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Pediatric Surgery Starship Children’s Hospital Pediatric Surgery Starship Children’s Hospital

Pediatric Surgery Starship Children’s Hospital - PowerPoint Presentation

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Uploaded On 2019-11-09

Pediatric Surgery Starship Children’s Hospital - PPT Presentation

Pediatric Surgery Starship Childrens Hospital Auckland New Zealand Wade Billings MS4 Auckland New Zealand NZ Population 16 million 13 of the NZ population Settled by Maori in 1350s by English in 1830s ID: 765114

disease care pediatric hospital care disease hospital pediatric physician private insurance public healthcare personal compared covered general procedures population

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Pediatric SurgeryStarship Children’s HospitalAuckland, New Zealand Wade Billings, MS4

Auckland, New Zealand (NZ)Population 1.6 million 1/3 of the NZ population Settled by Maori in 1350s, by English in 1830s International city, ~40% of population born overseessignificant proportion of UK, Chinese, Indian, Southeast Asian, and South African immigrants

Auckland, NZ

Starship Children’s HospitalOpened in 1991First and largest children hospital in NZ 219 beds Teaching hospital (University of Auckland) Many pediatric specific subspecialty servicesCardiology, Hematology/Oncology, Dermatology, Developmental, Endocrine, Emergency, ENT, Gastroenterology, Hepatology, Genetics, Radiology, Immunology, Allergy, Infectious Disease, Nephrology, Neurology, Neurosurgery, Nutrition, Orthopedics, Rheumatology, Respiratory, Nephrology, General Surgery, Urology

Topic of InterestSocialized Medical System Financing Services covered Patient satisfactionQuality of care Physician satisfaction

Financing Healthcare11% of GDP spent on healthcare (17.8% in US) $4,018 per capita spent on healthcare ($9,990) Lowest amount of per capita healthcare expenditure of 14 developed countries Public and private hospitalsPublic are operated by Ministry of Health’s District Health BoardsPrivate insurance available, but expensive and exclusive of certain conditions Co-pays for office visits by individuals or private insurance

Service Coverage Hospital and specialist care totally covered if referred by general practitioner (GP, the equivalent of a primary care provider) Does not include most cosmetic procedures, some elective procedures, robotic surgeries, most new to the market medications Quota on procedures allotted to each hospital per year with aim of helping those most in needWaiting list Pharmaceutical Management Agency of New Zealand (PHARMAC) determines which medications are subsidized Ambulance coverage (via charitable organization) Personal injury/disability care also covered (no personal injury lawsuits)

Patient’s ViewpointPatients with chronic disease generally like the care they receive Exception: desire/need for new medication is a challenge Patients who are generally healthy also like the care Exception: desire/need for elective procedure such as cosmetic, joint operation, etc. but who lack means of obtaining private insurance or other means of payingBased on personal conversations with patients, families, medical professionals, and general public

Quality of careLife expectancy: 81.6 (17th , US 31 st )Maternal mortality rate: 11/100,000 (39th, US 46th) <5 year old and neonatal mortality rate: 5.7/1,000 (42 nd , US 44 th ) Probability of dying from 4 main non-communicable disease between 30 and 70 years old: 10.7 (11 th , US 41 st ) Heart disease, cancer, respiratory disease, diabetes

Physician SatisfactionInterview of Dr. Neil Price – Pediatric Surgeon Overall very happy with system and quality of life Enjoys flexibility in the scope of his practice, but location is limited due to subspecialty practice Substantial paid vacation per year (6 wks), with protective time during each week for his dutiesFeels fairly compensated compared to public, but not as much compared to other subspecialists compared to the level of “good” they provide Burnout can be an issue

Overall Comparison of NZ to US HealthcareNZ spends less than half of US Better outcomes than US Comparable patient and physician satisfaction