Lecture 4

Question 1

Health Care Systems

Answer 1

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

Question 2

Health Care

Answer 2

The diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in human beings

Question 3

Primary Health Care

Answer 3

Professional health care provided in the community

Question 4

Secondary Health Care

Answer 4

Health services that are not the first point of contact for patients such as specialists.
This also includes acute care in the emergency department, intensive care and medical imaging services

Question 5

Tertiary Health Care

Answer 5

Medical and related services of high complexity and usually high cost. Specialised consultative health care (for inpatients) or referral from primary or secondary.

Question 6

Public Health

Answer 6

Protect and improve health pf people and communities through the promotion of healthy lifestyles, research and prevention. Concerned with protecting the health of entire populations of any sizes.

Question 7

Health and Disability Services available

Answer 7

• Urgent help
• Primary care and community services
• Support
• Ongoing management

Question 8

Key components of the NZ healthcare system

Answer 8

• The Minister of Health and the Ministry of Health
• District Health Boards
• Primary Health Organisations
• Health care service providers
• PHARMAC
• ACC
• Private insurers
• Health and Disability Commission
• Health Quality and Safety Commission

Question 9

2017/28 DHB Health Targets

Answer 9

• Shorter stays in emergency department
• Improved accessed to elective surgery
• Faster cancer treatment
• Increased immunisation
• Better help for smokers to quit
• Raising healthy kids

Question 10

DHB responsibilities

Answer 10

Plan and fund services that improve, promote, and protect health of their population

• monitor the needs of the population
• provide or purchase health services
• own the public hospitals
• service providers
• contracts with other health practitioners

Question 11

Ownership

Answer 11

• Public sector
• run by a board
  7 elected by the public
  4 appointed by MOH

Question 12

Funding

Answer 12

Taxation

Question 13

PHOs Functions

Answer 13

• Co-ordinate and/or provide primary health care services to local populations
• IT & business functions

Question 14

What do PHOs go?

Answer 14

• Advocate for the primary care team
• contractual relationship with DHB
• Fund, coordinate and monitor primary care providers
• Providing a set of essential primary health care services

Question 15

PHARMAC

Answer 15

Making decisions on medicines, medical devices, vaccines that are funded

Question 16

Health Quality & Safety Commission NZ

Answer 16

• Work with clinicians, providers and consumers to improve health and disability support services
• Quality and Safety improvements will mean fewer people harmed, more lives saved, and financial savings within the sector
• Our vision is a world-class and patient-centred health care and disability support system in NZ
• Our priority is to reduce patient harm from healthcare-associated infections, surgery, medication and falls