MJA
MJA

Introducing general practice enrolment in Australia: the devil is in the detail

Michael Wright and Roald Versteeg
Med J Aust 2022; 216 (3): . || doi: 10.5694/mja2.51393
Published online: 21 February 2022

In reply: We thank Bailie and colleagues1 for highlighting the experiences of enrolling Indigenous Australians as part of the Practice Incentives Program – Indigenous Health Incentive (PIP‐IHI) initiative. The evaluation of the PIP‐IHI suggests that incentives linking practice enrolment with reduced patient medication costs were successful in engaging patients with the program, but that engagement with individual clinicians was less successful.2 Potential explanations for this disparate engagement include an enrolment process linking patients with practices (as opposed to their individual general practitioner), which may have failed to motivate clinician involvement, and financial incentives within the PIP‐IHI favouring the process of registration over the provision of ongoing care.

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