Hospital accounting and the history of health-care rationing

<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>

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The “Ugly Sister of Welfare”: The Idea of Health Care ‘Rationing’ in New Zealand 1968-c.1980

10.26686/wgtn.16992682.v1 ◽

2021 ◽

Author(s):

◽

Deborah Salter

Keyword(s):

Health Care ◽

New Zealand ◽

Medical Technology ◽

Public Hospitals ◽

Limited Attention ◽

Health Care Rationing ◽

History Of ◽

Healthcare Rationing ◽

Care Rationing ◽

Historical Examination

<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>

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Health Care Rationing: What Does it Mean?

Hospital Topics ◽

10.1080/00185868.1989.9948418 ◽

1989 ◽

Vol 67 (1) ◽

pp. 31-34

Author(s):

Michael D. Reagan

Keyword(s):

Health Care ◽

Health Care Rationing ◽

Care Rationing

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Denial of Health Care and Informed Consent in English and American Law

American Journal of Law & Medicine ◽

10.1017/s0098858800011345 ◽

1992 ◽

Vol 18 (1-2) ◽

pp. 37-71

Author(s):

Frances H. Miller

Keyword(s):

United States ◽

Health Care ◽

Informed Consent ◽

The United States ◽

Health Care Rationing ◽

Legal Obligation ◽

The United Kingdom ◽

American Law ◽

Care Rationing ◽

Increased Pressure

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.

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