General practice reforms, 1989–2009

Coote, William

doi:10.5694/j.1326-5377.2009.tb02689.x

Topics

Complex educational, regulatory and financing rules and requirements influence the daily activities of Australian general practitioners, the scope of their professional practice and their remuneration. General practice, unlike medical specialties and subspecialties, is not built around a body of esoteric scientific knowledge and associated technical skills, and is particularly subject to influence through changes to the financing and regulatory structure under which it operates.

Canberra, ACT.

Correspondence: billcoote@netspeed.com.au

Competing interests:

None identified.

1. Ragg M. GP reforms leave many questions open. Aust Med 1989; 1: 37.
2. Blewett N. House of Representatives Hansard, Commonwealth of Australia. 10 May 1989: 2386.
3. Passmore A. Why we fought change to general practice. Aust Med 1989; 1: 192.
4. Summary of findings of the senate committee into general practice. Aust Med 1989; 1: 310-311.
5. General practice: unity for survival. Aust Med 1991; 3: 19.
6. Douglas RM, editor. General practice financing think tank. Canberra: National Centre for Epidemiology and Population Health, Australian National University, 1991: 15.
7. General Practice Consultative Committee. The future of general practice: a strategy for the nineties and beyond. Canberra: Department of Human Services and Health, 1992.
8. Budget statements 1992–93, Budget paper no 1. Canberra: Commonwealth of Australia, 1992: 3.66.
9. General Practice Strategy Review Group. General practice: changing the future through partnerships. Canberra: Commonwealth of Australia, 1998.
10. Abbott T. Health reform: important but easy to overrate. Speech notes — Australian Financial Review Conference, the Federal Agenda for Healthcare Reform. Sydney Marriott Hotel, 21 Feb 2007. http://www.health.gov.au/internet/ministers/publishing.nsf/650f3eec0dfb 990fca25692100069854/9d84b2d77e4e4c73ca2572890004f527?OpenDocument (accessed Jun 2009).
11. National Primary Health Care Strategy. External reference group — terms of reference. http://www.health.gov.au/internet/main/publishing.nsf/Content/PHS-TermsofReference (accessed Jun 2009).
12. National Primary Health Care Strategy, terms of reference 2008. http://www.health.gov.au/internet/main/publishing.nsf/Content/Primary+ Health+Strategy-1 (accessed Jun 2009).
13. Allied Health Professions Australia. Submission to the Primary Health Care Strategy discussion paper. http://www.health.gov.au/internet/main/publishing.nsf/Content/primaryhealthstrategy-232/$FILE/232_Allied%20 Health%20Professions%20Australia_04-03-09.doc (accessed Jun 2009).
14. National Health and Hospitals Reform Commission. A healthier future for all Australians. Interim report: December 2008. Canberra: NHHRC, 2009: 81. http://www.health.gov.au/internet/nhhrc/publishing.nsf/Content/interim-report-december-2008 (accessed Jun 2009).
15. Royal Australian College of General Practitioners. What is general practice? http://www.racgp.org.au/whatisgeneralpractice (accessed Jun 2009).
16. Starr P. The social transformation of American medicine: the rise of a sovereign profession and the making of a vast industry. New York: Basic Books, 1982: 27.
17. Laugesen J, Rice T. Is the doctor in? The evolving role of organized medicine in health policy. J Health Polit Policy Law 2003; 28: 290.
18. Australian Government Department of Health and Ageing. Annual report 2007–2008. Canberra: Commonwealth of Australia, 2008: 107. http://www.health.gov.au/internet/main/publishing.nsf/Content/annual-report2007.htm (accessed Jun 2009).
19. Primary Health Care Research and Information Service. Moving ahead: report of the 2006–2007 annual survey of Divisions of General Practice. Adelaide: PHCRIS, 2008: 33.
20. Royal Australian College of General Practitioners. Response to the interim report of the National Health and Hospitals Reform Commission. http://www.health.gov.au/internet/nhhrc/publishing.nsf/Content/112-interim/$FILE/112%20-%20Submission%20-%20Royal%20Australian %20College%20of%20General%20Practitioners.pdf (accessed Jun 2009).
21. Rosenberg CE. Our present complaint: American medicine, then and now. Baltimore: John Hopkins University Press, 2007: 185.
22. Santoro G. Medibank remakes general practice. Med J Aust 2000; 173: 29-30.

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