Health Care Rationing Policy in New Zealand: Development and Lessons

2004 ◽  
Vol 3 (3) ◽  
pp. 235-242 ◽  
Author(s):  
Robin Gauld

This article discusses New Zealand's experiences with health care rationing policy. It reviews attempts to define ‘core services’, the development of prioritisation techniques for service access and funding, new technology assessment, and the management of subsidised pharmaceuticals. The New Zealand experience offers various lessons: that rationing policy development is, by nature, a ‘messy’ process; that central coordination of rationing policy is crucial unless differentiation in regional initiatives and service access are desired; and that through ongoing highlighting of the need for it, rationing policy development is likely to become an accepted reality.

2021 ◽  
Author(s):  
◽  
Deborah Salter

<p>This thesis explores the influence of healthcare ‘rationing’ in New Zealand from 1968 to c.1980. Rationing is a term and concept drawn from health economics and the history of the idea will be traced as well as its influence. The influence of rationing will primarily be explored through case studies: the supply of specialist staff to New Zealand’s public hospitals, the building of hospitals (and specialist units in particular) and the supply of medical technology. This era has been selected for historical examination because of the limited attention paid to it in studies of the health service, and more generally, welfare histories of New Zealand. Often in these studies the 1970s is overshadowed by the period health of reform in the 1980s and 1990s.</p>


2021 ◽  
Author(s):  
◽  
Deborah Salter

<p>This thesis explores the influence of healthcare ‘rationing’ in New Zealand from 1968 to c.1980. Rationing is a term and concept drawn from health economics and the history of the idea will be traced as well as its influence. The influence of rationing will primarily be explored through case studies: the supply of specialist staff to New Zealand’s public hospitals, the building of hospitals (and specialist units in particular) and the supply of medical technology. This era has been selected for historical examination because of the limited attention paid to it in studies of the health service, and more generally, welfare histories of New Zealand. Often in these studies the 1970s is overshadowed by the period health of reform in the 1980s and 1990s.</p>


1989 ◽  
Vol 67 (1) ◽  
pp. 31-34
Author(s):  
Michael D. Reagan

1992 ◽  
Vol 18 (1-2) ◽  
pp. 37-71
Author(s):  
Frances H. Miller

Health care rationing has gained greater visibility in the United States and the United Kingdom, for quite different reasons. As patients in both countries become more aware that potentially beneficial medical services can be denied them on economic — as opposed to purely medical — grounds, they are beginning to seek help from the judiciary. This Article contends that as rationing becomes more explicit, the doctrine of informed consent will come under increased pressure. The Article suggests that courts and legislatures consider imposing a legal obligation on physicians to inform their patients when potentially effective treatment is to be withheld for economic or other non-clinical reasons.


Science ◽  
1990 ◽  
Vol 248 (4956) ◽  
pp. 663-665
Author(s):  
H. Aaron ◽  
W. B. Schwartz

Sign in / Sign up

Export Citation Format

Share Document