1. Healthcare coverage in new zealand
Stefani Fontana

2. New Zealand New Zealand is made up of 2 islands Population: 4,780,340
North island (Te Ika-a-Māui)
43,911 sq mi
South island (Te Waipounamu)
58,084 sq mi
Considered by geologists to meet the requirements to be the 8th continent
Population: 4,780,340
Official Languages
English
Maori

3. NZ History Settled by Eastern Polynesians in 1250-1300
European explorers:
Dutch explorer Abel Tasman found it in 1642
British: Captain James Cook 1769
1840 Treaty of Waitangi between representative of British Crown and the Maori chiefs
Recognized British sovereignty over NZ
Protected Maori land, gave Maori rights of British subjects
1852 officially became a the Colony of New Zealand with representation in Parliament
New Zealand Wars in 1860’s-1870’s resulting in loss of Maori land to immigrating Europeans
1894 First country to give women the right to vote
1960’s-70’s lots of breaches of Treaty of Waitangi became evident – establishment of Waitangi Tribunal to investigate breaches – much of it due to problems with translation and misinterpretation
1974 Waitangi Day became a national holiday, February 6th the day they signed the Treaty
Maori Language Act of 1987 made Maori one of the official languages

4. Auckland city hospital
4 weeks at the Auckland City Hospital
Faculty and staff were super friendly and welcoming
Wonderful teaching
Outstanding team work between doctors, nurses and techs
Well defined roles for each team member helps prevent controversy
These roles have been practiced and are outlined clearly for each member

5. Healthcare coverage in new zealand
Accident Compensation Corporation (ACC)
Government provided healthcare
Private Insurance

6. Accident Compensation Corporation (ACC)
No-fault medical insurance
Any trauma/accident that requires medical care can be paid for through ACC
Funded by the government
Money comes from personal taxes and employers
Amount paid bye employers has to do with the risk of the jobs, can be reduced by taking action to make jobs safer
Auto coverage is included in petroleum tax

7. ACC: what it covers Payment for all hospital-related costs
Initial ER visit
Urgent/emergent surgery
Follow-up/revision surgeries
Payment for costs associated with recovery
Physical therapy
Occupational therapy
Medical devices required to return to function

8. What acc does not do Primary care visit coverage
Most people pay this out of pocket
Some people have private insurance for this purpose
Dental and optical coverage
Dental only if it’s an emergency, but regular check ups and cleanings as well as regular visits to optometrist and eye wear are not covered by ACC
Again, some people have private insurance coverage for this

9. Private insurance Many people have private insurance
This allows them to
choose which hospital and which surgeon does their procedures
On ACC they would have to go with whoever was available
Choose when an elective procedure is done – can have it done in a more timely/convenient manner
With ACC they would have to do it
when the surgeon has time, rather than selecting when they have the procedure done
Have help paying for dental and eye care
They can still
Utilize ACC when trauma occurs and emergent/urgen surgeries/care is needed

10. Cultural effects of ACC
Providers have less fear of malpractice law suits
Because patients can get healthcare without waiting to prove fault, they have less desire to sue doctors
Lower malpractice insurance
Overall less need for defensive medicine
Patients seem grateful for their healthcare coverage since they don’t pay for it out of pocket
They are less likely to complain about minor inconveniences having to do with medical care
Seem more respectful of doctors, rather than treating them like an employee