新西兰诊断检查等待名单大幅下降 CT等待人数减少48%,MRI减少33%,政府称年度目标超额完成
新西兰卫生部长 Simeon Brown 表示,过去一年,等待CT、MRI、结肠镜检查以及心脏相关检查的新西兰患者人数明显下降。Health New Zealand在多个关键诊断服务领域超额完成政府制定的额外检查目标。
政府去年宣布,将在2025/26年度通过放射科、结肠镜、心脏检查和阴道镜检查等服务,额外完成7.5万项诊断程序。最终数据显示:
- 额外完成89,039项检查及诊疗程序,比目标多出逾14,000项;
- 总体等待名单减少21%;
- 长期等待人数减少43%。
Brown表示,这些结果表明,在明确目标和问责机制下,卫生系统可以提高服务效率,让成千上万的新西兰人比原本更早接受所需检查。
他说,改善最明显的是等待时间最长的患者。一年前,有数以万计的新西兰人等待检查的时间超过合理期限,而过去一年这一数字已经下降了43%。
多项关键检查等待名单下降
数据显示,多项诊断服务的等待名单均出现明显下降:
| 检查项目 | 等待名单降幅 |
|---|---|
| CT扫描 | 48% |
| MRI扫描 | 33% |
| 冠状动脉造影 | 29% |
| 监测性结肠镜检查 | 14% |
| 阴道镜及超声心动图 | 9% |
Brown特别指出,CT和MRI是卫生系统中最常被安排的影像检查之一,因此等待名单的改善能够惠及大量患者。
过去12个月中,近一半CT等待名单和约三分之一MRI等待名单已经得到清理。
更值得注意的是,同期患者需求并没有下降。政府数据显示,紧急CT和MRI转诊数量反而增加了10%。
Brown表示,在需求增加的情况下等待名单仍然下降,说明这并不是简单地“消化旧积压”,而是卫生系统实际增加了检查数量,提高了生产效率。
“在需求增加的同时减少等待名单,是更难实现的结果,也显示卫生系统的生产效率确实有所改善。”
6500万纽元计划推动增加检查能力
这些成果主要来自政府投入6500万纽元实施的“诊断服务改善计划”(Diagnostic Improvement Plan),该计划的重点是减少2025/26年度关键诊断程序的长期等待。
计划一方面帮助Health New Zealand最大限度利用公立医院现有能力,增加门诊和检查安排;另一方面也通过私人医疗机构提供额外诊断服务,以增加患者获得检查的机会。
Brown表示,公立医院能够增加服务,很大程度上得益于一线卫生工作人员的努力,包括增加门诊服务和诊疗安排。
他同时特别感谢APEX工会与Health New Zealand的合作,认为工会的参与对增加额外医疗服务能力发挥了重要作用。
增加培训,为未来需求做准备
除了短期增加检查数量,政府还扩大了相关医疗专业人员的培训,包括:
- 放射科;
- 超声心动图检查;
- 护士阴道镜检查;
- 护士内镜检查。
同时,卫生系统也投入建设新的数据平台,以提高对诊断服务需求和能力的管理,为未来患者需求增长做好准备。
Brown表示,过去一年的首要任务是降低等待名单,虽然目前仍有不少新西兰人等待时间过长,卫生系统仍有大量工作需要完成,但等待名单已经出现显著下降。
他说,下一阶段的重点是继续增加检查数量,让更多新西兰人能够在真正需要的时候及时获得诊断服务。
这组数据也显示,新西兰政府当前医疗改革的一个重要方向,是从单纯增加医疗投入,进一步转向以“完成多少服务、等待时间下降多少”为核心的结果导向。
Last year, the Government confirmed that it would deliver an additional 75,000 procedures across radiology, colonoscopy, cardiac, and colposcopy services. The results for that period are:
89,039 additional procedures delivered across these services, more than 14,000 above target
Total waitlists down 21 per cent
Long waits down 43 per cent
“This is what happens when we set clear targets and accountability. These results represent thousands of New Zealanders receiving the tests they need sooner than they otherwise would have,” Mr Brown says.
“The greatest improvement has been for those waiting longest. A year ago, tens of thousands of New Zealanders were waiting longer than they should for the tests they needed. That number has fallen by 43 per cent.”
Waitlist reductions for diagnostic services include:
CT down 48 per cent
MRI down 33 per cent
Coronary angiography down 29 per cent
Surveillance colonoscopy down 14 per cent
Colposcopy and echocardiography down 9 per cent
“CT and MRI are among the most frequently ordered scans in the health system, so improvements there reach the greatest number of patients. Nearly half of the CT waitlist and a third of the MRI waitlist have been cleared in twelve months.
“Demand grew over the same period, including a 10 per cent rise in urgent CT and MRI referrals. Waitlists fell despite that increase, which shows the reductions came from delivering more, not just working through an existing backlog.
“Reducing waitlists while demand increases is a considerably harder result to achieve, and it demonstrates a genuine improvement in productivity.”
The results were delivered through the $65 million Diagnostic Improvement Plan, which was aimed at reducing long waitlists for critical diagnostic procedures in 2025/26. It enabled Health New Zealand to maximise capacity in its own hospitals while also using private providers to deliver more diagnostic services for patients.
“Maximising capacity in our hospitals is thanks to the hard work of frontline staff, who have delivered additional clinics to see more patients. I want to acknowledge the APEX union for its engagement with Health New Zealand, which has played a key role in delivering that extra capacity.
“The programme has also been supported by targeted workforce growth, with expanded training places in radiology, echo-sonography, nurse colposcopy, and nurse endoscopy, alongside investment in new data platforms, ensuring we can meet future demand.
“The priority over the past year has been getting waitlists down. There is still more to do, and too many New Zealanders are still waiting too long, but waitlists have come down significantly and we are making real progress.
“These results show what is possible when the system is focused on delivery. The task now is to build on that, with more scans and tests planned this year and a continued focus on New Zealanders getting the tests they need, when they need them.”

