Defining core health services: the New Zealand experience.

Abstract:

:The New Zealand health service has been extensively changed over the past four years, with the introduction of four new Regional Health Authorities, required to purchase services on behalf of the Government from a range of providers. In order to ensure fairness across the four regions a Core Services Committee has been set up to define which services must be purchased. However, no clear agreement has emerged about a "core" and no list, either positive (inclusions) or negative (exclusions), has been defined. Instead general criteria have been suggested and steps have been taken to consult the community on their priorities. This paper describes seven workshops run by the author in an effort to discover how the community would reach decisions on the rationing of scarce resources. The outcome of these workshops is that there is virtually no community support for an approach based on the social utility of individuals in need.

journal_name

Bioethics

journal_title

Bioethics

authors

Campbell AV

doi

10.1111/j.1467-8519.1995.tb00359.x

subject

Has Abstract

pub_date

1995-07-01 00:00:00

pages

252-8

issue

3-4

eissn

0269-9702

issn

1467-8519

journal_volume

9

pub_type

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