caa a22 4500 477079105 CHVBK 20180405111445.0 cr unu---uuuuu 170330e19961201xx s 000 0 eng 10.1007/BF02249316 doi (NATIONALLICENCE)springer-10.1007/BF02249316 Brown Malcolm Health Services Research Centre, P.O. Box 600, Wellington, New Zealand aut New Zealand health care financing ‘reforms' perceived in ideological context [Elektronische Daten] [Malcolm Brown] Health sector financing reforms that have been ongoing over the last decade in most developed countries are rooted in philosophical terms in the ideology of economic rationalism. The ideology suggests that it is possible to artificially create markets for activities in contexts where markets do not develop naturally, and that the creation of these artificial markets leads to resource allocations that are both more efficient and more equitable than historical arrangements. The application of the ideology to New Zealand's health sector has generated some benefits—for example, a more rational approach to influencing the decisions of self-interested health care providers; but it has also generated some costs—for example, on ideological grounds it has brought into question the non-market rationales for maintaining a national health service system. John Wiley & Sons, Ltd, 1996 Health Care Analysis Kluwer Academic Publishers 4/4(1996-12-01), 293-308 1065-3058 4:4<293 1996 4 10728 https://doi.org/10.1007/BF02249316 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02249316 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Brown Malcolm Health Services Research Centre, P.O. Box 600, Wellington, New Zealand aut NATIONALLICENCE 773 0- Health Care Analysis Kluwer Academic Publishers 4/4(1996-12-01), 293-308 1065-3058 4:4<293 1996 4 10728 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer