
The New Zealand System Level Measures Programme – a New Policy to Implement a Whole of System Performance Framework Using Health Alliances
By: Kanchan M. Sharma and Peter B. Jones
References
- Ministry of Health. New Zealand Health System 2018. Available from:
https://www.health.govt.nz/new-zealand-health-system . - Hood C. A public management for all seasons? Public Administration. 1991;69(
Spring ):3–19. DOI: 10.1111/j.1467-9299.1991.tb00779.x - Gauld R. New Zealand’s post-2008 health system reforms: Toward re-centralization of organizational arrangements. Health Policy. 2012;106(2):110–3. DOI: 10.1016/j.healthpol.2012.03.018
- Pye S. PHO Performance Programme: Six years on. Best practice (Dunedin, NZ). 2011;(41):40–9.
- Goodyear-Smith F, Ashton T. New Zealand health system: Universalism struggles with persisting inequities. The Lancet. 2019;394(10196):432–42. DOI: 10.1016/S0140-6736(19)31238-3
- Timmins N, Ham C.
The quest for integrated health and social care – A case study in Canterbury, New Zealand . The King’s Fund; 2013. - Gauld R. The theory and practice of integrative health care governance. Journal of Integrated Care. 2017;25(1):61–72. DOI: 10.1108/JICA-10-2016-0035
- bpac NZ. The Integrated Performance and Incentive Framework (IPIF): What has changed and how does it affect primary care? Best Practice Journal. 2014;62.
- Ashton T. Measuring health system performance: A new approach to accountability and quality improvement in New Zealand. Health Policy. 2015;119:999–1004. DOI: 10.1016/j.healthpol.2015.04.012
- Obucina M, Harris N, Fitzgerald J, Chai A, Radford K, Ross A, et al. The application of Triple Aim framework in the context of primary healthcare: A systematic literature review. Health Policy. 2018;122(8):900–7. DOI: 10.1016/j.healthpol.2018.06.006
- Stiefel M, Nolan K.
A Guide to Measuring the Triple Aim: Population health, Experience of care, and Per capital cost . Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012. - PHO Services Agreement: Version 6.4. Wellington: Te Whatu Ora; 1 July 2022. Available from:
https://www.tewhatuora.govt.nz/for-health-providers/primary-care-sector/primary-health-organisation-services-agreement/ . - Tenbensel T, Silwal PR, Walton L, Ayeleke RO. New Zealand’s Integration- Based Policy for Driving Local Health System Improvement – Which Conditions Underpin More Successful Implementation? International Journal of Integrated Care. 2021;21(2):8. DOI: 10.5334/ijic.5602
- Sharma KM.
Implementation of large-system transformation initiatives in the New Zealand health system . Wellington: Victoria University of Wellington; 2021. DOI: 10.26686/wgtn.15130413.v1 - Sharma KM, Jones PB, Cumming J, Middleton L. Key elements and contextual factors that influence successful implementation of large-system transformation initiatives in the New Zealand health system: a realist evaluation. BMC Health Services Research. 2024;24(1):54. DOI: 10.1186/s12913-023-10497-5
- Pae Ora (Healthy Futures) Act 2022, Stat. 2022 No 30 (14 June, 2022).
- Health targets will deliver better outcomes for New Zealanders [press release].
https://www.beehive.govt.nz/release/health-targets-will-deliver-better-outcomes-new-zealanders . New Zealand Government, 8 March 2024. - Doolan-Noble F, Lyndon M, Hau S, Hill A, Gray J, Gauld R. How well does your healthcare system perform? Tracking progress toward the triple aim using system level measures. NZMJ. 2015;128(1415).
- Martin L, Nelson E, Lloyd R, Nolan T.
Whole system measures: IHI innovation series white paper . Cambridge, Massachusetts: Institute for Healthcare Improvement; 2007. - Chalmers L, Ashton T, Tenbensel T. Measuring and managing health system performance: An update from New Zealand. Health Policy. 2017;121(8):831–5. DOI: 10.1016/j.healthpol.2017.05.012
DOI: https://doi.org/10.5334/ijic.9043 | Journal eISSN: 1568-4156
Language: English
Submitted on: Nov 21, 2024
Accepted on: Jul 18, 2025
Published on: Nov 26, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2025 Kanchan M. Sharma, Peter B. Jones, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.