Subject Code and Title PUBH6003: Health Systems and Economics Assessment Assessment 2: Case Study Individual/Group Part A:Group presentation Part B:Individual written submission Length Part A:20...

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Answer To: Subject Code and Title PUBH6003: Health Systems and Economics Assessment Assessment 2: Case Study...

Somashree answered on May 01 2021
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PUBH6003: Health Systems and Economics
Assessment 2: Case Study
Part B: Individual written submission
Summary
The healthcare system in New Zealand is mostly (80%) financed by the government through general taxation (Commonwealth Fund, 2020). It is noted that approximately 2
0 District Health Boards (DHBs) are responsible for purchasing, governing and generating health and disability services to the target population (Ministry of Health NZ, 2021). Additionally, primary, as well as tertiary hospitals are operated by the DHBs, whereas, the community services are bought from private providers. Thus, the primary healthcare is funded by DHBs and they are responsible for the recruitment of general practitioners and several other non-government providers. District alliances were formed between DHBs and Public Health Organizations (PHOs) in 2009 to strengthen and maintain system integration.
On the other hand, it is evident that individuals can purchase health insurance in New Zealand from the private sector over relying extensively on public-funded services (New Zealand Now, 2021). This is possible due to the country’s dual public-private health system (Penno et al., 2021, p. 406). On the contrary, the financial boundaries between the private and public sectors are not highly established. This highlights that the individuals who have received private services are likely to embrace follow-up care from the public health system, thereby, transferring costs to the public sector efficiently and effectively. The universal health coverage system works effectively in New Zealand. Based on the Social Security Act in 1938, the people of New Zealand realized that government plays a pivotal role in addressing the healthcare needs of the population (NZHistory, 2020).
The government decides the publicly-funded annual health budget (Cumming, 2017). Moreover, it is responsible for designing the healthcare service standards, as well as the healthcare policy agenda. The government develops the annual budget and benefit plan, which are initially determined by the health needs and political goals. The government has also developed national standards concerning publicly supported care that is reinforced across the country. The government-owned hospitals are responsible for generating community services. On the other hand, private providers follow the government standards, services and goals to offer high-quality services to the population.
Besides this, it is noted that government-funded agencies dominate New Zealand's governance system as the health system is largely public. However, some agencies work independently of the central government such as the Health and Disability Commissioner, which emphasizes consumers' rights in the health sector (HDC, 2021). Additionally, the Ministry...
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