Private choices, public costs: Evaluating cost-shifting between private and public health sectors in New Zealand

Erin Penno, Trudy Sullivan, Dave Barson and Robin Gauld

Health Policy, 2021, vol. 125, issue 3, 406-414

Abstract: New Zealand’s dual public-private health system allows individuals to purchase health services from the private sector rather than relying solely upon publicly-funded services. However, financial boundaries between the public and private sectors are not well defined and patients receiving privately-funded care may subsequently seek follow-up care within the public health system, in effect shifting costs to the public sector. This study evaluates this phenomenon, examining whether cost-shifting between the private and public hospital systems is a significant issue in New Zealand.

Keywords: Inpatient; Public sector; Private sector; New Zealand; Costs and cost analysis; Patient readmission (search for similar items in EconPapers)
Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:125:y:2021:i:3:p:406-414

DOI: 10.1016/j.healthpol.2020.12.008

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