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The New Zealand priority criteria project. Part 1: Overview

D C Hadorn1, A C Holmes

  • 1Ministry of Health, Wellington, New Zealand.

BMJ (Clinical Research Ed.)
|January 11, 1997
PubMed
Summary
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New Zealand developed health service priority criteria for public funding, incorporating clinical and social factors. These criteria ensure consistent patient prioritization for elective surgeries and access to dedicated funding pools.

Area of Science:

  • Health Policy and Management
  • Public Health
  • Surgical Prioritization

Background:

  • New Zealand's 1992 health system restructuring aimed to enhance assessment and accountability in public healthcare.
  • A dedicated committee was formed to advise on public health service funding priorities.
  • Standardized criteria development for elective surgical procedures was a key initiative.

Purpose of the Study:

  • To develop standardized criteria for assessing the expected benefit of elective surgical procedures.
  • To ensure consistency and transparency in patient prioritization for publicly funded surgeries.
  • To facilitate access to a dedicated funding pool for reducing surgical waiting lists.

Main Methods:

  • Collaboration with professional advisory groups.

Related Experiment Videos

  • Utilization of a modified Delphi technique to achieve consensus on criteria.
  • Inclusion of both clinical and social factors in the developed criteria.

    • Main Results:

    • Standardized criteria have been developed for several elective surgeries, including cataract, coronary artery bypass grafting, hip/knee replacement, cholecystectomy, and tympanostomy tubes.
    • These criteria integrate clinical and social determinants of health.
    • Criteria are mandatory for accessing a NZ$130m fund aimed at eliminating surgical waiting lists.

    Conclusions:

    • The implemented priority criteria enhance fairness and transparency in surgical access.
    • These criteria are foundational for future surgical outcome studies.
    • The initiative supports a shift towards booking systems and efficient resource allocation in healthcare.