Health reform in New Zealand: short-term gain but long-term pain?
Health reform in New Zealand: short-term gain but long-term pain?
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DOI：
10.1586/erp.12.58
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发表时间：
2012-10-01
影响因子：
2.3
通讯作者：
Tenbensel, Tim
中科院分区：
文献类型：
--
作者：
Ashton, Toni;Tenbensel, Tim
在1990 - 1995年期间进行了一段相当激进的结构改革之后，新西兰的卫生改革现在更加渐进，而且经常在公众监督和辩论的“雷达”之下。然而，关键机构的作用和职能发生了许多变化，这可能对公共卫生系统的方向和业绩产生深远影响。特别是，国家一级改革的目标已从改善人口健康和减少健康差距转向改善服务提供者的业绩。本文介绍了近年来推出的一些改革，并讨论了这些变化的一些影响。我们认为，政策设置只关心在正确的时间向正确的人提供正确的服务，如果他们不能解决未来卫生服务需求不断增长的长期原因，那么他们本质上是短视的。
Following a period of quite radical structural reform during the 19905, health reform in New Zealand is now more incremental and often 'under the radar' of public scrutiny and debate. However, many changes have been made to the roles and functions of key agencies and this could have a profound effect on the direction and performance of the public health system. In particular, the objective of reform at the national level has shifted away from improving population health and reducing health disparities towards improving the performance of service providers. This article describes some of the reforms that have been introduced in recent years and discusses some implications of these changes. We argue that policy settings that are concerned only with getting the right services to the right people at the right time are inherently short-sighted if they fail to tackle the long-term causes of increasing demand for future health services.