Comments on: I’ve seen future (of healthcare) and it will work (at least a bit) http://clubtroppo.com.au/2008/11/06/ive-seen-future-of-healthcare-and-it-will-work-at-least-a-bit/ Sat, 20 Mar 2010 04:26:11 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: penguinunearthed http://clubtroppo.com.au/2008/11/06/ive-seen-future-of-healthcare-and-it-will-work-at-least-a-bit/#comment-329389 penguinunearthed Fri, 07 Nov 2008 09:20:49 +0000 http://clubtroppo.com.au/?p=6310#comment-329389 Your second point - the single provider with a flat fee - I thought that was the main way the NHS managed GP services in the UK? You have to find a doctor's practice to take you on to his/her list, and then you only go there for primary healthcare services. The problem with it on a grand scale is that the practice has an incentive to only take on healthy patients. So there has to be a way in which to avoid doctors being stuck just with the very sick patients. And you're stuck with the doctor, so its hard to change. That said, the UK does have one of the most costefficient health systems in the world, with pretty good health outcomes. Your second point – the single provider with a flat fee – I thought that was the main way the NHS managed GP services in the UK?

You have to find a doctor’s practice to take you on to his/her list, and then you only go there for primary healthcare services. The problem with it on a grand scale is that the practice has an incentive to only take on healthy patients. So there has to be a way in which to avoid doctors being stuck just with the very sick patients. And you’re stuck with the doctor, so its hard to change.

That said, the UK does have one of the most costefficient health systems in the world, with pretty good health outcomes.

]]> By: helloworld http://clubtroppo.com.au/2008/11/06/ive-seen-future-of-healthcare-and-it-will-work-at-least-a-bit/#comment-329350 helloworld Fri, 07 Nov 2008 02:58:17 +0000 http://clubtroppo.com.au/?p=6310#comment-329350 A QUT study just published in Australasian Journal of Ageing shows "Half of nursing home elderly starving" (per news.com.au). Maybe a flat fee, independent of the profit centre, type of regulatory/maintainence geriatric medical services delivery could make sure our Nannas at least get their gruel. A failure rate of 50% if not systemic, is pretty serious and something needs to be done, and well before it's my turn, please. 1997 AIHW Stats tell 70% of Oz nursing homes are between 20 and 60 clients if that helps any modellers. The bed licence subsidy is 41k over 4 years per client, that's $4k/wk to run a 20 client site. No wonder <a href="http://www.theaustralian.news.com.au/story/0,25197,24573927-5006789,00.html" rel="nofollow">providers are telling the Gov't to stick it. </a> A QUT study just published in Australasian Journal of Ageing shows “Half of nursing home elderly starving” (per news.com.au). Maybe a flat fee, independent of the profit centre, type of regulatory/maintainence geriatric medical services delivery could make sure our Nannas at least get their gruel. A failure rate of 50% if not systemic, is pretty serious and something needs to be done, and well before it’s my turn, please.
1997 AIHW Stats tell 70% of Oz nursing homes are between 20 and 60 clients if that helps any modellers. The bed licence subsidy is 41k over 4 years per client, that’s $4k/wk to run a 20 client site. No wonder providers are telling the Gov’t to stick it.

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