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Should GPs be paid per consultation?


Copayments as well as capitation have existed in NZ for decades. Patients do get 12-15 minutes here, but we do not have"conveyor belt medicine" - most of my friends who are GPs work hard to get to the bottom of the consult - and we are dealing with complex aging /immigrant/ indigeonous/addiction or mental health problems that are similarly difficult to get tertiary services for. The UK mates we know working here say there is no way you would deal with that many problems in a single consult, and that you need to limit peoples "free" attitude to the GP. I have noted UK immigrants taking us to task for "cost" - but then turning up with speed at the slightest sniffle. Your service is overwhelmed - you will have nurse specialists, physician assistants, physios and gp trainees being first port of call, and copayments will happen in order to limit demand. Its inevitable.

Posted date

26 Jun 2014

Posted time