Restructuring primary health care in Australia

John M Dwyer and Stephen J Duckett
Med J Aust 2016; 205 (10): . || doi: 10.5694/mja16.00554
Published online: 21 November 2016

When appropriately resourced, medical homes can deliver the system-wide benefits of truly integrated primary care

For patients with chronic and complex conditions, optimal care involves a range of clinical skills other than those provided by doctors (eg, a social worker, a clinical nurse specialist or a home care team), some of which are generally not available through Medicare. Patients experience fracturing of their care — such as the need to obtain referrals to consult other health practitioners — and significant out-of-pocket expenses, on which Australians spent around $27.5 billion dollars in 2013–14.1

  • John M Dwyer1
  • Stephen J Duckett2

  • 1 University of New South Wales, Sydney, NSW
  • 2 Grattan Institute, Melbourne, VIC


Competing interests:

No relevant disclosures.


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