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Book part
Publication date: 8 January 2021

Sneha Lakhotia

As the world continues to grapple with new and existing challenges every passing day, the need to identify new approaches to maximise impact with given limited resources has…

Abstract

As the world continues to grapple with new and existing challenges every passing day, the need to identify new approaches to maximise impact with given limited resources has become a pressing issue. To this end, overhauling the purchase and delivery of public services by introducing new funding models like commissioning has gained significant attention within the public and policy sector in recent years. Commissioning does not mean merely procurement and purchasing but securing the most appropriate services to address the needs of the population through due diligence and planning to maximise value. Although Commissioning has been practised internationally for many years, it has emerged at scale in New Zealand through the establishment of the Whānau Ora Commissioning Agency. This chapter discusses the Whānau Ora Commissioning model and its development as an indigenous model to commissioning for impact. It highlights the unique characteristics embedded in and exhibited by the model, which enable it to function in an indigenous context and facilitate positive well-being for its population. It also describes the challenges faced to perform and drive momentum forward. Commissioning may not be the only solution to resolving societal challenges. However, it can be instrumental in generating and amplifying value tailored to the context and used in conjunction with other innovative practices.

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Generation Impact
Type: Book
ISBN: 978-1-78973-929-9

Keywords

Article
Publication date: 12 March 2018

Anne de Bruin and Christine Read

The purpose of this paper is to argue, using the New Zealand context as reference, that heterogeneous societies with diverse cultures have an expanded space of possibilities for…

1743

Abstract

Purpose

The purpose of this paper is to argue, using the New Zealand context as reference, that heterogeneous societies with diverse cultures have an expanded space of possibilities for developing social innovations.

Design/methodology/approach

Incorporation of the cultural context is integral to finding innovative, collective solutions for mitigating complex social problems and sparking transformational social change. Empirical support for this contention draws on examples of social innovations that embed the cultural values of Māori, New Zealand’s indigenous people.

Findings

Using illustrative cases, the authors highlight the capacity of Māori values, encompassed in an ecosystem of Māori social institutions, to catalyse social innovation in New Zealand. The authors position these examples within two paradigms of social innovation.

Research limitations/implications

The paper limits its focus to the implications of Māori cultural values for social innovation. However, it serves to highlight that appreciation of indigenous and minority cultural values can provide a foundation for social innovations in other contexts too.

Practical implications

Recognising cultural values increases the range of possibilities for innovatively addressing social and environmental challenges.

Social implications

Respect and recognition of indigenous culture and knowledge offers potential for sustainable solutions to complex social challenges.

Originality/value

This is one of the few papers to explore the cultural embeddedness of social innovation and highlight public policy social innovations.

Details

Social Enterprise Journal, vol. 14 no. 2
Type: Research Article
ISSN: 1750-8614

Keywords

Content available
Book part
Publication date: 8 January 2021

Abstract

Details

Generation Impact
Type: Book
ISBN: 978-1-78973-929-9

Article
Publication date: 3 July 2017

Clare Lynette Harvey, Jonathan Sibley, Janine Palmer, Andrew Phillips, Eileen Willis, Robert Marshall, Shona Thompson, Susanne Ward, Rachel Forrest and Maria Pearson

The purpose of this paper is to outline a conceptual plan for innovative, integrated care designed for people living with long-term conditions (LTCs).

1947

Abstract

Purpose

The purpose of this paper is to outline a conceptual plan for innovative, integrated care designed for people living with long-term conditions (LTCs).

Design/methodology/approach

The conceptual plan delivers a partnership between the health system, the person with LTCs (chronic), their family, and the community. The partnership aims to support people at home with access to effective treatment, consistent with the New Zealand Government Health Strategy. This concept of people-owned care is provided by nurses with advanced practice skills, who coordinate care across services, locations and multiple LTCs.

Findings

With the global increase in numbers of people with multiple chronic conditions, health services are challenged to deliver good outcomes and experience. This model aims to demonstrate the effective use of healthcare resources by supporting people living with a chronic condition, to increase their self-efficacy and resilience in accordance with personal, cultural and social circumstance. The aim is to have a model of care that is replicable and transferable across a range of health services.

Social implications

People living with chronic conditions can be empowered to manage their health and well-being, whilst having access to nurse-led care appropriate to individual needs.

Originality/value

Although there are examples of case management and nurse-led coordination, this model is novel in that it combines a liaison nursing role that works in partnership with patients, whilst ensuring that care across a number of primary and secondary care services is truly integrated and not simply interfaced.

Details

Journal of Integrated Care, vol. 25 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Content available
Article
Publication date: 13 February 2007

57

Abstract

Details

International Journal of Health Care Quality Assurance, vol. 20 no. 1
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 10 July 2017

Maria Hepi, Jeff Foote, Jörg Finsterwalder, Moana-o-Hinerangi Moana-o-Hinerangi, Sue Carswell and Virginia Baker

This study aims to understand the engagement between an indigenous social service provider and marginalised clients deemed “hard-to-reach” to gain an insight into how to improve…

1900

Abstract

Purpose

This study aims to understand the engagement between an indigenous social service provider and marginalised clients deemed “hard-to-reach” to gain an insight into how to improve the client’s engagement and well-being through transformative value co-creation.

Design/methodology/approach

The exploratory study’s findings draw on primary data employing a qualitative research approach through document analysis and in-depth interviews with clients, social workers and stakeholders of the focal social service provider in New Zealand.

Findings

The findings indicate that there are inhibitors and enablers of value or well-being co-creation. The lack of client resources and a mismatch between client and social worker are primary barriers. Other actors as well as cultural practices are identified as enablers of well-being improvement.

Research limitations/implications

This research reports on a single social service provider and its clients. These findings may not be readily transferrable to other contexts.

Practical implications

Findings indicate that social service providers require a heightened awareness of the inhibitors and enablers of social service co-creation.

Social implications

Both the integrative framework and the findings provide a sound critique of the prevailing policy discourse surrounding the stigmatisation of members of society deemed “hard-to-reach” and the usefulness of such an approach when aiming at resolving social issues.

Originality/value

This is the first exploratory study that reports on the engagement between a social service provider and its clients in a dedicated Māori (indigenous) context by employing an integrative research approach combining transformative service research, activity theory and engagement theory.

Details

Journal of Services Marketing, vol. 31 no. 4/5
Type: Research Article
ISSN: 0887-6045

Keywords

Book part
Publication date: 1 March 2021

Ruth Hephzibah Orhoevwri

This chapter focuses on exploring social innovation among Māori entrepreneurs. The notion that social entrepreneurship (SE) has always been a core part of Indigenous…

Abstract

This chapter focuses on exploring social innovation among Māori entrepreneurs. The notion that social entrepreneurship (SE) has always been a core part of Indigenous entrepreneurship is supported by existing literature. However, the role of Indigenous worldviews and the entrepreneurial ecosystem within which the Indigenous entrepreneur operates has been overlooked. A Case Study method was used, Case 1 was a whānau (kinship)-based social enterprise and Case 2 was a trust-based social enterprise. Both cases showed similarities in terms of cultural integration of Māoritanga into their values and how they created social innovation. Case 1 models a social engineer by designing architectural works that integrated Māori designs, but with a contemporary style that changed how the community designed projects. Case 2 also exemplified similar characteristics, but with more focus on creating economic development through community-based enterprise with a social goal using very innovative means such as community volunteering and youth engagement. Case 3 stood for a more shared-economy approach to social innovation. The entrepreneurial ecosystem is perceived by the cases quite similarly because they felt government policies were irrelevant because they did not integrate the core values of Māori. The implications of these findings are mainly policy-based because the Crown needs to re-evaulate how it engages with Māori social entrepreneurs.

Details

Clan and Tribal Perspectives on Social, Economic and Environmental Sustainability
Type: Book
ISBN: 978-1-78973-366-2

Keywords

Book part
Publication date: 1 March 2021

Jacqueline McIntosh, Bruno Marques and Rosemary Mwipiko

Research has shown that Indigenous people suffer significant health inequalities in comparison to dominant colonising cultures. Evidence shows that these inequalities can be…

Abstract

Research has shown that Indigenous people suffer significant health inequalities in comparison to dominant colonising cultures. Evidence shows that these inequalities can be addressed by gaining a deeper understanding of the social and cultural determinants of health, applying Indigenous views of health and developing better definitions of the term wellbeing. The following chapter draws on research exploring the relationship between Indigenous culture, the landscape and the connection with health and wellbeing. In Aotearoa/New Zealand, consideration of Indigenous Māori is a national imperative, enshrined in the Te Tiriti o Waitangi (Treaty of Waitangi) which establishes it as a bicultural country. Exploring three Māori health models, the chapter examines the factors that play a significant role in shaping Māori people's health. It relates how landscape is a foundational therapeutic aspect of Māori wellbeing using the models to express the forces that impact both positively and negatively on this relationship. The chapter concludes that all three concepts, culture, health and landscape, are interconnected and must be balanced to reduce Māori health inequalities and to provide a more sustainable model for health and wellbeing for all New Zealanders.

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Clan and Tribal Perspectives on Social, Economic and Environmental Sustainability
Type: Book
ISBN: 978-1-78973-366-2

Keywords

Book part
Publication date: 4 April 2014

Catherine Savage, Eruera Tarena, Hemi Te Hemi and John Leonard

This chapter describes and examines how Iwi (tribe)-led projects in Higher Education settings might advance Iwi aspirations and lead to authentic collaboration. Two recent…

Abstract

This chapter describes and examines how Iwi (tribe)-led projects in Higher Education settings might advance Iwi aspirations and lead to authentic collaboration. Two recent developments in higher education, Mau ki te Ako – Culturally responsive professional learning and development for teachers and He Toki ki te Rika – a Māori trade training initiative, are discussed. Both initiatives are Iwi-led partnerships facilitated by Te Tapuae o Rehua between partner tertiary institutions. These projects or sites in which Iwi engage with tertiary institutions can be seen to reflect society at large as sites of struggle where power is negotiated, aspirations are articulated and values inherent in the way in which projects are progressed.

Details

Māori and Pasifika Higher Education Horizons
Type: Book
ISBN: 978-1-78350-703-0

Keywords

Content available
Article
Publication date: 8 February 2011

42

Abstract

Details

International Journal of Health Care Quality Assurance, vol. 24 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

1 – 10 of 46