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Record W250209603

Current Developments in New Zealand Health Law

2004· article· en· W250209603 on OpenAlex
Barbara von Tigerstrom

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

venuePublished in a venue whose home country is Canada.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueHealth law review · 2004
Typearticle
Languageen
FieldHealth Professions
TopicMedical Malpractice and Liability Issues
Canadian institutionsnot available
Fundersnot available
KeywordsJurisdictionLegislationHealth carePublic administrationHealth lawLegislaturePublic healthContext (archaeology)PopulationPolitical scienceHealth policyLawInternational healthMedicineGeographyEnvironmental healthNursing
DOInot available

Abstract

fetched live from OpenAlex

The legal framework governing health care in New Zealand is similar in many respects that in Canada and other common law jurisdictions. There are however, some important differences, which are of interest from both an academic and a practical perspective. In addition, New Zealand health law is in the midst of an especially dynamic period, with legislative reforms recently undertaken or on the horizon in a number of areas. This paper will briefly describe a few of the more significant current developments, aiming highlight features that are unique New Zealand or otherwise of particular interest. 1. Context: The New Zealand health care system and legal system The health care system in New Zealand is composed of a comprehensive public system much like Canada's, but unlike in Canada a parallel system of private insurance and private clinics and hospitals exists alongside the public system. The public system is administered by 21 District Health Boards (DHBs), reporting and receiving funding from the Ministry of Health. The DHBs are generally responsible for planning and providing services for the population of a specific area, though the Ministry retains a degree of direct involvement in some areas including mental health and public health. (1) There are a few significant differences between the New Zealand and Canadian legal systems that are relevant health care. First, unlike Canada and neighbouring Australia, New Zealand is a unitary jurisdiction with no provinces or territories, so there is no division of powers and national legislation regulates health care throughout the country. A further difference is the lack of a written constitution or a constitutional charter of rights. The New Zealand Bill of Rights Act 1990 (2) includes many of the same rights as the Canadian Charter of Rights and Freedoms, but has only the status of ordinary legislation and gives way an inconsistent provision in another statute. (3) As well as the rights life and liberty, the Bill of Rights includes explicit rights be subjected or scientific experimentation without ... consent and to refuse undergo any treatment. (4) Apart from these differences in general public law, the most striking--and probably the best known--feature of the New Zealand legal system that is relevant health law is the existence of a no-fault compensation system for personal injuries due accident. A brief discussion of this scheme as it applies medical misadventure will be discussed in the next section. Before turning that topic, one important institution should be mentioned: the Health and Disability Commissioner (HDC). The HDC was created in response the report of the Cartwright Inquiry, (5) a committee of inquiry established in 1987 following public outcry about a research study undertaken at the National Women's Hospital in Auckland. From 1966 the mid-1980s, women at the hospital were subjected repeated cervical smear tests and biopsies without being offered adequate treatment, in order test a theory that carcinoma in situ was not a precursor of invasive cervical cancer, as was (and still is) the prevailing view. The great majority of women were not informed that they were participating in a research study, and it appeared that obvious symptoms of invasive cancer were overlooked or downplayed. Following protests by members of the community and the public, a committee of inquiry was established, led by Justice Silvia Cartwright. (6) Among the recommendations of the inquiry was the need appoint a Health Commissioner receive and investigate complaints and raise health professionals' awareness of patients' rights, and the need develop a statement of patients' rights. In 1994, the office of the HDC was established, (7) and the Code of Health and Disability Services Consumers' Rights (the Code) was enacted as a regulation in 1996. (8) This Code includes the right be treated with respect; freedom from discrimination, coercion, harassment and exploitation; dignity and independence; services of an appropriate standard; effective communication; be fully informed; make an informed choice and give informed consent; support; and complain about a health or disability service provider. …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.766
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0050.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.167
GPT teacher head0.538
Teacher spread0.371 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it