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How does the operation of PHARMAC's 'Community Exceptional ...

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I tried to find an interviewee from each decision making role related to<br />

PHARMAC’s CEC policy process. I sought out a Medical Director, a CEC<br />

Administrator, A Chair <strong>of</strong> <strong>the</strong> CEC Panel, a CEC panellist and a PHARMAC<br />

Chief Executive.<br />

By <strong>the</strong> time <strong>the</strong> interviewees who were past or present employees <strong>of</strong><br />

PHARMAC had been engaged, each role with a key person, (with <strong>the</strong> exception<br />

<strong>of</strong> CEC panellists) had agreed to be interviewed. . Under <strong>the</strong> circumstances,<br />

this was a reasonably successful outcome.<br />

In all, I selected eight key informants. Four were past or present PHARMAC<br />

employees and four were non-PHARMAC interviewees to participate in<br />

interviews as approved by <strong>the</strong> Auckland University <strong>of</strong> Technology Ethics<br />

Committee. These were people who were holding, or who have held, positions<br />

in which <strong>the</strong>y have influenced <strong>the</strong> formulation or <strong>the</strong> <strong>operation</strong> <strong>of</strong> PHARMAC’s<br />

Community <strong>Exceptional</strong> Circumstances policy. Some interviewees were<br />

working for PHARMAC at <strong>the</strong> time; some had left PHARMAC and were in o<strong>the</strong>r<br />

roles with o<strong>the</strong>r organisations or had retired.<br />

I requested interviews with people who held qualifications and experience in<br />

politics, policy, administration, medicine, nursing, management, governance or<br />

combinations <strong>of</strong> <strong>the</strong>se. I wanted to explore each person’s different experiences<br />

and perspectives <strong>of</strong> operating <strong>the</strong> PHARMAC policy, people who were closest<br />

to it and in my opinion were <strong>the</strong> most knowledgeable <strong>of</strong> it.<br />

I interviewed past or present Ministers <strong>of</strong> Health who had approved PHARMAC<br />

funding and managed <strong>the</strong> policy settings. There have been 38 people in New<br />

Zealand who are or have been Ministers <strong>of</strong> Health between 1900 and 2011. I<br />

approached two present or past Ministers <strong>of</strong> Health who are or have been<br />

particularly involved with PHARMAC during <strong>the</strong> time <strong>of</strong> <strong>the</strong>ir ministerial warrant.<br />

Both agreed to be interviewed.<br />

In my AUTEC application, I indicated my intention to interview patients who had<br />

been successful and those who had been unsuccessful in a Community<br />

<strong>Exceptional</strong> Circumstances application for drug funding. After beginning this<br />

research, I became aware <strong>of</strong> three people who were potential candidates for an<br />

interview in <strong>the</strong> research because <strong>the</strong>y had been denied a Community<br />

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