An asset-based evaluation of a novel New Zealand rural health service

This article describes the background behind the development of a novel evaluation approach of an Aotearoa New Zealand rural health service using an equity-focused, strengths-based approach to complement the traditional audit process. This approach avoids a deficit-based, gap-analysis of service shortcomings in favour of a strengths-based model through which services can draw on identified assets in planning future service initiatives. The approach discussed aims to identify and mobilise assets and strengths of people and services that promote quality outcomes, with a particular focus on those that address the deeply embedded health inequities for Māori (the indigenous people of Aotearoa). The asset model will be used to evaluate a rural service that is uniquely co-located with other health-related hospital services. This article aims to provide a commentary on the benefits of an asset-based approach to rural general practice evaluation.