Barnett J R
University of Canterbury, Christchurch.
N Z Med J. 1991 Jul 24;104(916):314-6.
Despite a substantial increase in the number of general practitioners in New Zealand since 1980, only modest improvements have occurred in their distribution. Although regional variations in availability declined during the 1980s, marked regional differences continue to exist, particularly between the greater Auckland area and the rest of the country. In addition, differences between urban and rural New Zealand, once of minor importance, are also starting to increase. In view of these trends it is concluded that the reliance of policy on market based solutions may well be misplaced.
尽管自1980年以来新西兰全科医生的数量大幅增加,但他们的分布仅出现了适度改善。虽然20世纪80年代医疗服务可及性的地区差异有所下降,但显著的地区差异仍然存在,尤其是在大奥克兰地区和该国其他地区之间。此外,曾经不太重要的新西兰城乡差异也开始加大。鉴于这些趋势,可以得出结论,政策对基于市场的解决方案的依赖很可能用错了地方。