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Equity in access to zero-fees and low-cost Primary Health Care in Aotearoa New Zealand: Results from repeated waves of the New Zealand Health Survey, 1996-2016

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  • Jeffreys, Mona
  • Irurzun Lopez, Maite
  • Russell, Lynne
  • Smiler, Kirsten
  • Ellison-Loschmann, Lis
  • Thomson, Michael
  • Cumming, Jacqueline

Abstract

Primary Health Care in Aotearoa New Zealand is mainly funded through capitation-based funding to general practices, supplemented by a user co-payment. Funding is designed in part to keep the costs of care low for key groups in the population who have higher health needs. We investigated changes in the socio-demographic determinants of no-cost and low-cost access to Primary Health Care using data from sequential waves of the New Zealand Health Survey (1996/97–2016/17). Fees paid were self-reported and inflated using CPI-adjustment to the value of the 2018NZD.

Suggested Citation

  • Jeffreys, Mona & Irurzun Lopez, Maite & Russell, Lynne & Smiler, Kirsten & Ellison-Loschmann, Lis & Thomson, Michael & Cumming, Jacqueline, 2020. "Equity in access to zero-fees and low-cost Primary Health Care in Aotearoa New Zealand: Results from repeated waves of the New Zealand Health Survey, 1996-2016," Health Policy, Elsevier, vol. 124(11), pages 1272-1279.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:11:p:1272-1279
    DOI: 10.1016/j.healthpol.2020.08.009
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    References listed on IDEAS

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    1. de Mendonça, Helder Ferreira & de Oliveira, Diego S.P., 2019. "Firms' confidence and Okun's law in OECD countries," Economic Modelling, Elsevier, vol. 78(C), pages 98-107.
    2. Elkins, Rosemary Kate & Schurer, Stefanie, 2017. "Introducing a GP copayment in Australia: Who would carry the cost burden?," Health Policy, Elsevier, vol. 121(5), pages 543-552.
    3. Jakobsson, Niklas & Svensson, Mikael, 2016. "Copayments and physicians visits: A panel data study of Swedish regions 2003–2012," Health Policy, Elsevier, vol. 120(9), pages 1095-1099.
    4. Thomson, Michael, 2019. "Who had access to doctors before and after new universal capitated subsidies in New Zealand?," Health Policy, Elsevier, vol. 123(8), pages 756-764.
    5. Astrid Kiil & Kurt Houlberg, 2014. "How does copayment for health care services affect demand, health and redistribution? A systematic review of the empirical evidence from 1990 to 2011," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(8), pages 813-828, November.
    6. Yang Li & Yuetian Luo & Davide Ferrari & Xiaonan Hu & Yichen Qin, 2019. "Model confidence bounds for variable selection," Biometrics, The International Biometric Society, vol. 75(2), pages 392-403, June.
    7. repec:idn:journl:v:20:y:2018:i:3:p:1-30 is not listed on IDEAS
    8. Landsem, Mari Magnussen & Magnussen, Jon, 2018. "The effect of copayments on the utilization of the GP service in Norway," Social Science & Medicine, Elsevier, vol. 205(C), pages 99-106.
    9. Zahoor Ul Haq & Sajjad & Javed Iqbal, 2018. "Households Energy Consumption Pattern and Demand in Pakistan," Global Social Sciences Review, Humanity Only, vol. 3(1), pages 339-354, March.
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    Cited by:

    1. Popkova, Elena G. & Sergi, Bruno S., 2022. "Digital public health: Automation based on new datasets and the Internet of Things," Socio-Economic Planning Sciences, Elsevier, vol. 80(C).

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