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

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  • Penno, Erin
  • Sullivan, Trudy
  • Barson, Dave
  • Gauld, Robin

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.

Suggested Citation

  • Penno, Erin & Sullivan, Trudy & Barson, Dave & Gauld, Robin, 2021. "Private choices, public costs: Evaluating cost-shifting between private and public health sectors in New Zealand," Health Policy, Elsevier, vol. 125(3), pages 406-414.
  • Handle: RePEc:eee:hepoli:v:125:y:2021:i:3:p:406-414
    DOI: 10.1016/j.healthpol.2020.12.008
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    References listed on IDEAS

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