A belief exists about the advantages of group medical practice over solo practitioners. The paper through a survey of 105 group practices examines a number of organisational and operational factors. The results suggest that practices are not always organised in a way to maximise the benefits of group operation but are still characterised by an individualistic approach.
Get full access to this article
View all access options for this article.
References
1.
BlishenB. R. (1969) Doctors and Doctrines. Toronto: University of Toronto Press.
2.
BoanJ. A. (1966). Group Practice: Report to the Royal Commission of Health Services. Ottawa: Queen's Printer.
3.
DillmanD. A. (1978). Mail and Telephone Surveys: The Total Design Method. New York: John Wiley and Sons.
4.
HastingsJ. (1972). The Community Health Centre in Canada. Ottawa: Health and Welfare.
5.
HastingsJ. (1978). “Community Health Centres — What's Happened since the Hastings' Report? Neither Sweet nor Sour.” Paper presented to the Nineteenth Annual Refresher Course, Division of Community Health, Faculty of Medicine, University of Toronto, March.
6.
HornbrookM. C.BerkiS. E. (1985). ‘Practice Mode and Payment Method: Effects on Use, Costs, Quality, and Access.’ Medical Care23 (May): 484–511.
7.
JudekS. (1964). Medical Manpower in Canada. Ottawa: Queen's Printer.
8.
KelmanV. (1979). ‘Community Health Centres.’ Canadian Dimension13 (May): 43–46.
9.
KorcokM. (1985). ‘Group Medicine a Growing Force Worldwide.’ Canadian Medical Association Journal133 (July): 134–37.
10.
KralewskiJ. E.PittL.ShatinD. (1985). ‘Structural Characteristics of Medical Group Practices.’ Administrative Science Quarterly30: 34–45.
11.
LomasJ.StoddartG. L. (1982). ‘Physician manpower under competing health plans: where we could be, where we are and issues in getting from here to there.’ Toronto: Council of Ontario Universities.
12.
McLarenC. (1989). ‘Minister hopes to save millions with new health clinic system.’ Toronto Globe and Mail April 6: A18.
13.
MadisonD. L.KonradT. R. (1988). ‘Large Medical Group-practice Organizations and Employed Physicians: A Relationship in Transition.’ Milbank Quarterly66: 240–82.
14.
ManningW. G.LeibowitzA. G.GoldbergG.RogersW.NewhouseJ. (1984). ‘A Controlled Trial of the Effect of a Prepaid Group Practice on Use of Services.’ New England Journal of Medicine310: 1505–10.
15.
MigueJ-L.BelangerG. (1984). The Price of Health. Toronto: Macmillan.
16.
NaylorD. C. (1986). Private Practice, Public Payment. Montreal: McGill-Queen's University Press.
17.
Ontario Health Review Panel (1987). Toward a Shared Direction for Health in Ontario.
18.
StevensonH. M.WilliamsA. P. (1985). ‘Physicians and Medicare: Professional Ideology and Canadian Health Care Policy.’ Canadian Public Policy11: 504–21.
19.
StevensonH. M.WilliamsA. P.VaydaE. (1988). ‘Medical Politics and Canadian Medicare: Professional Response to the Canada Health Act.’ Milbank Quarterly66: 65–104.
20.
VaydaE.WilliamsA. P.StevensonH. M.Domnick-PierreK.BurkeM.BarnsleyJ. (1989). ‘Characteristics of Established Group Practice in Ontario’. Health Care Management Forum, 2 Winter: 17–23.
21.
WareJ. E.RogersW. H.DaviesA. R.GoldbergG. A.. (1986). ‘Comparison of Health Outcomes at a Health Maintenance Organization with Those of Fee-for-service Care.’ Lancet 3 May: 1017–22.
22.
WilliamsA. P.VaydaE.StevensonH. M.Domnick-PierreK.BurkeM. (1990). ‘A Typology of Medical Practice Organization in Canada: Data From A National Survey of Physicians.’ Medical Care In Press.
