Third sector primary health care in New Zealand

被引:0
|
作者
Crampton, P
Dowell, AC
Sowers, S
机构
[1] Wellington Sch Med, Dept Publ Hlth, Wellington, New Zealand
[2] Wellington Sch Med, Hlth Serv Res Ctr, Wellington, New Zealand
[3] Wellington Sch Med, Dept Gen Practice, Wellington, New Zealand
[4] Hlth Serv Res Ctr, Wellington, New Zealand
关键词
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:92 / 96
页数:6
相关论文
共 50 条
  • [1] Health care policy and community pharmacy: implications for the New Zealand primary health care sector
    Scahill, Shane
    Harrison, Jeff
    Carswell, Peter
    Shaw, John
    [J]. NEW ZEALAND MEDICAL JOURNAL, 2010, 123 (1317) : 41 - 51
  • [2] Primary care and health reform in New Zealand
    Grant, CC
    Forrest, CB
    Starfield, B
    [J]. NEW ZEALAND MEDICAL JOURNAL, 1997, 110 (1037) : 35 - 39
  • [3] Primary health care the New Zealand way
    不详
    [J]. BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2008, 86 (07) : 505 - 506
  • [4] Gems of New Zealand Primary Health Care Research
    不详
    [J]. JOURNAL OF PRIMARY HEALTH CARE, 2010, 2 (01) : 87 - 88
  • [5] Gems of New Zealand Primary Health Care Research
    Goodyear-Smith, Felicity
    [J]. JOURNAL OF PRIMARY HEALTH CARE, 2010, 2 (02) : 174 - 176
  • [6] Continuity of care in New Zealand primary health services
    Ross, Jim
    Kenrick, Kristin
    [J]. NEW ZEALAND MEDICAL JOURNAL, 2011, 124 (1329) : 13 - 15
  • [7] Integrating care for health equity: a third sector initiated primary care innovation in Singapore
    Lim, Zoe
    Kadir, Mumtaz Md
    Ginting, Mimaika Luluina
    Tsao, Mary Ann
    Yuen, Eugene
    Ng, Wai Chong
    Peh, Kim Choo
    Wong, Chek Hooi
    [J]. INTERNATIONAL JOURNAL OF INTEGRATED CARE, 2022, 22
  • [8] The health care home in New Zealand: rolling out a new model of primary health care
    Cumming, Jacqueline
    Dunn, Phoebe
    Middleton, Lesley
    O'Loughlin, Claire
    [J]. JOURNAL OF INTEGRATED CARE, 2018, 26 (03) : 242 - 252
  • [9] Third sector primary care for vulnerable populations
    Crampton, P
    Dowell, A
    Woodward, A
    [J]. SOCIAL SCIENCE & MEDICINE, 2001, 53 (11) : 1491 - 1502
  • [10] Financial barriers to primary health care in Aotearoa New Zealand
    Jeffreys, Mona
    Ellison-Loschmann, Lis
    Irurzun-Lopez, Maite
    Cumming, Jacqueline
    McKenzie, Fiona
    [J]. FAMILY PRACTICE, 2023,