New Zealand's primary health care strategy: Early effects of the new financing and payment system for general practice and future challenges

Health Economics, Policy and Law

Volumn 6, Issue 1, 2011, Pages 1-21

  Cumming, Jacqueline ^a   Mays, Nicholas ^a,b  

^a VICTORIA UNIVERSITY OF WELLINGTON   (New Zealand)

^b LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; FINANCIAL MANAGEMENT; FUNDING; GENERAL PRACTICE; GENERAL PRACTITIONER; GOVERNMENT REGULATION; HEALTH CARE ACCESS; HEALTH CARE FINANCING; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH DISPARITY; HUMAN; MEDICAL FEE; NEW ZEALAND; NURSING PRACTICE; PRIMARY HEALTH CARE; PRIORITY JOURNAL; PROSPECTIVE PAYMENT; PUBLIC HEALTH INSURANCE; PUBLIC HEALTH SERVICE; REIMBURSEMENT; RESOURCE ALLOCATION; TOTAL QUALITY MANAGEMENT; ADOLESCENT; ADULT; AGED; CHILD; ECONOMICS; FEMALE; HEALTH CARE DELIVERY; INFANT; MALE; MIDDLE AGED; NATIONAL HEALTH SERVICE; NEWBORN; PRESCHOOL CHILD;

ADOLESCENT; ADULT; AGED; CHILD; CHILD, PRESCHOOL; FEMALE; GENERAL PRACTICE; HEALTH CARE REFORM; HEALTH SERVICES ACCESSIBILITY; HUMANS; INFANT; INFANT, NEWBORN; MALE; MIDDLE AGED; NEW ZEALAND; PRIMARY HEALTH CARE; REIMBURSEMENT MECHANISMS; STATE MEDICINE; YOUNG ADULT;

EID: 79955678809     PISSN: 17441331     EISSN: 1744134X     Source Type: Journal    
DOI: 10.1017/S1744133109990260     Document Type: Article

References (57)

1. Ajwani, S., T. Blakely, B. Robson, M. Tobias and M. Bonne (2003), Decades of Disparity: Ethnic Mortality Trends in New Zealand 1980-1999, Wellington: Public Health Intelligence.
2. Boston, J. and S. St John (1999), 'Targeting Versus Universality: Social Assistance for All or Just for the Poor?', in J. Boston, P. Dalziel and S. St John (eds), Redesigning the Welfare State in New Zealand: Problems, Policies, Prospects, Auckland: Oxford University Press: 93-113.
3. Coster, G. and B. Gribben (1999), 'Primary Care Models for Delivering Population Based Health Outcomes', Discussion Papers on Primary Health Care, National Advisory Committee on Health and Disability, Wellington.
4. Crampton, P. (1999), 'Third Sector Primary Health Care', Discussion Papers on Primary Health Care, National Advisory Committee on Health and Disability, Wellington.
5. Crampton, P., C. Salmond and R. Kirkpatrick (2004), Degrees of Deprivation in New Zealand: An Atlas of Socioeconomic Difference, Auckland: David Bateman Ltd.
6. Crengle, S. (1999), 'Māori Primary Care Services', Discussion Papers on Primary Health Care, National Advisory Committee on Health and Disability, Wellington.
7. Croxson, B., J. Smith and J. Cumming (2009), Patient Fees As a Metaphor for So Much More in New Zealand's Primary Health Care System, Wellington: Health Services Research Centre.
8. Cumming, J. (1999), 'Funding Population-Based Primary Health Care in New Zealand', Discussion Papers on Primary Health Care, National Advisory Committee on Health and Disability, Wellington.
9. Cumming, J., A. Goodhead, P. Barnett, T. Walker, C. Clayden, M. Churchward, K. Simonsen, T. Ashton, A. Boulton, M. Russell, R. Perera, F. Fa'alau, L. Asiasiga, C. Cunningham, S. Lungley, C. Murphy, M. Cochrane, S. French and J. Davis and the Health Reforms 2001 Research Team (2003), Interim Report on Health Reforms 2001 Research Project, Wellington: Health Services Research Centre.
10. Cumming, J. and B. Gribben (2007), Evaluation of the Primary Health Care Strategy: Practice Data Analysis 2001-2005, Wellington: Health Services Research Centre.
11. Cumming, J. and N. Mays (2002), 'Reform and counter-reform: how sustainable is New Zealand's latest health system restructuring?', Journal of Health Services Research and Policy, 7, Supplement 1: 46-55. (Pubitemid 34760626)
12. Cumming, J., N. Mays and B. Gribben (2008), 'Reforming primary health care: is New Zealand's Primary Health Care Strategy achieving its early goals?', Australia and New Zealand Health Policy, 5: 24.
13. Cumming, J., A. Raymont, B. Gribben, M. Horsburgh, B. Kent, J. McDonald, N. Mays and J. Smith (2005), Evaluation of the Implementation and Intermediate Outcomes of the Primary Health Care Strategy, First Report, Wellington: Health Services Research Centre.
14. Gauld, R. (2001), Revolving Doors: New Zealand's Health Reforms, Wellington: Institute of Policy Studies and the Health Services Research Centre.
15. Gosden, T., F. Forland, I. S. Kristiansen, M. Sutton, B. Leese, A. Giuffrida, M. Sergison and L. Pedersen (2001), 'Impact of payment method on behaviour of primary care physicians: a systematic review', Journal of Health Services Research and Policy, 6(1): 44-55. (Pubitemid 32112532)
16. Hay, I. (1989), The Caring Commodity: The Provision of Health Care in New Zealand, Auckland: Oxford University Press.
17. Health Benefits Review (1986), Choices for Health Care: Report of the Health Benefits Review, Wellington: Health Benefits Review.
18. Health Funding Authority (1998), The Next Five Years in General Practice, Auckland: Health Funding Authority, Northern Office.
19. Health Services Assessment Collaboration (2008), The Effectiveness of Interventions for Reducing Ambulatory Sensitive Hospitalisations: A Systematic Review, Christchurch: Health Services Assessment Collaboration.
20. Health Workforce Advisory Committee (2005), Fit for Purpose and for Practice: A Review of the Medical Workforce in New Zealand: Consultation Document, Wellington: Ministry of Health.
21. Hefford, M., P. Crampton and J. Foley (2005), 'Reducing health disparities through primary care reform: the New Zealand experiment', Health Policy, 72(1): 9-23. (Pubitemid 40352542)
22. Howell, B. (2008), 'Capitation and financial risk allocation in New Zealand's primary health care sector: the perverse consequences of neglecting financial risk allocation', Agenda, 15(1): 29-48.
23. King, A. (2001), The Primary Health Care Strategy, Wellington: Ministry of Health.
24. King, A. (2004), Memorandum to Cabinet: Primary Health Care Strategy-Achieving Low Cost Access. http://www.moh.govt.nz/moh.nsf/pagesmh/5531/ $File/CabinetPaperLowCostAccess.pdf [8 October 2009].
25. King, A. (2005), Media Release: Primary Health Money rolled out to 18-24-year-olds.
26. Management Research Centre (2003), New Zealand Business Benchmarking Survey Financial Statistics 2002, Hamilton: Management Research Centre, Waikato Management School, University of Waikato.
27. Management Research Centre (2006), New Zealand Business Benchmarking Survey Financial Statistics 2003, Hamilton: Management Research Centre, Waikato Management School, University of Waikato.
28. Ministry of Health (2000a), The Future Shape of Primary Health Care, Wellington: Ministry of Health.
29. Ministry of Health (2000b), Summary of Responses to 'The Future Shape of Primary Health Care: A Discussion Document', Wellington: Ministry of Health.
30. Ministry of Health (2004a), General Practitioner Fees Information: A Summary of Key Findings from Five Reports, Wellington: Ministry of Health.
31. Ministry of Health (2004b), The Health and Independence Report 2004, Wellington: Ministry of Health.
32. Ministry of Health (2004c), Media Release: Research Confirms Doctor's Visits More Affordable for Two Million New Zealanders, Wellington: Ministry of Health.
33. Ministry of Health (2004d), A Portrait of Health: Key Results of the 2002/03 New Zealand Health Survey, Wellington: Ministry of Health.
34. Ministry of Health (2007a), Very Low Cost Access Payments. http://www.moh.govt.nz/moh.nsf/indexmh/phcs-funding-lowcost
35. Ministry of Health (2007b), Zero Fees for Under Sixes. http://www.moh.govt.nz/moh.nsf/indexmh/phcs-funding-lowcost-under6s
36. Ministry of Health (2008a), Health and Independence Report, Wellington: Ministry of Health
37. Ministry of Health (2008b), Health Expenditure Trends in New Zealand 1990-2006, Wellington: Ministry of Health.
38. Ministry of Health and Ministry of Pacific Island Affairs (2004), Tupu Ola Moui: Pacific Health Chart Book 2004, Wellington: Ministry of Health.
39. National Advisory Committee on Health and Disability (2000), Improving Health for New Zealanders by Investing in Primary Health Care, Wellington: National Advisory Committee on Health and Disability.
40. Newhouse, J. P. (1993), Free for All?, Cambridge, MA: Harvard University Press.
41. Pauly, M. (2007), The Truth about Moral Hazard and Adverse Selection, Syracuse: Center for Policy Research, Maxwell School of Citizenship and Public Affairs, Syracuse University.
42. Perera, R., J. McDonald, J. Cumming and A. Goodhead (2003), Primary Health Organisations: The First Year (July 2002-June 2003) from the PHO Perspective, Wellington: Health Services Research Centre, School of Government, Victoria University of Wellington.
43. Pōmare, E., V. Keefe-Ormsby, C. Ormbsy, N. Pearce, P. Reid, B. Robson and N. Watene-Haydon (1995), Hauora: A Study of the Years 1970-1991, Wellington: Eru Pomare Māori Health Research Centre.
44. Raymont, A. (2004), Cost Barriers to Health Care: Provisional Analysis from the New Zealand Health Survey 2002/03, Wellington: Ministry of Health.
45. Raymont, A. and J. Cumming (2009), Status and Activities of General Medical Practices, Wellington: Health Services Research Centre.
46. Rice, T. and K. R. Morrison (1994), 'Patient cost sharing for medical services: a review of the literature and implications for health care reforms', Medical Care Review, 51(3): 235-287.
47. Robinson, J. (2001), 'Theory and practice in the design of physician payment incentives', The Milbank Quarterly, 79(2): 149-177. (Pubitemid 33632711)
48. Roos, N. P., E. Forget, R. Walld and L. MacWilliam (2004), 'Does universal comprehensive insurance coverage encourage unnecessary use? Evidence from Manitoba says "no"', Canadian Medical Association Journal, 170: 209-214. (Pubitemid 38134800)
49. Ryall, H. T. (2007), Better, Sooner, More Convenient: Health Discussion Paper, Wellington: National Party of New Zealand.
50. Ryall, T. (2008), Speech Notes from Address to DHB Chairs in Wellington, DHB Chairs, Wellington.
51. Schoen, C., K. Davis, C. M. DesRoches, K. Donelan and R. J. Blendon (2000), 'Health insurance markets and income inequality: findings from an international health policy survey', Health Policy, 51: 67-85. (Pubitemid 30107918)
52. Schoen, C. and M. M. Doty (2004), 'Inequities in access to medical care in five countries: findings from the 2001 Commonwealth Fund International Health Policy Survey', Health Policy, 67: 309-322. (Pubitemid 38221520)
53. Smith, J. and J. Cumming (2009), Taking the Temperature of Primary Health Organisations, Wellington: Health Services Research Centre.
54. Starfield, B., L. Shi and J. Macinko (2005), 'Contribtuion of primary care to health systems and health', The Milbank Quarterly, 83(3): 457-502. (Pubitemid 41551756)
55. Treasury, T. (2009), Monthly Economic Indicators: January 2009, Wellington: The Treasury.
56. Tukuitonga, C. (1999), Primary Healthcare for Pacific People in New Zealand, Wellington: National Advisory Committee on Health and Disability.
57. World Health Organization (2008), Primary Health Care: Now More Than Ever: The World Health Report 2008, Geneva: World Health Organization.