Hitting the target without missing the point: New Zealand's immunisation health target for two year olds

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dc.contributor.author Willing, Esther en
dc.date.accessioned 2016-11-29T22:34:38Z en
dc.date.issued 2016-09-23 en
dc.identifier.citation Policy Studies, 23 September 2016, 37 (6), 535 - 550 en
dc.identifier.issn 0144-2872 en
dc.identifier.uri http://hdl.handle.net/2292/31188 en
dc.description.abstract The use of health targets as a form of performance measurement has become more prominent internationally as governments have sought to control public expenditure, produce greater efficiency and improve accountability. However, health targets have faced criticism for their potential to produce negative outcomes within a health system. This paper examines how a health target was used as a policy instrument within the New Zealand health system to improve immunisation coverage at two years of age. It explores how the immunisation health target was implemented within four case study sites and discusses the effectiveness of the health target as a policy instrument for improving immunisation coverage and addressing persistent immunisation inequities. Measuring and monitoring performance towards the immunisation health target improved accountability for immunisation coverage within the New Zealand health system and focused attention on improving immunisation coverage in a way that previous policy attempts had failed to do. Health targets may be an effective policy instrument for creating change within specific areas of a health system if their potential for dysfunctional consequences are taken into consideration at the outset. en
dc.language English en
dc.publisher Taylor & Francis (Routledge): SSH Titles en
dc.relation.ispartofseries Policy Studies en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0144-2872/ http://authorservices.taylorandfrancis.com/copyright-and-you/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Hitting the target without missing the point: New Zealand's immunisation health target for two year olds en
dc.type Journal Article en
dc.identifier.doi 10.1080/01442872.2016.1207759 en
pubs.issue 6 en
pubs.begin-page 535 en
pubs.volume 37 en
dc.description.version VoR - Version of Record en
pubs.author-url http://www.tandfonline.com/doi/full/10.1080/01442872.2016.1207759 en
pubs.end-page 550 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 542241 en
dc.identifier.eissn 1470-1006 en
pubs.record-created-at-source-date 2016-10-05 en
pubs.online-publication-date 2016-09-23 en


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