Hospital resource allocation in New Zealand

J.Ross Barnett, David Ward, Michael Tatchell
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引用次数: 13

Abstract

It has long been recognised that inequalities exist in the availability of primary medical care. Less well known, however, are the distributional inequalities that exist in the secondary sector. This paper examines the relationships between hospital resource allocation, the presence of medical resources and need in New Zealand's 29 hospital boards in 1976. Although the relationship between resource allocation and need was positive, it was found to be tenuous, with bed numbers, political pressure and the system's inertia being the more important determinants of allocation levels.

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新西兰的医院资源分配
人们早就认识到,在提供初级医疗保健方面存在不平等现象。然而,不太为人所知的是第二产业中存在的分配不平等。本文考察了1976年新西兰29家医院董事会中医院资源配置、医疗资源存在和需求之间的关系。虽然资源分配和需求之间的关系是积极的,但发现这种关系是脆弱的,床位数目、政治压力和系统的惯性是分配水平的更重要决定因素。
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