The divisional alternative

Abstract

GPs working together in groups, with a corporate body providing the organisational framework, is an inevitable outcome of healthcare system changes. Divisions of General Practice--regional corporations owned and operated solely by local GPs--should be seen as the logical alternative to the non-regional, for-profit, often publicly listed corporations. The divisional model combines economies of scale and organisation with clinical and practice autonomy and a regional focus, as well as an emphasis on patient values, quality of care, and equity of access. The Hunter Urban Division of General Practice is exploring the possibility of a Division-based general practice cooperative.