Silva Martha, Ashton Toni, McNeill Rob
National Institute for Health Innovation, School of Population Health, University of Auckland, Auckland 1142, New Zealand.
N Z Med J. 2011 Jul 29;124(1339):83-90.
The aim of this article is to review evidence of the access and timeliness of termination of pregnancy (TOP) services to date in New Zealand and to provide clinic level and policy recommendations for service improvement. Compared to other countries, New Zealand successfully provides access to TOP services regardless of ability to pay, yet still lags behind other OECD countries in timeliness of services. There are clear differences in the organisational structure of clinics around the country, the most striking difference being between the private and public sectors. Streamlining referral pathways, expanding the availability of medical TOPs, and improving the organisational structure of clinics would all contribute to improving the timeliness of services and therefore the quality of care received by women. Improvements in the timeliness of TOP services in New Zealand are needed and achievable, even without legislative changes.
本文旨在回顾新西兰迄今为止终止妊娠（TOP）服务的可及性和及时性证据，并提供诊所层面和政策建议以改善服务。与其他国家相比，新西兰成功地提供了无论支付能力如何都能获得的TOP服务，但在服务及时性方面仍落后于其他经合组织国家。全国各地诊所的组织结构存在明显差异，最显著的差异存在于私营和公共部门之间。简化转诊途径、扩大药物流产的可及性以及改善诊所的组织结构，都将有助于提高服务的及时性，从而提高女性所接受的护理质量。即使不进行立法改革，新西兰也需要并能够实现TOP服务及时性的改善。
