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Hunter doctors losing against fast medicine

25 Nov, 2009 08:48 AM
THERE are fears the Hunter's family doctors are losing the war against the corporatisation of general practice and "fast medicine" will take over the region.

Doctors say the days of the family general practitioner who offers long consultations and makes after-hours calls are dying out with the region's ageing workforce.

Many of the bigger medical centres that are emerging across the region have strict policies that allow appointments of only 15 minutes, with patients told to book two appointments if they have multiple problems.

About 130 GPs from around Australia met in Sydney this month to demand the Federal Government stop its $275 million program to house doctors, nurses and allied health workers in so-call "super clinics".

Thirty-six super clinics have been announced, including two in the Hunter, but a new group called Doctors' Action fears the number could rise to 300 and kill off the concept of the family GP.

Super clinics are planned for Lake Macquarie and Port Stephens.

Doctors' Action founder Sydney GP Adrian Sheen said the super clinic model would put an end to the long-term trust and relationship required for good patient care.

Dr Sheen said there was a big difference between traditional, "family-orientated" practices and the rapidly growing empires of corporate clinics.

"There can be no substitute for knowing people and their families, for helping them through their issues and just being there," he said.

Several Hunter GPs likened the large clinic models to "fast medicine", asserting that, like fast food, it was all about waiting in line, getting in and out as fast as possible and quick fixes.

They say more traditional practices start with a GP taking a detailed history, developing a personal relationship with a patient, diagnosing problems and encouraging healthier lifestyles.

Nabiac GP Malcolm Fairleigh said large clinics were detrimental to patient care and many doctors would not work in them.

"Many large centres are designed to make large amounts of money to please shareholders; there is very little in that equation for patients," Dr Fairleigh said.

"They do it by churning through huge numbers of patients and taking advantage of big-ticket items."

Opposition health spokesman Peter Dutton said GPs were right to be wary of the super clinic model and he would hate to see GP surgeries turned into "a McDonald's model".

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Date: Newest first | Oldest first
So GP's what world are you living in, read yesterdays herald story. "One" can't get in to see a GP anymore, the receptionists tell you to come back next week, and next week and next week. Gp's not taking new patients anymore, 6 hours wait at Hospitals outpatients, six months plus to see a Specialist, that's if you don't die waiting. And if you do manage to see a GP, you get sent off for a bunch of tests which they never give you the results for, a bill for a couple of hundred dollars and they are yelling "NEXT" before you leave the room. DUTY OF CARE GP"s, RUBBISH!!, more like how big can your bank balance get. Yes you have all taken the "HYPOCRITICAL" OATH.
Posted by 666, 25/11/2009 7:40:12 AM, on The Herald
I genuinely feel sorry for those who have no choice than to line up all day at drop in clinics to see a doctor, only to be told after taking a handful of names that there are no more spaces available. But people need to realise that this is not the doctor's fault - they are only able to see so many patients per day. I am beginning to realise just how blessed my husband and I are. My husband suffers from a chronic medical condition, and we were lucky enough that a GP at a large medical centre took him on as a patient despite his books being closed. We never have to wait any longer than 2 days for an appointment, and often if we can't get in to see him if it is urgent, the doctor will call us at home or tell us to come in at the end of the day and he will see us in his own time.
Posted by Hayley, 25/11/2009 10:00:05 AM, on The Herald
I agree wholeheartedly with 666! The best medical care my family and I have experienced of the the 3 countries and 5 cities we have lived in is at Chatswood Medical Centre in Sydney. Had a great relationship with one doctor there and if he wasnt available that day we could see another doctor. There was nurses for taking blood and doing things like stitches. They had xray, pathology, physiotherapy, specialists and a pharmacy. Our Doctor (we miss him) said he loved working there and he was just as friendly as the socalled family doctors we have had before, and after. 'Our Doctor' said he had been sceptical to working for a big chain like this but that he thought his fears had been unfounded. Bring on the 'large clinic models' I say..
Posted by allformedicalcentres, 25/11/2009 10:15:04 AM, on The Herald
(1) Why do I need to see a doctor to get a flu shot. And then come back for another consult to have the injection. (At 50 I've never had a flu shot because of this unnecessary running around and double booking) (2) Book in with a Urologist for a vascetomy. After all set up told I need to be referred by a GP. Is this jobs for the boys. Went to a different clinic that didn't need referalls. (3) Last 2 times I tried to go to a doctor there was at least a 2 hour waiting list. Gave up both times and went home. (No wonder people are buying generic Indian drugs on the net!) (4)They say more traditional practices start with a GP taking a detailed history, developing a personal relationship with a patient, diagnosing problems and encouraging healthier lifestyles. - Never had that happen for 35 years. (5) Maybe a practising nurse at a big clinic would have the time for the above. (6) Doctors say they will stop entering the profession if super clinics come in. No the uni entrance score may drop from 99.9 to 99.7 (or whatever). Big super clinics are the way to go especially if it means I can see someone straight away ; even if it is a nurse. (7) Personal doctor care - ask Mr Jackson!
Posted by Steve, 25/11/2009 3:15:06 PM, on The Herald
super clinics are fine until you get super bugs to go with them
Posted by super dr, 25/11/2009 9:53:08 PM, on The Herald

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