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1 – 10 of 46As 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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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…
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.
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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).
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.
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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…
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.
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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.
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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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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.
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