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Should more Australian doctors be salaried than paid by fee-for-service? — Yes

Brian B Peat
Med J Aust 2011; 195 (5): . || doi: 10.5694/mja11.10898
Published online: 5 September 2011

Obstetrician Brian Peat believes salaried doctors are favourably placed to provide best-practice care

That any sane nation, having observed that you could provide for the supply of bread by giving bakers a pecuniary interest in baking for you, should go on to give a surgeon a pecuniary interest in cutting off your leg, is enough to make one despair of political humanity.


  • Women’s and Children’s Hospital, Adelaide, SA.


Correspondence: brian.peat@health.sa.gov.au

Competing interests:

I am a full-time salaried hospital doctor.

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  • 2. Gosden T, Pedersen L, Torgerson D. How should we pay doctors? A systematic review of salary payments and their effect on doctor behavior. QJM 1999; 92: 47-55.
  • 3. Gawande A. The cost conundrum. The New Yorker 2009; 1 Jun. http://gawande.com/articles (accessed Jul 2011).
  • 4. Liu X. Policy tools for allocative efficiency of health services. Geneva: World Health Organization, 2003.
  • 5. Gawande A. The hot spotters. The New Yorker 2011; 17 Jan. http://gawande.com/articles (accessed Jul 2011).

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