Will it bring about real behavioural change in general practice?
Achieving high-quality and cost-effective care for those with chronic disease requires changes in the behaviour of both doctors and patients. In the past, fragmented policy has led to fragmented management of chronic disease, and there is now an opportunity for change. A new payment scheme for the care of people with diabetes, proposed as part of the federal government’s National Health and Hospitals Network, is centred on patients voluntarily enrolling with a practice and general practitioners being paid in a way that changes their behaviour.1 The proposal is worth $449.2 million over 4 years or up to $10 800 annually per practice, and includes a sign-up payment of $1500 per practice, voluntary patient enrolment, capitation payments ($100 per patient) and annual payments of up to $950 per patient linked to “keeping . . . patients healthy and out of hospital”.
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