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

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emergency or last chance situations. Specific examples to illustrate each<br />

category <strong>of</strong> health rationing are presented.<br />

The international attempts to ration involve significant projects and references to<br />

New Zealand as a leader in this process and for this reason I have given<br />

international comparisons. Finally, <strong>the</strong> subject <strong>of</strong> social inequality is discussed<br />

because this was a primary purpose for <strong>the</strong> health reforms which established<br />

PHARMAC as a Crown Agency.<br />

Literature Search Strategy<br />

A literature search was conducted utilising AUT Library access to Proquest<br />

database and conducting a Boolean Search using 3 search strings <strong>of</strong> words.<br />

These were:<br />

1. Health AND rationing AND fairness AND “New Zealand<br />

2. Rawls AND Sen fairness AND equity AND Health<br />

3. “Decision Making” AND criteria AND “New Zealand” AND<br />

Pharmaceuticals AND PHARMAC AND <strong>Exceptional</strong> Circumstances<br />

This search strategy produced peer reviewed journal articles, books with<br />

relevant chapters, <strong>the</strong>ses and national and international government reports.<br />

Assistance for <strong>the</strong> construction and activation <strong>of</strong> <strong>the</strong> search <strong>of</strong> this topic was<br />

provided by <strong>the</strong> AUT Postgraduate Librarian, Robyn Ramage and AUT Faculty<br />

<strong>of</strong> Health and Environmental Sciences Librarian, Andrew South.<br />

During <strong>the</strong> course <strong>of</strong> <strong>the</strong> research and writing <strong>of</strong> <strong>the</strong> <strong>the</strong>sis a literature watch<br />

was activated (again with <strong>the</strong> assistance <strong>of</strong> librarians). This consisted <strong>of</strong> RSS,<br />

and Bloglines and a set up on <strong>the</strong> TicToc Website. The export RSS feeds were<br />

set up to watch for <strong>the</strong> following journals on my reader;<br />

- Health (1363-4593)<br />

- Health economics (1057-9230)<br />

- Health economics, policy and law (1744-1331)<br />

- Health policy (0168-8510)<br />

- Policy studies (0144-2872)<br />

14

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