Abstract
Access to, and delivery of, safe and culturally appropriate health services is increasingly important in New Zealand. This paper will focus on counting the costs of health advocacy through the experience of a small non government charitable organisation, the Health Advocates Trust, (HAT) which aimed to provide advocacy services for a wide range of different population groups, each with distinct but also similar health needs in the Auckland and Northland regions of New Zealand. The costs of advocating for a fair share of funding for the provision of health advocacy services for approximately a third of New Zealand’s population and the legal journey and involved is discussed as well as the lessons those involved have learnt along the way. A focus is made on the importance of health advocacy to address the health needs of Maori, especially those in mental health services, specialist forensic services and those who are need of mental health care in prison.
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Notes
All those who have support the Health Advocates Trust in its legal journey to seek a fair deal for Auckland and Northland is acknowledged.
References
Asher, J. (2006). Health Advocates Trust v Director of Health and Disability Services Consumer Advocacy on Behalf of the Crown. Advocacy Networks Services, Advocacy Services South Island Trust. AKCIV-2006-404-006066 [18December2006}
Barton, C. (2009). Betrayal of true costs $40,000. Auckland: B5: Weekend Herald.
Bismark, M., & Paterson, R. (2006). No-fault compensation in New Zealand: Harmonizing injury compensation,. provider accountability and paitent safety. Health Affairs, 15, 17–22.
Brinded, P. M., Simpson, A., et al. (2001). Prevalence of psychiatric disorders in New Zealand prisons. Australian and New Zealand Journal of Psychiatry, 35, 166–173.
Committee of Inquiry into Allegations Concerning the Treatment of Cervical Cancer at National Women’s Hospital into Other Related Matters. (1988). The report of the cervical cancer inquiry, Government Printing Office.
Committee of Inquiry into Procedures used in Certain Psychiatric Hospitals in Relation to Admission. (1988). Discharge on Leave of Certain Classes of Patients, Psychiatric Report. Wellington, Government Printer.
Controller and Auditor General. (2008). Performance Audit Report Mental Health Services for Prisoners. Wellington, Office of the Controller and Auditor General.
Cunningham, C. (2008). Diversity and equity for Maori. In K. Dew & A. Matheson (Eds.), Understanding health inequalities in Aotearoa. Dunedin: Otago University Press.
Davis, P., Lay-Yee, R., et al. (2003). Adverse events in New Zealand public hospitals2 preventability and clinical context. Quality and Safety in Health Care, 12, 2511–256.
Davis, P., Lay-Yee, R., et al. (2006). Quality of hospital care for Maori patients in New Zealand: retrospective cross-sectional assessment. Lancet, 367, 1920–1925.
Duffy, A., & Barrett, D., et al. (2001). Report of the ministerial inquiry into the under- reporting of cervical smear abnormalities in the Gisborne region. Wellington.
Dyall, L. (2001). Treaty of Waitangi Foundation for Maori rights what place in the development of mental health services in New Zealand. Native Studies Review, 13(2), 1–24.
Dyall, L. (2009). HDC Consultation Document :Review of the Health and Disability Commissioner Act 1994 and the Code of Health and Disability Services Consumers Rights.
Dyall, L., Bridgman, G., et al. (1999). Maori expectations of mental health services. Social Policy Journal of New Zealand / Te Puna Whakaaro, 12, 71–90.
Harris, R., Tobias, M., et al. (2006). Effects of self-reported racial discrimination and deprivation on Maori health and inequalities in New Zealand: cross-sectional study. E. The Lancet, 367(9527), 2005–2009.
Health and Disability Commissioner. (2007). Annual report for the year ended 30 June 2007. Wellington: Health and Disability Commissioner.
Health and Disability Commissioner. (2008a). HDC Consultation Document Review of the Health and Disability Commissioner Act 1994 and the Code of Health and Disability Services Consumers’ Rights- A resource for public consultation, Health and Disability Commissioner.
Health and Disability Commissioner. (2008b). Health and disability commissioner learning from complaints, annual report for the year ended 30 June 2008. Wellington: Health and Disability Commission.
Jacobs, K. (2000). Evaluating accountability: finding a place for the Treaty of Waitangi in the New Zealand public sector. Accounting, Auditing& Accountability Journal, 13(3), 360–380.
Johnston, M. (2008a). DHBs criticised for deaths. Auckland: New Zealand Herald.
Johnston, M. (2008b). Northern health under pressure. Auckland: New Zealand herald.
Johnston, M. (2009). City hospital needs 337 more beds. Auckland: New Zealand Herald.
Jones, C. P. (2000). Levels of racism: a theoretical framework and gardener’s tale. American Journal of Public Health, 90(8), 1212–1215.
Milroy, R. (2006). The Health and Disability Commissioner- A Maori Perspective. Department of Maori Health, Auckland University. Dissertation Master of Public Health.
Ministry of Health. (2000). New Zealand health strategy. Wellington: Ministry of Health.
Ministry of Health. (2001). He Korowai Oranga Maori health strategy discussion document. Wellington: Ministry of Health.
National Health Committee. (2007). Meeting the needs of people with chronic conditions. Wellington: National Health Committee.
National Advisory Committee on Health and Disability. (2007). Summary of Proceedings From Prisoner Health Workshop. What would a health promoting New Zealand prison look like? Wellington, http://www.nhc.govt.nz.nsf./indexccm/nhc- Summary proceedings- prisoners-health workshop.
New Zealand Press Association. (2008a). Action demanded over gagged rest home woman. New Zealand Herald 30 June 2008.
New Zealand Press Association. (2008b). Nurse in patient relationship fights to stay anonymous. New Zealand Herald, May 23: http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10512077.
Palmer, M. (2008). The treaty of waitangi in New Zealand’s law and constitution. Wellington: Victoria University Press.
Paterson, R. (2008a). Financial costs incurred by the Health and Disability Commissioner. Wellington, 18 April (Personal Correspondence).
Paterson, R. (2008b). HDC Consultation Document- Review of the Health and Disability Commissioner Act 1994 and the Code of Health and Disability Services Consumers’ Rights A resource for public consultation. Wellington.
Polaschek, N. (1998). Cultural safety a new concept in nursing people of different ethnicities. Journal of Advanced Nursing, 27(3), 452–457.
Quality Improvement Committee. (2009). The serious and sentinel events report 2007–2008. Wellington: Quality Improvement Committee.
Robinson, B., & Harris, R. (2007). Hauora: Maori Health Standards of Health IV.A Study of the Years. Wellington, Te Ropu Rangahau Hauora a Eru Pomare, School of Medicine and health Sciences.
Simpson, A., Brinded, P., et al. (2003). Does ethnicity affect need for mental health service among New Zealand prisoners. Australian and New Zealand Journal of Public Health, 37, 728–734.
Tapsell, R., & Mellsop, G. (2007). The contributions of culture and ethnicity to New Zealand Mental Health Research Findings. International Journal of Social Psychiatry, 53(4), 317–324.
Te Puni Kokiri. (1996). Nga Ia o te Oranga Hinengaro Maori- trends in Maori health 1984–1993. Wellington: Ministry of Maori Development.
Turia, T. (2006). Health and Disability Commissioner -Report. Parliament.
Turia, T. (2008) Health Advocates Trust, 27 August, Wellington (Personal Correspondence)
Wepa, D. (ed). (2005). Cultural safety in Aotearoa, New Zealand. Auckland: Pearson Education New Zealand.
Young, W., O’Regan, P, et al. (2008). Health Advocates Trust and the Director of Health and Disability Services Consumer Advocacy on Behalf of the Crown and Advocacy Network Services Trust and Advocacy Services South Island Trust. Health Advocates Trust v The Director of Health and Disability Services Consumer Advocacy on Behalf of the Crown and Ors CACA22/07 [18March 2008].
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Dyall, L., Marama, M. Health Advocacy- Counting the Costs. Int J Ment Health Addiction 8, 190–204 (2010). https://doi.org/10.1007/s11469-009-9243-z
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DOI: https://doi.org/10.1007/s11469-009-9243-z
