Institutional Racism in Public Health Contracting: Findings of a Nationwide Survey From New Zealand

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aut.relation.endpage139
aut.relation.journalSocial Science & Medicineen_NZ
aut.relation.startpage132
aut.relation.volume199en_NZ
aut.researcherCame, Heather
dc.contributor.authorCame, Hen_NZ
dc.contributor.authorDoole, Cen_NZ
dc.contributor.authorMcKenna, Ben_NZ
dc.contributor.authorMcCreanor, Ten_NZ
dc.date.accessioned2021-11-23T02:51:23Z
dc.date.available2021-11-23T02:51:23Z
dc.date.copyright2017en_NZ
dc.date.issued2017en_NZ
dc.description.abstractPublic institutions within New Zealand have long been accused of mono-culturalism and institutional racism. This study sought to identify inconsistencies and bias by comparing government funded contracting processes for M aori public health providers (n ¼ 60) with those of generic providers (n ¼ 90). Qualitative and quantitative data were collected (November 2014eMay 2015), through a nationwide telephone survey of public health providers, achieving a 75% response rate. Descriptive statistical analyses were applied to quantitative responses and an inductive approach was taken to analyse data from open-ended responses in the survey domains of relationships with portfolio contract managers, contracting and funding. The quantitative data showed four sites of statistically significant variation: length of contracts, intensity of monitoring, compliance costs and frequency of auditing. Non-significant data involved access to discretionary funding and cost of living adjustments, the frequency of monitoring, access to Crown (government) funders and representation on advisory groups. The qualitative material showed disparate provider experiences, dependent on individual portfolio managers, with nuanced differences between generic and M aori providers’ experiences. This study showed that monitoring government performance through a nationwide survey was an innovative way to identify sites of institutional racism. In a policy context where health equity is a key directive to the health sector, this study suggests there is scope for New Zealand health funders to improve their contracting practices.en_NZ
dc.identifier.citationSocial Science & Medicine, Volume 199, February 2018, Pages 132-139.
dc.identifier.doi10.1016/j.socscimed.2017.06.002en_NZ
dc.identifier.issn0277-9536en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14710
dc.languageEnglishen_NZ
dc.publisherElsevieren_NZ
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0277953617303623en_NZ
dc.rightsCopyright © 2018 Elsevier Ltd. All rights reserved. This is the author’s version of a work that was accepted for publication in (see Citation). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectInstitutional racism; Health equity; Māori; New Zealand; Public health; Māori providers; Contracting; Te Tiriti o Waitangi; Treaty of Waitangien_NZ
dc.titleInstitutional Racism in Public Health Contracting: Findings of a Nationwide Survey From New Zealanden_NZ
dc.typeJournal Article
pubs.elements-id203328
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Nursing Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Public Health & Interdisciplinary Studies
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
pubs.organisational-data/AUT/zAcademic Progression
pubs.organisational-data/AUT/zAcademic Progression/Professor
pubs.organisational-data/AUT/zAcademic Progression/Professor/AP - Prof - Health and Environmental Sciences
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