Barnett J R
Soc Sci Med. 1984;18(11):981-89. doi: 10.1016/0277-9536(84)90269-7.
The desire to limit the growth of expenditure in the Western world has seen increased attempts to reallocate resources in the name of equity and efficiency. This paper reviews recent moves in New Zealand to achieve an equitable financing and distribution of hospital resources. While a more equal distribution of resources is likely to result from the recent reforms, redistributive policies of the type being implemented in New Zealand, which leave the basic structure of the health care system intact, may have only a marginal impact on improvements in access to care and health status.
在西方世界，限制开支增长的愿望促使人们越来越多地试图以公平和效率的名义重新分配资源。本文回顾了新西兰近期为实现医院资源公平融资和分配所采取的举措。虽然近期的改革可能会使资源分配更加平等，但新西兰正在实施的那种在保持医疗保健系统基本结构不变的情况下的再分配政策，可能只会对改善医疗服务可及性和健康状况产生微小影响。
