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what are the 3 health system objectives
health outcomes, responsiveness, fair financing
health outcomes
improve the health of populations
responsiveness
respond to peoples expectations
fair financing
providing financial protection against cost of ill health
The 3 intermediary goals
access, quality, efficiency
distribution(access)
Are services offered in specific geographic areas?
barriers (access)
how easy is it to get care?
Quantity (quality)
the amount of care being provided
clinical quality(quality)
Clinical skills, correct diagnosis, and effectiveness of treatments
Service quality
amenities, and interpersonal aspects of care
allocative efficiency (efficiency)
producing the right goods or service to achieve the systems goals
technical efficiency (efficiency)
producing goods or services at the minimum possible cost for the given inputs
How does NZ perform at the access goal?
good access to pharmaceuticals, long waiting times for non emergency, poor access for primary care due to cost
How does nz perform at the quality level
Slower take up of new medical technology, shortage of health professionals, avoidable hospitalisations for diabetes, asthma
How does nz perform at the efficiency level
mixed performance but costs less than other countries.