Ethics Governance
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| Article - Abstract. To view full article click on the article title. | |
eMJA: Catchlove, The why and the wherefore The why and the wherefore Barry R Catchlove MJA 2001; 175: 68-70 For editorial comment, see Van Der Weyden. Through their clearly defined gatekeeper role, GPs have considerable market power to influence the flow of revenue associated with referrals and prescriptions. For this reason, and because the whole healthcare industry is going through a transition from a cottage industry to a more commercially sophisticated structure, corporatisation of general practice is on the increase. If properly and ethically run, corporatised general practices can provide high-quality, efficient primary care. There are four far-reaching, potential consequences of general practice corporatisation an increase in healthcare spending; limitation of GPs' choice of practice environment; difficulty justifying GPs' legitimate fee increases; and de-skilling of GPs. Over the past two years there has been a huge upsurge in corporatisation of Australian general practice. It began in Perth, Western Australia, and is now spreading across metropolitan Australia. An estimated 2500 GPs (about 10% of those in practice) now work in practices owned by large corporations.1 What is corporatisation? Definitions of corporatisation vary, but all include the concept of changing the traditional ownership and practice structures to improve the profitability of general practice.2 In terms of what is happening now in Australian general practice, a working definition would comprise: A third party doctor(s) or non-doctor(s) acquires an interest in one or more general practices. Full Article: http://www.mja.com.au/public/issues/175_02_160701/catchlove/catchlove.html |
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2006 Ethics-Governance.com |
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