Reforming the New Zealand health reforms

摘要

In common with several other countries, New Zealand has embarked on a far reaching programme of market oriented reforms in recent years. These reforms involved separating purchaser and provider responsibilities and using contracts and competition in an attempt to increase efficiency and enhance services' responsiveness. The former National government used its parliamentary majority to push these changes through quickly, starting in 1993. The big bang that resulted sent out a series of shock waves, and the effects continue to be felt.