Health board criteria unwell?
Questions raised about the Canterbury District Health Board’s (CDHB) performance make one wonder what criteria are employed to determine the functionality of the Treasury, Ministry of Health, Ministry for Environment and Statistics NZ.
Clearly, the success of any assessment process involving CDHB is crucially dependent on the weight and/or credibility given to various hidden contributions to public health not necessarily provided by policies favoured by central government.
Ultimately overall optimisation of public health is guided by epidemiology, but if the relevant diagnoses are faulty or ill-advised, what then?
While certain ‘‘in-house’’ publications choose to manipulate mortality rates, cause of death, life expectancy, etc (for no other conceivable reason than to satisfy the demands of Treasury) are accepted as fact, effective optimisation of winter-time health especially will be impossible. As long as this situation prevails, friction between central government and CDHB seems likely to continue or get worse. John Hoare Cashmere