News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search


NZMA supports professionalism in health care

FROM: Dr John Adams, NZMA Chairman

DATE: Wednesday, 21 November 2001

SUBJECT: NZMA supports professionalism in health care

Support for professionalism and clinical authority are important steps to improve quality in our health services, says New Zealand Medical Association Chairman Dr John Adams.

Speaking to the Clinical Governance and Quality Assurance in Healthcare conference in Auckland today, Dr Adams criticised developments in the health sector which had seen the rise of a management culture and a reduced leadership role for health professionals.

"A good manager is not necessarily a good leader. I think this was a fundamental mistake in our public health system. There was a wholesale removal of medical influence and authority from policy and financial matters. Doctors were said to have a vested interest which distorted things. Of course medical people had a vested interest - in treating patients well."

Dr Adams also said the current attitude and culture of blame needed to change before more effective quality systems could be introduced into our health services.

Changing the environment needed to happen at all levels - government, Ministry of Health, organisational, clinical teams and individuals.

"Valuing and supporting professionalism is the way to get individual doctors involved with quality systems, speaking out about peers or systems that are not functioning well, and feeling part of an overall team striving to provide quality care.

"Leadership and quality will come from the true devolution of responsibility and authority to clinical teams and the true involvement of those teams in providing management solutions.

"Time means money. We know that quality takes time. Quality improvement cycles cost. We cannot expect more for less. Leadership and involvement will depend on the services being adequately funded whether that be in primary or secondary care. This can not be overemphasised.

Dr Adams said all health professionals needed to work together to produce the best care for the patient, and an environment where excellence is cultivated.

"To work, quality improvement needs to come from the ground up, where the health professionals 'in the trenches' see it as a part of their daily work to be doing problem identification, audit, planning, improvement and re-audit. It is absolutely no use if the health professionals see it as an imposed waste of time and scarce resources. If the impetus and ideas are imposed rather than generated from the people on the ground, it becomes just 'lines on paper'."


© Scoop Media

Culture Headlines | Health Headlines | Education Headlines


Electronica: Restoring The World’s First Recorded Computer Music

University of Canterbury Distinguished Professor Jack Copeland and UC alumni and composer Jason Long have restored the earliest known recording of computer-generated music, created more than 65 years ago using programming techniques devised by Alan Turing. More>>


Scoop Review Of Books: Almost Getting Away With Murder

The Black Widow by Lee-Anne Cartier: Lee-Anne Cartier is the sister of the Christchurch man found to have been murdered by his wife, Helen Milner, after an initial assumption by police that his death, in 2009, was suicide. More>>

Howard Davis: Triple Echo - The Malevich/Reinhardt/Hotere Nexus

Howard Davis: The current juxtaposition of works by Ralph Hotere and Ad Reinhardt at Te Papa perfectly exemplifies Jean Michel Massing's preoccupation with the transmigration of imagery in a remarkable triple echo effect... More>>

Scoop Review Of Books: Nō Tāu Manawa

Vaughan Rapatahana responds to Fale Aitu | Spirit House by Tusiata Avi: "fa’afetai Tusiata, fa’afetai, / you’ve swerved & served us a masterclass corpus / through graft / of tears & fears..." More>>

9 Golds - 21 Medals: NZ Team Celebrates As Rio 2016 Paralympic Games Close

The entire New Zealand Paralympic Team, led by kiwi sprinter and double gold medallist Liam Malone as flag bearer, are on the bus to the Maracanã Stadium in Rio de Janeiro for the Closing Ceremony of the Rio 2016 Paralympic Games. There, they will celebrate the fantastic successes of the past 10 days. More>>


New Zealand Improv Festival: The Festival Of Moments To Return To The Capital

The eighth incarnation of the New Zealand Improv Festival comes to BATS Theatre this 4-8 October , with a stellar line-up of spontaneous theatre and instant comedy performed and directed by top improvisors from around New Zealand and the world. More>>


Get More From Scoop



Search Scoop  
Powered by Vodafone
NZ independent news