改革,废除,取代:对新西兰卫生部门政策鞭打的案例研究
1Faculty of Health, Te Herenga Waka-Victoria University of Wellington, New Zealand; College of Medicine and Public Health, Flinders University, South Australia; Faculty of Health, University of Adelaide, South Australia; Centre for Health Policy, University of Melbourne, Victoria.
新西兰新西兰新西兰新西兰
科学领域:
- 卫生政策分析 卫生政策分析
- 健康的政治经济学
- 监管科学 监管科学
背景情况:
- 新西兰的过时药物立法需要全面改革.
- 治疗产品法案2023 (TPA) 经过十年的工作后通过.
- 该TPA在2024年被一个新的政府争议地废除.
研究的目的:
- 分析2023年治疗产品法案的政策周期.
- 确定改革及其后续废除的驱动因素.
- 检查对未来卫生政策,患者护理和毛利人的健康的影响.
主要方法:
- 对25份主要政府和利益相关方文件进行了定性文件政策分析.
- 使用框架方法进行系统的主题分析.
- 解释围绕TPA的政策叙述.
主要成果:
- 该TPA旨在取代被认为"不再适合目的"的立法.
- 废除的原因是意识形态的转变,将TPA视为"监管负担".
- 后果包括医疗器械市场准备审批的丧失和Rongoā Māori条款的删除.
结论:
- 在没有跨党派共识的情况下,TPA政策周期凸显了卫生改革的脆弱性.
- 政治意识形态的转变可以拆除长期的政策项目,导致监管不稳定.
- 有针对性的改革可能会对系统层面产生重大影响,影响患者和毛利人的健康利益.
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