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The increased mortality associated with the difference in health outcomes is demonstrated in the graph below. This graph is for the Wellington region but is broadly indicative of the pattern nation-wide. Proportion of Deaths Occurring at Different Ages in Wellington Residents 1990-94, by Gender and Ethnicity Maori Male Maori Female Non Maori Male Non Maori Female 100% Proportion of Deaths 1990-94 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Adoption of health outcome targets The fourth Labour Government introduced health outcome targets according to disease or high health risk behaviour. Personal Health has been implementing these measures. We accepted the targets and devolved the measures to localities, off the back of the analytical work highlighted in the Wellington locality section, together with appropriate, revised budget measures. Work will continue measuring management performance against the targets. One set of targets is shown below, with comments on the trends. Target Indicator Target Level (year) Current Level Base Line Level (year) Future Trend Required Historical Trend Comment/Trend Hearing Loss Hearing Loss - all children Test failure rate at school entry 5 percent (2000) 8.4 percent 1996/97 10.5 percent (1991) -12 percent pa -4 percent pa Tracking toward health but slow Hearing Loss - Maori children Test failure rate at school entry 5 percent (2000) 13.0 percent 1996/97 14.8 percent (1991) -21 percent pa -3 percent pa Tracking toward health but slow Hearing Loss - Pacific children Test failure rate at school entry 5 percent (2000) 16.1 percent 1996/97 14.0 percent (1991) -25 percent pa +3 percent pa Tracking away from health One of the major findings from attempting to apply this framework as an operational environment is the lack of timely, accurate information. Extension of existing frameworks Our current work has been based on existing frameworks. The following is an example of how the table can be extended in the near future. Possible Health Indicators and Targets Indicators Targets Maori Health Medical/Surgical Child Health Separate reporting by ethnicity for all indicators listed below Reduction in: Maori smoking rates Maori asthma admissions Rate of maori low birth rate babies (
Page 1 and 2: Improving Our Health Te Whai Ora :
Page 3 and 4: Mihi (greetings) Tiheewa! Mauri! Or
Page 5 and 6: Personal Health Almost every New Ze
Page 7 and 8: In New Zealand every day... 150 bab
Page 9: The Challenge: Improving Health for
Page 13 and 14: Service projections 15 years forwar
Page 15 and 16: Wellington Locality Area served: We
Page 17 and 18: volume of community service, as mor
Page 19 and 20: Secondary Care Programmes • Ensur
Page 21 and 22: funding for Rural Directors. In the
Page 23 and 24: Privacy issues are significant. We
Page 25 and 26: Accident Insurance Reform: Signific
Page 27 and 28: medical and surgical secondary/tert
Page 29 and 30: Progress to Date Patients Waiting f
Page 31 and 32: Personal Health’s Action • Incr
Page 33 and 34: • Inviting technical advisory gro
Page 35 and 36: Palliative Care: Studied for the Fi
Page 37 and 38: Personal Health — Financial Infor
Page 39 and 40: Indicative Prices and Patient Numbe
Page 41 and 42: 67 Endoscopic procedures on female
Page 43 and 44: 38 Lower extremity and humerus proc
Page 45 and 46: Relationships With Communities Main
Page 47 and 48: Sue Keppel Senior Locality Manager,
Page 49 and 50: esult in nationally consistent pall
Page 51 and 52: Personal Health - External Advisory
Page 53 and 54: Shane Davidson, Canterbury Health R
Page 55 and 56: John Mitchell, Healthlink South Tra
Page 57 and 58: Health — What’s Driving the Fut

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