在新西兰阿特罗亚新西兰管理竞争:过去的经验和未来的前景
1Independent Health Services and Policy Researcher, Aotearoa New Zealand.
Health economics, policy, and law
|February 14, 2024
概括
在奥特罗亚的卫生系统中,由于实施问题,管理竞争此前已被放弃. 重新考虑管理竞争需要解决监管差距,以获得更好的健康结果.
科学领域:
- 卫生政策分析 卫生政策分析
- 改革医疗保健系统的改革
- 公共管理 公共管理
背景情况:
- 澳大利亚的健康和残疾系统经历了重大的组织变化,特别是从2022年7月1日起.
- 上世纪90年代,由于改革问题和支付系统设计缺陷,以往管理竞争的尝试被放弃了.
研究的目的:
- 检查阿特罗亚的健康和残疾系统中管理竞争的可行性和实施情况.
- 分析历史管理的竞争计划及其结果.
- 确定潜在的未来管理竞争安排的现有先决条件.
主要方法:
- 在奥特罗亚州管理竞争的历史政策分析.
- 审查卫生系统改革和组织变革.
- 检查初级卫生组织的发展和监管框架.
主要成果:
- 20世纪90年代,由于实施和支付系统的挑战,管理竞争计划失败了.
- 在2000年代,资本化,承担风险的初级卫生组织的发展可以通过管理竞争的透镜来看待.
- 在过去的二十年里,缺乏监管阻碍了有效性,效率和公平.
结论:
- 在奥特罗亚的卫生系统中,管理竞争具有复杂的挑战和有限的成功历史.
- 在重新引入管理竞争之前,需要仔细评估当前系统的先决条件.
- 解决监管缺陷对于通过任何形式的管理竞争实现卫生系统目标至关重要.
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