000			02293naa a2200205uu 4500
001			0052715354237
003			OSt
005			20190211172113.0
008			100527s1999 xx ||||gr |0|| 0 eng d
100	1		_aNORTH, Nicola _940635
245	1	0	_aReforming New Zealand's health care system
260			_aNew York : _bMarcel Dekker, _c1999
520	3		_aIn common with many OECD countries, New Zealand has been engaged in a process of reforming the nation's health care system. In New Zealand's case the reforms have been particularly far reaching and effected within a remarkably short time frame. In 1991 the policy framework was made public, and the legislation to underpin the changes enacted in 1993. Shadow bureaucracies anticipating the reforms were set up as early as 1991, however, thus allowing for the changes to be effected in advance of legislation. Thus in the space of a few years, the social security model of health care, which had been in place for over half a century, was transformed into a system characterised by managed competition. This article begins by briefly describing the social security model of health care, and its inherent problems. I go on to analyze the reforms, focusing on the problems of the previous system that the reforms were intended to address. The major planks of the new system are identified, namely the separation of purchasing of health services from provision and creating a competitive market; the distinction between “personal” and “population” health services; establishment of a core of services to which all citizens are entitled; and the integration and capping of funding for health services, and increasing cost-sharing. Of these policies, only the separation of purchasing and provision of health care and the integration of funding for health services have to date been fully implemented, the remainder having been delayed, modified or abandoned. The health care system has arguably been only partially reformed, therefore.
590			_aVolume 22
590			_aNumbers 3-4
773	0	8	_tInternational Journal of Public Administration - IJPA _g22, 3-4, p. 525-528 _dNew York : Marcel Dekker, 1999 _xISSN 01900692 _w
942			_cS
998			_a20100527 _b1535^b _cDaiane
998			_a20100531 _b1642^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c33642 _d33642
041			_aeng