Graham Katherine
Otago District Health Board, Dunedin, New Zealand.
J Law Med. 2008 Aug;16(1):103-8.
In an era of resource limitations, the problem of matching public expectations with health care provision will always be difficult. In New Zealand there has been recent debate surrounding the potential funding by the Pharmaceutical Management Agency (PHARMAC) of an expensive chemotherapy agent called Herceptin (trastuzumab). Taking the proposed funding options in turn, this article looks at the obligations PHARMAC and the New Zealand District Health Boards might then be subject to with respect to the legislation and the Code of Health and Disability Services Consumers' Rights, and the impact this might have on a health system already subject to resource constraints.
在资源有限的时代,使公众期望与医疗服务相匹配的问题始终颇具难度。在新西兰,近期围绕药品管理局(PHARMAC)是否有可能资助一种名为赫赛汀(曲妥珠单抗)的昂贵化疗药物展开了辩论。本文依次探讨拟议的资助方案,分析药品管理局和新西兰地区卫生局在立法及《健康与残疾服务消费者权利准则》方面可能承担的义务,以及这可能对本就面临资源限制的卫生系统产生的影响。