Lecture 2

Question 1

Define Healthcare

Answer 1

The diagnosis, treatment, and prevention of disease, illness, injury, and
other physical and mental impairments in human beings
Generally delivered by health care practitioners in working in primary
care, secondary care, tertiary care, and public health.

Question 2

Define Healthcare system

Answer 2

Organisations tasked with funding/procuring services/providing services to address the health needs of a population.

Question 3

Define Primary Healthcare

Answer 3

The day-to-day health care received by a person and given by a health care provider.
􏰂Usually this provider is the first and continuing contact for a person and co-ordinates the care received within the healthcare system.

Question 4

Define Secondary Healthcare

Answer 4

Health care services provided by medical specialists and other health professionals who are not the first point of contact with patients.
Includes acute care such as hospital emergency departments, intensive care and medical imaging services.

Question 5

Define Tertiary Healthcare

Answer 5

Specialised consultative health care, usually for inpatients and referred from a primary or secondary health professional.

Question 6

What are the key components of the NZ Healthcare system?

Answer 6

􏰂-The Minister of Health and Ministry of Health 􏰂 
-District Health Boards
􏰂-Primary Health Organisations
-Health care providers
-PHARMAC
-ACC
-Private insurers
-Health and Disability Commissioner

Question 7

District Health Boards are responsible for?

Answer 7

Ensuring the provision of health and disability services to a geographically defined population.
Involves: Planning, funding, improving, promoting, protecting health

Question 8

What do District Health Boards do?

Answer 8

-Monitor health service needs of the population
􏰂-Provide or purchase health services for the population in their area
􏰂-Own the public hospitals and related services
-Service providers: assessment, treatment and rehabilitation services
-Contracted to : general practitioners,primary health organisations (PHOs), rest homes and midwives

Question 9

What do Primary Health Organisations do?

Answer 9

• Have a contractual relationship with a DHB to provide health services
• Fund, coordinate and monitor primary care providers
• Responsible for providing a set of essential primary health care services, such as:
• improving and maintaining the health of the population
• providing first-line services to restore people’s health

Question 10

What are the 10 integrated services to provide person centred care?

Answer 10

1: Age well, stay well
2: Live well with one or more long term condition
3: Support for complex co-morbidities/frailty
4: Accessible effective supportive in crisis
5: High quality patient centre acute care
6: Good discharge planning and post discharge support
7: Effective rehabilitation and re-ablemnet
8: Person centred dignified long term care
9: Support control and choice at end of life