全科医学杂志

Primary Health Organization and its Working

Abstract

Doug Hardman

Essential wellbeing associations (PHOs) in New Zealand are
medical services suppliers that are supported on a capitation premise
by the New Zealand Government through region wellbeing sheets.
They are generally set up as not-revenue driven trusts, and have as
their objective the improvement of their populace's wellbeing.
In the mid1990s, general experts (GPs) were consolidating to
frame free specialist affiliations. They improved haggle with the
buyers of medical services around then.
Before the presentation of PHOs, general professionals were
paid utilizing an expense for-administration model. For each
individual that passed through their entryway, the GP got a limited
budget from the New Zealand Government. For quite a while, the
Government had been attempting to present a capitation model,
that is, provide rehearses with a limited budget contingent upon the
populace they served. The development of the deliberate IPAs
gave the Government a significant venturing stone to present
capitation-based financing.
The Ministry of Health presented PHOs under the Primary
Health Care Strategy to supplant the free professional affiliation
framework in 2001, and the principal PHOs shaped in July 2002.
By May 2008, 82 PHOs had been set up and approved. The
greater part have since converged with other PHOs or in any case
stopped activity, and 30 PHOs worked as of July 2021, some of
which are separated locally for subsidizing purposes.
An essential wellbeing association is organized as a not-revenue
driven association with both local area and supplier portrayal. They
keep a rundown of their selected populaces for which they get
financing. PHOs incorporate general experts, medical caretakers,
and other wellbeing suppliers like drug specialists and actual
advisors.
Seen benefits in essential wellbeing association
Advantages for individual patients
• Overall lower expenses
• Wider scope of administrations
Advantages for the populace in general
• Encouragement of provincial practice
• Increased accentuation on protection measures
• Services custom fitted to the requirements of the networks PHOs
serve
Advantages for general practices
• Steady and unsurprising stream of pay
• Better utilization of attendants (beforehand, a specialist needed
to see a patient for a training to get compensated by the
Government)