Sapere Research Group has been commissioned to provide advice to the interim entities (interim Health New Zealand and interim Māori Health Authority) on options for the future of primary care funding. While there is information that we can use on cost for many aspects of general practice, expenditure by different kinds of practice on rent ...

Sapere Research Group were asked by the claimants to respond to the Waitangi Tribunal’s recommendation that a methodology be developed to measure the underfunding of Māori PHOs and providers. The Tribunal provides context to its recommendation: We recognise that there is a compensatory aspect to this process, in that it responds to acknowledged historical underfunding. ...

Addressing health need and sustainability in general practice funding The Health Transition Unit commissioned Sapere to work with a reference group of sector experts to explore improved capitation approaches that support the sustainability of general practice, and respond to health need better than existing funding mechanisms.  The preferred approach is to use a combination of ...

Dr Tom Love of Sapere Research Group conducted a case study of the implementation of HealthPathways in Queensland.  HealthPathways is a platform that provides tailored, locally relevant guidance to general practitioners on the management of conditions in the community and referral to specialist hospital services. HealthPathways is intended to increase the consistency of referral patterns, ...

This financial modelling tool has been developed by Sapere experts for the use with medical practices to assess the impact of patient portal implementation on general practice costs and revenues, as well as staffing levels. The aim of the modelling is to help practices better understand the financial and workload impact of implementing a patient ...

David Moore, Tom Love, Rohan Boyle and Matt Poynton from Sapere Research Group were commissioned by Community Regions Technical Advisory Service to provide a process and outcomes evaluation of the 2012 Community Pharmacy Services Agreement (CPSA). The report examined whether the changes intended by the introduction of the CPSA eventuated; how variable such changes were; ...

This paper outlines some general principles about fairness in resource allocation, summarises some issues with the present funding system for primary health care in New Zealand, and identifies a number of issues which should be addressed in future reviews of primary health care funding mechanisms. ...

The three boards of Tairawhiti District Health (as the funder of Ng?ti Porou Hauora services), Ngati Porou Hauora (NPH, as the provider of health services) and TRONPnui (as the parent company for NPH) commissioned the review with the view to identify options for sustainable models of care that meet the unique needs of communities on ...

Tom Love, Principal at Sapere, was asked by Canterbury DHB to do a comparative analysis of its hospital inpatient trends against the rest of New Zealand over the period 2006/07 to 2011/12. The goal was to inform a report by the King’s Fund on progress in integrating services in the Canterbury health system. The overall ...

This review considers peer reviewed research on natural disasters in developed countries, and available data on the Christchurch population, to arrive at an independent estimate of population change after the earthquake. A commonly quoted estimate of out-migration from Christchurch after the February 2011 earthquake is 70,000 people. The most comparable disasters for which published data ...

The Health Quality and Safety Commission asked Sapere to prepare resource materials to support managers and clinicians in using and interpreting the HQSC Atlas of Healthcare Variation. Sapere undertook a literature review on the nature, impact and management of variation. From the literature review, Sapere developed guidance documents with short case studies which demonstrate different ...

In 2014, Sapere was commissioned by ACC to provide background for informed discussion about the use of alliance contract approaches for ACC funded services.  On the basis of documentation, interviews and personal experience, it presents the background and recent experience of alliance contracting in the New Zealand health sector. ...

A cost utility analysis of a pilot of bowel screening in New Zealand. The analysis used micro-simulation to explore the cost effectiveness of a bowel screening programme in a New Zealand setting. It found that bowel screening is an extremely cost effective health intervention. ...