Engaging in Primary Health Care - Physiotherapy New Zealand

Funding Under the Primary Health Care StrategyThe PHCS isfunded via thehealth budgetand is populationbased usingthe conceptof capitatedfunding.Key Points• The key funding shift signalled by the PHCS has been a move from a ‘fee forservice’ model to a ‘capitation’ model.• This means that a bulk payment is made by Ministry of Health (MOH) forthe care of an enrolled population, irrespective of how many services areused or required. This capitation funding is adjusted for various factors suchas the population age, ethnicity and socioeconomic status.• People enrol with their PHO through their GP. GPs can be contracted toonly one PHO.• A range of other services and funding streams to GPs and wider primaryhealth care services through PHOs, continue from funding agencies(most commonly DHBs).• General Practices, through their local PHO, remain the centre of primaryhealth care. However there is a shift from medical centres tointegrated health centres.Figure 3 Funding stream fromGovernment allocated fundingThe PHCS presents a vision encompassing the wider primary health care sectorincluding wider determinants within the community setting. The funding forthis broader picture is diverse and includes both private and public aspects. Theprimary health care sector makes up about 7.5% of total Vote: Health budget.10Primary Health Care