Titre : | New Zealand Health System Review |
Auteurs : | Jacqueline Cumming ; Janet McDonald ; Colin Barr ; et al. ; Asia Pacific Observatory on Health Systems and Policies, Who Office for the Western Pacific Region (Manila, PHL) |
Type de document : | Rapport |
Editeur : | Brisbane [Philippines] : Wesley Research Institute, 2014 |
Collection : | Health systems in transition , num. Vol. 4 N° 2 |
Description : | XXIV+243p. / tabl., fig. |
Langues: | Anglais |
Mots-clés : | Démographie médicale ; Médicament ; Donnée statistique ; Assurance maladie ; Evaluation ; Politique santé ; Economie santé ; Système santé ; Système soins ; Organisation soins ; Santé mentale ; Dépense santé ; Régulation ; Planification sanitaire ; Décentralisation ; Financement soins ; Réforme ; Etat santé ; Offre soins ; Dépense pharmaceutique ; Ethnie ; Ressource humaine ; Soins dentaires ; Nouvelle Zélande |
Résumé : | [BDSP. Notice produite par IRDES q78oR0xk. Diffusion soumise à autorisation]. The second HiT for New Zealand updates the 2001 review produced by the European Observatory on Health Systems and Policies, and shows a health system in continual evolution. New Zealand has a predominantly tax-funded health system, providing universal coverage. The population enjoys high health status overall, but with significant inequalities in Maori and Pacific health. Since the 1980s, there have been five major health system reforms. Currently, a central Ministry of Health (MOH) oversees the health system, while 20 District Health Boards are responsible for planning and funding health services for their geographical areas. There are no user charges for inpatient or outpatient services in publicly owned hospitals. Primary health care (PHC) is provided through Primary Health Organisations (presently 36) that receive capitation funding for their enrolled populations, and work with general practices and other providers to deliver comprehensive PHC in the community. Patients may pay user fees for PHC services, although most children under six years of age pay no fees. The Pharmaceutical Management Agency (PHARMAC) manages the New Zealand Pharmaceutical Schedule and negotiates the purchase of drugs from suppliers, successfully controlling supply-side expenditure. A recently reformed National Health Committee is now responsible for strengthening assessment of new technologies and services to promote the delivery of a cost-effective mix of services in New Zealand. The Accident Compensation Corporation (ACC) is a comprehensive, social insurance, no-fault, personal injury scheme which funds treatment, rehabilitation and compensation for people who are injured in New Zealand. It sits alongside the tax-funded health system, and can fund a wider range of services, raising concerns over equity of access between those whose health condition is due to illness and those receiving services because of accidents. Current challenges for the health system include reducing inequalities in health, managing noncommunicable diseases and chronic conditions, reducing waiting times, improving productivity, and ensuring greater integration and coordination of services within and between primary and secondary care, and intersectorally with other social services. |
En ligne : | http://www.wpro.who.int/asia_pacific_observatory/hits/series/nez/en/ |
Documents numériques (1)
NEZ_HIT_2014 URL |