There are currently twenty DHB's servicing Aotearoa - a country with five million people. A population that would fit comfortably in eightyone cities around the world. The fragmented system has twenty CEOs; twenty Boards (with up to eleven members each); twenty IT systems (to be confirmed); twenty HR departments; twenty payroll systems (to be confirmed); twenty of everything.
Great analysis Frank. It is ironic that the Nats are struggling to agree that one health authority will severely reduce the costs currently of 20 DHBs. It was a lovely Nat idea to run the DHBs as a business. Didn't really work out like that. There may have been many unnecessary deaths in NZ because of this misguided approach.