Aims. To describe key organisational characteristics of selected third sector (non-profit and non-government) primary health care organisations. Methods. Data were collected, in 1997 and 1998, from 15 third sector primary care organisations that were members of a network of third sector primary care providers, Health Care Aotearoa (HCA). Data were collected by face-to-face interviews of managers and hg informants using a semistructured interview schedule, and from practice computer information systems. Results. Overall the populations served were young: only 4% of patients were aged 65 years or older, and the ethnicity profile was highly atypical, with 21.8% European, 36% Maori, 22.7% Pacific island, 12% other, and 7.5% not stated. Community services card holding rates were higher than recorded in other studios, and registered patients tended to live in highly deprived areas. HCA organisations had high patient to doctor ratios, in general over 2000:1, and there were significant differences in management structures between HCA practices and more traditional general practice. Conclusions. Third sector organisations provide services for populations that are disadvantaged in many respects. It is likely that New Zealand will continue to develop a diverse range of primary care organisational arrangements. Effort is now required to measure quality and effectiveness of services provided by different primary care organisations serving comparable populations.
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Univ Auckland, Dept Gen Practice & Primary Hlth Care, Auckland, New ZealandUniv Auckland, Dept Gen Practice & Primary Hlth Care, Auckland, New Zealand
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Univ Otago, Dunedin Sch Med, Dept Gen Practice & Rural Hlth, Dunedin, New ZealandUniv Otago, Dunedin Sch Med, Dept Gen Practice & Rural Hlth, Dunedin, New Zealand
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Victoria Univ Wellington, Fac Hlth, Hlth Serv Res Ctr, Wellington, New ZealandVictoria Univ Wellington, Fac Hlth, Hlth Serv Res Ctr, Wellington, New Zealand
Cumming, Jacqueline
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Dunn, Phoebe
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Middleton, Lesley
O'Loughlin, Claire
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Victoria Univ Wellington, Fac Hlth, Hlth Serv Res Ctr, Wellington, New ZealandVictoria Univ Wellington, Fac Hlth, Hlth Serv Res Ctr, Wellington, New Zealand
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Flax Analyt Ltd, Wellington, New ZealandTe Herenga Waka Victoria Univ Wellington, Te Hikuwai Rangahau Hauora Hlth Serv Res Ctr, Wellington, New Zealand
Ellison-Loschmann, Lis
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Irurzun-Lopez, Maite
Cumming, Jacqueline
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Te Herenga Waka Victoria Univ Wellington, Te Hikuwai Rangahau Hauora Hlth Serv Res Ctr, Wellington, New ZealandTe Herenga Waka Victoria Univ Wellington, Te Hikuwai Rangahau Hauora Hlth Serv Res Ctr, Wellington, New Zealand
Cumming, Jacqueline
McKenzie, Fiona
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Te Herenga Waka Victoria Univ Wellington, Te Hikuwai Rangahau Hauora Hlth Serv Res Ctr, Wellington, New Zealand
Flax Analyt Ltd, Wellington, New ZealandTe Herenga Waka Victoria Univ Wellington, Te Hikuwai Rangahau Hauora Hlth Serv Res Ctr, Wellington, New Zealand