From: General practice and the New Zealand health reforms – lessons for Australia?
Small (< 20,000 enrolees) Inadequate management resources | Large (>20,000 enrolees) Well resourced, efficiently managed |
---|---|
Access funded History – Previous NGO, capitated Low Investment in IT, premises Salaried doctors | Interim funded History – Previous IPA, fee-for-service Established IT, premises etc Doctors own practice |
Low co-payments Full/increasing use of nurses Established community governance Maori and Pacific focus | Higher co-payments Use of nurses dependent on busy-ness Establishing community governance General population focus |