Integrated Care in New Zealand

Levels of integration	1980s			1990s			2000s			2010s
	Micro	Meso	Macro	Micro	Meso	Macro	Micro	Meso	Macro	Micro	Meso	Macro
What is being integrated?
Planning and funding functions			Area Health Boards—Public health, primary and secondary care			Regional Health Authorities—All health and support services Health Funding Authority—All health and support services			District Health Boards—Most services			Regional alliances—Planning/funding for some services; providers included District Health Boards—Most services Whānauora contracts—High needs populations
Service budgets			Area Health Boards—Public health, primary and secondary care		Some capitation Some pharmaceutical and laboratory budget contracts Global budget (for one Independent Practitioner Association)			Capitation for Primary Health Organisations (first contact services)			Capitation for Primary Health Organisations (first contact services)
Service Planning and Support			Area Health Boards—Public health and secondary care		Independent Practitioner Associations			Primary Health Organisations	District Health Boards—Public health and secondary care		Primary Health Organisations (amalgamations)	District Health Boards—Public health and secondary care
Services			Area Health Boards—Public health and secondary care				Local initiatives	Local initiatives	District Health Boards—Public health and secondary care		Local initiatives Integrated family health centres and clusters	District Health Boards—Public health and secondary care
Services for a single condition				Integrated care pilots	Integrated care pilots Local initiatives		Local initiatives	Local initiatives			Local initiatives
Services for a specific population				Integrated care pilots				Māori and Pacific Primary Health Organisations			Māori and Pacific Primary Health Organisations Whānauora organisations—Provision for high needs populations