Malcolm L
Department of Community Health, Wellington School of Medicine.
N Z Health Hospital. 1993 Nov-Dec;45(6):11-3.
New Zealand is possibly moving further than any other western country in achieving a decentralised, integrated, accountable and population-based health system. However, this progress owes as much or more to the reforms implemented through the area health board system, particularly general and service management, than the current reform process. Services have largely replaced hospitals as organizational entities. The leading edge of CHE service development should not be high-tech services but primary health care (PHC). Progressive CHEs are implementing a PHC service as a structure for managing their own PHC services and to begin the necessary dialogue with GPs and other non-government PHC providers.
在建立一个分散化、一体化、可问责且基于人群的卫生系统方面，新西兰可能比其他任何西方国家都走得更远。然而，这一进展在很大程度上或更多地归功于通过地区卫生委员会系统实施的改革，特别是一般管理和服务管理，而非当前的改革进程。作为组织实体，服务在很大程度上已取代了医院。社区卫生服务（CHE）发展的前沿不应是高科技服务，而应是初级卫生保健（PHC）。进步的社区卫生服务机构正在将初级卫生保健服务作为一种结构来管理自身的初级卫生保健服务，并开始与全科医生及其他非政府初级卫生保健提供者进行必要的对话。
