One in nine Kiwis are not getting the GP care they need because they cannot afford it, Ministry of Health survey figures show.
The latest New Zealand Health Survey estimates more than 500,000 people have unmet healthcare needs because of the cost of a GP visit.
The figure has remained constant since 2011, and Royal New Zealand College of General Practitioners president Tim Malloy warned the risks of patients avoiding doctors' visits for years could result in greater inequity in healthcare
He blamed the problem on what he said was an annual funding gap of about $45 million, created by a funding formula based on enrolment numbers, rather than on the number of times a practice saw its patients.
"The formula they use to correct for each year is fundamentally flawed," he said.
Survey of almost 6000 health workers found:
90% Say the health system doesn’t have the staff and resourcerequired to give New Zealanders the healthcare they need when they need it.
61% Say New Zealanders access to health care over the last fiveyears has decreased.
72% Say their workload and work pressures aren’t reasonable.
84% Say their workload and work pressures have increased overthe last five years.
90% Say the Government’s current level of health funding isaffecting New Zealanders’ access to healthcare.
82% Say the Government’s current level of health funding isaffecting their workload and work pressure.
A 2016 workforce survey by the Royal New Zealand College of General Practitioners found 44 per cent of all GPs plan to retire within 10 years – up from 36 per cent just two years ago.
Otago Medical School associate professor Sue Pullon said the smpending shortage could be traced back to the 1990s, when annual positions in GP training were halved from 100 to 50.
. Health professionals make difficult ethical decisions about life and death – treatment or no treatment – and this requires considerable judgment, autonomy, specialisation and knowledge. Yet, under-funding and restricted resources mean the service runs largely on goodwilll. Could this be the reason we have experienced ongoing strike action by junior doctors since 2006? Is it why senior doctors have also threatened industrial action? Perhaps it is the reason our health service relies so heavily on internationally-trained medics – over 40 per cent at last count and the highest level of any country in the OECD.
NZ also relies on the highest rate of internationally-qualified nurses (at 25 per cent) in the OECD.
Bookmarks