Gauld Robin
Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin 9054, New Zealand.
N Z Med J. 2013 Aug 16;126(1380):68-74.
New Zealand's health system turns 75 in September, 2013. This article suggests that it is a time for celebration but also reflection on whether we have achieved the aims of the 1938 Social Security Act which laid out a set of principles for health care delivery. The article looks at questions of access, equity and service integration. It outlines why the health system we have today is shaped the way it is, and asks whether we should recommit to the original 1938 aims or develop a new set of principles for our health system.
新西兰的医疗体系于2013年9月迎来了75周年。本文认为，这是一个值得庆祝的时刻，但同时也需要反思我们是否实现了1938年《社会保障法》所设定的目标，该法案为医疗服务的提供制定了一系列原则。本文探讨了医疗服务的可及性、公平性和服务整合等问题。它概述了我们如今的医疗体系形成现状的原因，并询问我们是否应该重新致力于1938年的最初目标，或者为我们的医疗体系制定一套新的原则。
