Abstract：
:In 1993, New Zealand implemented radical health sector reform, separating purchaser from provider and creating a competitive market. This paper reports on a 1994 survey of senior managers' perceptions of how well public health services were adapting to this more commercial environment. An initial questionnaire to chief executive officers of Crown health enterprises, the main providers of public health, as well as secondary treatment services, was followed by a telephone survey of managers of public health services. Chief executives expressed generally positive views about the importance of public health, especially health promotion, within their organisations. Public health managers indicated a wide range of negative and positive views about the new system. They were concerned especially about service fragmentation, diminished information-sharing and decreased collaboration, especially with Maori and general practice providers. Questions were raised about the compatibility of competition with the need for collaboration in public health. The major issue was the inefficient, costly, conflicting and fragmented purchasing arrangements for public health. Managers wanted united systems and fewer purchasers. More positive views were expressed on an improved focus on outputs and clearer directions, and none wanted to return to the former era of an entirely separate system for public health services. The abolition of the Public Health Commission during 1995 should lead to increased integration of purchasing and policy making, but important questions remain about the place of public health services, especially in their links with primary care.
journal_name
Aust N Z J Public Healthjournal_title
Australian and New Zealand journal of public healthauthors
Malcolm L,Barnett P,Nuthall Jdoi
10.1111/j.1467-842x.1996.tb01067.xsubject
Has Abstractpub_date
1996-12-01 00:00:00pages
567-73issue
6eissn
1326-0200issn
1753-6405journal_volume
20pub_type
杂志文章abstract：OBJECTIVES:Despite widespread use of the Alcohol Use Disorders Identification Test (AUDIT), there are no published contemporary population-level scores for Australia. We examined population-level AUDIT scores and hazardous drinking for Australia over the period 2007-2016. METHODS:Total population, age- and gender-spec...
journal_title：Australian and New Zealand journal of public health
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更新日期：2020-12-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
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doi：10.1111/j.1467-842x.2002.tb00346.x
更新日期：2002-10-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
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更新日期：2006-04-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.2003.tb00393.x
更新日期：2003-01-01 00:00:00
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更新日期：2013-02-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1753-6405.2012.00847.x
更新日期：2012-04-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/1753-6405.12959
更新日期：2020-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1753-6405.2008.00196.x
更新日期：2008-04-01 00:00:00
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更新日期：2006-02-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1753-6405.2008.00162.x
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pub_type： 杂志文章
doi：10.1111/1753-6405.12731
更新日期：2018-04-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
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更新日期：1999-10-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.1997.tb01747.x
更新日期：1997-08-01 00:00:00
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更新日期：1999-08-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1467-842x.2005.tb00245.x
更新日期：2005-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2000-12-01 00:00:00
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更新日期：2014-02-01 00:00:00
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更新日期：2000-04-01 00:00:00
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doi：10.1111/1753-6405.12945
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更新日期：2009-08-01 00:00:00
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doi：10.1111/j.1467-842x.2003.tb00609.x
更新日期：2003-12-01 00:00:00
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doi：10.1111/j.1467-842x.1997.tb01664.x
更新日期：1997-02-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章,评审
doi：10.1111/j.1753-6405.2012.00828.x
更新日期：2012-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.1998.tb01399.x
更新日期：1998-01-01 00:00:00
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journal_title：Australian and New Zealand journal of public health
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doi：10.1111/j.1467-842x.1997.tb01795.x
更新日期：1997-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1111/j.1467-842x.2004.tb00702.x
更新日期：2004-06-01 00:00:00
abstract：:It has been recognised that the Australian National HIV Database may contain multiple reports for some individuals, mainly because of incomplete or inaccurate recording of name codes. The number of distinct individuals diagnosed with human immunodeficiency virus (HIV) was estimated from the dates of birth of cases of ...
journal_title：Australian and New Zealand journal of public health
pub_type： 杂志文章
doi：10.1111/j.1753-6405.1996.tb01822.x
更新日期：1996-04-01 00:00:00
abstract：OBJECTIVES:To determine local values for environmental attributable fractions and explore their applicability and potential for public health advocacy. METHODS:Using World Health Organization (WHO) values for environmental attributable fractions, responses from a practitioner survey (73% response rate) were considered...
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pub_type： 杂志文章
doi：10.1111/1753-6405.12425
更新日期：2016-04-01 00:00:00
