Re: Copayments for general practice visits

Christopher B. Del Mar

Research output: Contribution to journalLetterResearchpeer-review


In reply: Arnold regrets that the debate about copayments is restricted to fee-for-service methods of paying general practitioners.

This is true. The Minister for Health has intimated an overhaul of the whole general practice system, but this was not addressed in the recent federal Budget. This is a pity. It would be good to have a debate about different systems, ranging from our current blended model of fee-for-service with grants to practices for achieving quality indicators, through to capitation systems (eg, the United Kingdom's National Health Service) and salaries (common in public hospitals and in primary care in some countries).

Perhaps this is also a good moment to try to bridge the great divide between state health (mostly hospitals) and federal health (mostly general practice and private health care), which obstructs much of integrated care.

Tinkering at the edges with copayments seems too trivial.
Original languageEnglish
Pages (from-to)28
Number of pages1
JournalMedical Journal of Australia
Issue number1
Publication statusPublished - 7 Jul 2014


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