"Chronic conditions will not go away; they are the health care challenge of this century" (World Health Organization)
Within the scope of health and disability services, unequal health
outcomes in New Zealand can be largely attributed to the
disproportionate burden that chronic conditions, especially
cardiovascular disease (CVD) and type-2 diabetes, place on Maori,
Pacific people, and those on low incomes.
Success in preventing and managing chronic or long-term conditions
among these groups will contribute to reducing inequalities. The
capability developed in the health and disability sector and the
lessons learned in the process will contribute to improving the health
of the rest of the population. The Ministry of Health, through Leading
for Outcomes, encourages a focus on improving outcomes through
systematic efforts to prevent and better manage long-term conditions in
primary care/community settings.
Richard has worked in the Ministry of Health on and off since 1997.
Prior to that he was contracted to carry out social research and
evaluation - mostly in areas relating to public health. Initially
working for the National Health Committee under the Chairmanship of Dr
Mason Durie, he later returned to the Clinical Services Directorate in
early 2004 to work on the Leading for Outcomes framework. The current
focus of this work is to encourage systematic approaches to the
prevention and management of long-term conditions in primary
care/community settings. CVD and Type-2 diabetes are a testing ground
for this approach to long-term conditions.
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