TY - JOUR
AU - F. Goodyear-Smith
AU - R. Gauld
AU - J. Cumming
AU - B. O'Keefe
AU - H. Pert
AU - P. McCormack
A1 - 
AB - New Zealand (NZ) has a central government-driven, tax-funded health system with the state as dominant payer. The NZ experience precedes and endorses the US concept of patient-centered medical homes providing population-based, nonepisodic care supported by network organizations. These networks provide administration, budget holding, incentivized programs, data feedback, peer review, education, human relations, and health information technology support and resources. Key elements include enrolled populations; an interdisciplinary team approach; health information technology interoperability and access between all providers as well as patients; devolution of hospital-based services into the community; intersectorial integration; blended payments (a combination of universal capitated funding, patient copayments, and targeted fee-for-service for specific items); and a balance of clinical, corporate, and community governance. In this article, we discuss reforms to NZ's primary care arrangements over the past 2 decades and reflect on the lessons learned, their relevance to the United States, and issues that remain to be resolved.
BT - Journal of the American Board of Family Medicine : JABFM
C5 - Education & Workforce; HIT & Telehealth
CY - United States
DO - 10.3122/jabfm.2012.02.110198
JF - Journal of the American Board of Family Medicine : JABFM
N2 - New Zealand (NZ) has a central government-driven, tax-funded health system with the state as dominant payer. The NZ experience precedes and endorses the US concept of patient-centered medical homes providing population-based, nonepisodic care supported by network organizations. These networks provide administration, budget holding, incentivized programs, data feedback, peer review, education, human relations, and health information technology support and resources. Key elements include enrolled populations; an interdisciplinary team approach; health information technology interoperability and access between all providers as well as patients; devolution of hospital-based services into the community; intersectorial integration; blended payments (a combination of universal capitated funding, patient copayments, and targeted fee-for-service for specific items); and a balance of clinical, corporate, and community governance. In this article, we discuss reforms to NZ's primary care arrangements over the past 2 decades and reflect on the lessons learned, their relevance to the United States, and issues that remain to be resolved.
PP - United States
PY - 2012
SN - 1557-2625; 1557-2625
EP - 44
EP - S39+
T1 - International learning on increasing the value and effectiveness of primary care (I LIVE PC) New Zealand
T2 - Journal of the American Board of Family Medicine : JABFM
TI - International learning on increasing the value and effectiveness of primary care (I LIVE PC) New Zealand
U1 - Education & Workforce; HIT & Telehealth
U2 - 22403250
U3 - 10.3122/jabfm.2012.02.110198
VL - 25 Suppl 1
VO - 1557-2625; 1557-2625
Y1 - 2012
ER -