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Indigenous Peoples’ Health Care: New approaches to contracting and accountability at the public administration frontier |
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| Authors: | Judith Dwyer Amohia Boulton Josée G Lavoie Tim Tenbensel Jacqueline Cumming |
| Institution: | 1. Department of Health Care Management, School of Medicine, Flinders University, Adelaide, South Australia, E-mail: Judith.dwyer@flinders.edu.au;2. Whakauae Research for Maori Health and Development, Whanganui, New Zealand, E-mail: amohia@whakauae.co.nz;3. CHS Section of First Nations, Métis and Inuit Health, MFN Centre for Aboriginal Health Research, Winnipeg, MB, Canada, E-mail: josee.lavoie@med.umanitoba.ca;4. Health Systems Unit, School of Population Health, University of Auckland, Auckland, New Zealand, E-mail: t.tenbensel@auckland.ac.nz;5. Health Services Research Centre, School of Government, Victoria University of Wellington, Wellington, New Zealand, E-mail: jackie.cumming@vuw.ac.nz |
| Abstract: | AbstractThis article analyses reforms to contracting and accountability for indigenous primary health care organizations in Canada, New Zealand, and Australia. The reforms are presented as comparative case studies, the common reform features identified and their implications analysed.The reforms share important characteristics. Each proceeds from implicit recognition that indigenous organizations are ‘co-principals’ rather than simply agents in their relationship with government funders and regulators. There is a common tendency towards more relational forms of contracting; and tentative attempts to reconceptualize accountability. These ‘frontier’ cases have broad implications for social service contracting. |
| Keywords: | Third sector organizations indigenous primary health care public management contracting accountability |