Pay for Performance: Australian Style?

From today’s Sydney Morning Herald:

Doctors oppose new way of tackling diabetes


July 12, 2010

DOCTORS are hardening their opposition to the federal government’s plan to provide block funding for GPs to treat patients with diabetes. About 88 per cent of doctors in a national survey say they would oppose patients enrolling in the scheme.

The government says the $436 million scheme, to be introduced from 2012 as part of its health reforms, would ”transform the way Australians with long-term illness are treated” by paying GPs $1200 a year for each patient whose care they co-ordinate.

Under the scheme doctors would be responsible for developing personalised care plans and organising access to other treatment, such as dietitians and physiotherapists. They would be paid performance bonuses for keeping patients out of hospital.

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