68Medicare Principles and Commitments

68 Medicare Principles and Commitments

68 Medicare Principles and Commitments

(1) The Medicare Principles and Commitments are adopted as guidelines for the provision of public hospital services to eligible persons in New South Wales.

(2) The Medicare Principles and Commitments are as follows—

MEDICARE PRINCIPLES

The Commonwealth and the States are committed to the following principles in the provision of public hospital services—

Explanatory note.

The Principles focus on the provision of public hospital services to eligible persons, but operate in an environment where eligible persons have the right to choose private health care in public and private hospitals supported by private health insurance.

Choices of services

Principle 1: Eligible persons must be given the choice to receive public hospital services free of charge as public patients

Explanatory note 1.

Hospital services include in-patient, out-patient, emergency services (including primary care where appropriate) and day patient services consistent with currently acceptable medical and health service standards.

Explanatory note 2.

At the time of admission to a hospital, or as soon as practicable after that, an eligible person will be required to elect or confirm whether he or she wishes to be treated as a public or private patient.

Universality of services

Principle 2: Access to public hospital services is to be on the basis of clinical need

Explanatory note 1.

None of the following factors are to be a determinant of an eligible person’s priority for receiving hospital services—

•

whether or not an eligible person has health insurance,

•

an eligible person’s financial status or place of residence,

•

whether or not an eligible person intends to elect, or elects, to be treated as a public or private patient.

Explanatory note 2.

This principle applies equally to waiting times for elective surgery.

Equity in service provision

Principle 3: To the maximum practicable extent, a State will ensure the provision of public hospital services equitably to all eligible persons, regardless of their geographical location

Explanatory note 1.