land use change and management associated with dairy farming, and land-based effluent disposal, on weakly weathered and multi-layered, glass-rich, Pumice Soils (Vitrands) in the Taupo and Galatea areas. These changes and their effects, together with environmental and sustainability issues, form a central theme of the trip. Four main stops are planned, two before lunch and two after: (1) plantation pine-to-dairy farm conversion and impacts, the Taupo eruption deposits (AD 232 ± 10) and the Taupo soil, at Tahorakuri; (2) overview of the application of secondary-treated wastewater and nitrogen leaching and uptake, Rotokawa; (3) a sequence of five Holocene tephras and buried soils, including Kaharoa eruption deposits (AD 1314 ± 12) and the Galatea soil, Smeith Farm, Murupara; and (4) enhancing pasture production on ‘new’ soils formed by excavating and mixing (‘flipping’) buried soil horizons (paleosols) on Smeith’s farm. During the trip − which helps mark Waikato University’s 50th anniversary − we will see a spectacular range of volcanic and fluvial landscapes and deposits, together with impacts of tectonism, as we traverse the famous Taupo Volcanic Zone ((TVZ) in the central volcanic region. Landforms and soils dominated by tephras (volcanic ash) become generally younger towards the loci of volcanic activity. Extensive areas of soils have been formed repeatedly from the fragmental eruptive products of the two most frequently active and productive rhyolite (silica-rich) volcanic centres known, namely Taupo and Okataina. Thus soil stratigraphy and upbuilding pedogenesis form a second theme on the trip. The first part of the guidebook thus contains sections including (i) volcanism and its products, (ii) Quaternary volcanism in TVZ including deposits erupted recently from Taupo and Tarawera volcanoes from which Pumice Soils have been formed, (iii) tephra-derived soils including Pumice Soils, their classification, special problems, and (low) fertility, (iv) allophane and its formation, and (v) the interplay between geological and pedological processes relating to tephras (upbuilding pedogenesis). The second part then comprises notes and illustrations pertaining to each stop (note that figure and table numbers are self-contained at each stop, or not used). Broad overviews of the region’s geology are covered by Leonard et al. (2010), and the soils are outlined by Rijkse and Guinto (2010) and S-map. Further compilations of data are available in tour guides by Lowe (2008) and Lowe et al. (2010).

year: 2014-12-02

title: E Ara Apanui

authors: Maxwell, Te Kahautu

abstract: E Ara Apanui recites the genealogical links between the Te Whakatōhea iwi and the host people of the Te Whānau a Apanui iwi. This new composition was performed by Ōpōtiki Mai Tawhiti at the Mātaatua Regional Kapa Haka Competition to qualify for Te Matatini 2013.

text: E Ara Apanui E Ara Apanui recites the genealogical links between the Te Whakatōhea iwi and the host people of the Te Whānau a Apanui iwi. This new composition was performed by Ōpōtiki Mai Tawhiti at the Mātaatua Regional Kapa Haka Competition to qualify for Te Matatini 2013.

year: 2012