Hauora
Subtitle: report on stage one of the Health Services and Outcomes Kaupapa Inquiry
By: Waitangi Tribunal
Series: Waitangi Tribunal report -- 2019
Publisher: Legislation Direct
Published: 2019
Place of publication: Lower Hutt
Language: eng
Number of pages: 230
ISBN-13: 9781869563318
Subjects: Maori (New Zealand people); Claims; Medical care; Primary care (Medicine); Tiriti o Waitangi; Kerēme (Tiriti o Waitangi); Hauora; Take hauora; Treaty of Waitangi; Treaty of Waitangi (1840 February 6)
Description: "This is the Waitangi Tribunal's report into claims concerning the ways the primary health care system in New Zealand has been legislated, administered, funded and held to account by the Crown since the passing of the New Zealand Public Health and Disability Act 2000. The Act laid out a new structure for the health care system centered on the creation of district health boards to deliver health care to distinct populations. The Waitangi Tribunal has found that Crown has breached the Treaty of Waitangi by failing to design and administer the current primary health care system to actively address persistent Māori health inequities and by failing to give effect to the Treaty's guarantee of tino rangatiratanga (autonomy, self-determination, sovereignty, self-government)"--Publisher information.
Notes: Includes bibliographical references.
Table of contents: title: Letter of transmittal; title: Glossary; title: Abbreviations.; title: 1. Introduction: Pūnganangana ki tawhito-o-te-rangi e tū nei (The Health Services and Outcomes Kaupapa Inquiry: Stage one ; The stage one participants ; The scope of this report ; The structure of this report); title: 2. Why is this inquiry needed? : He ngana riri: he ngana tauā (Introduction ; Māori health outcomes at the turn of the twenty-first century ; Why are Māori health outcomes so bad compared with those of non-Māori? ; The reset of the primary health system, 2000-02: a sense of hope ; Māori health inequities persist); title: 3. Treaty principles: Ue-ue 'Nuku; Ue-ue Rangi (Introduction ; Partnership ; Active protection ; Equity ; Options ; Conclusion); title: 4. The primary health care legislative and policy framework: Te tūngia te kawaru rā (Introduction ; The structure of the primary heakth care system ; Setting the framework for primary health care ; Funding arrangements for primary health care ; Holding entities to account for performance); title: 5. Is the New Zealand Public Health and Disability Act 2000 Treaty-compliant?: Ko te hau tonga ka maranga mai rā (Introduction ; Equity and the New Zealand Public Health and Disability Act ; Equity and the policy framework ; Health discourse ; The Treaty clause in the New Zeland Public Health and Disability Act ; Treaty principles in the primary health care framework: the three "P"'s ; The Act's provisions for District Health Boards ; Treaty obligations in lower-level accountability documents ; Tribunal findings); title: 6. Are the funding arrangements for the primary health care system Treaty-compliant? : Toki tā wahie te toki nui (Introduction ; The funding for primary health care ; Were Māori primary health organisations adequately funded at the point of establishment? ; Are the funding arrangements for the primary health care system adequate to pursue equity of health outcomes for Māori meaningfully? ; Tribunal findings); title: 7. Is the way health entities are held to account Treaty-compliant? : Toki tā wahie te toki roa (Introduction ; Accountability mechanisms for primary health care ; Holding district health boards to account ; The importance of effective measures and reporting ; Holding primary health organisations and providers to account ; The detail of data and information collected from primary health organisations and providers ; External monitoring of the Ministry of Health ; Accountability in a permissive system ; Tribunal findings); title: 8. Is partnership for Māori in the primary health care framework Treaty-compliant? : Toki tā wahie te toki mataroa; Ka whanatu au ka hahau i te takapū o Rangi e tū nei (Introduction ; Designing the primary health care framework ; Māori experiences of working in the primary health care sector ; Inaction in the face of need ; Providing culturally appropriate services ; Tribunal services); title: 9. Prejudice and recommendations: Whakataka te hau ki te muri ; Whakataka te au ke te tonga kia mākinakina ki uta ; Kia mātaratara ki tai kia hiia ake te ātakura, he tio, he huka, he hau-hūnga (Prejudice ; Recommendations ; Overarching recommendatiions ; Structural reform: an independent Māori Health Authority ; Specific recommendations); title: Appendix 1: Statement of issues (Introduction ; Equityy ; The primary healthcare framework ; Māori solutions ; Funding ; Policy and strategy ; Accountability ; Social policy ; Treaty principles ; Prejudice ; Recommendations); title: Appendix 2: Interested parties granted leave to participate in Stage One of the Wai 2575 Health Services and Outcomes Inquiry (Granted leave to participate on a watching brief basis ; Granted leave to file submissions ; Granted leave to file evidence and submissions ; Subsequent requests to cross-examine only); title: Appendix 3: Witnesses who gave evidence at hearings for Stage One (Kimikimi whare, Tūrangawaewae Marae ; Waitangi Tribunal Unit offices, Wellington); title: Appendix 4: Wai 1315 select record of proceedings (Statements ; Tribunal memopranda, directions and decisions ; Submissions and memoranda of parties); title: Appendix 5: Wai 2575 select record of inquiry (Record of hearings ; Record of proceedings ; Record of documents)