Gauld R, Derrett S
Department of Preventive and Social Medicine, University of Otago Medical School, PO Box 913, Dunedin, New Zealand.
Int J Health Plann Manage. 2000 Oct-Dec;15(4):259-72. doi: 10.1002/hpm.596.
This article discusses the development and implementation of New Zealand's booking system for publicly funded non-urgent surgical and medical procedures. The 'booking system' emerged out of New Zealand's core services debate and the government's desire to remove waiting lists. It was targeted for implementation by mid-1998. However, the booking system remains in an unsatisfactory state and a variety of problems have plagued its introduction. These include a lack of national consistency in the priority access criteria, failure to pilot the system and a shortfall in the levels of funding available to treat the numbers of patients whose priority criteria 'scores' deem them clinically eligible for surgery. The article discusses endeavours to address these problems. In conclusion, based on the New Zealand experience, the article provides lessons for policy-makers interested in introducing surgical booking systems.
本文讨论了新西兰针对公共资助的非紧急外科手术和医疗程序的预约系统的开发与实施情况。“预约系统”源自新西兰关于核心服务的辩论以及政府消除等候名单的愿望。其目标是在1998年年中实施。然而，该预约系统仍处于不尽人意的状态，各种问题一直困扰着它的推行。这些问题包括优先准入标准缺乏全国一致性、未对该系统进行试点以及用于治疗那些根据优先标准“得分”被认定临床适合手术的患者数量的可用资金水平不足。本文讨论了为解决这些问题所做的努力。总之，基于新西兰的经验，本文为有意引入外科手术预约系统的政策制定者提供了经验教训。
