Abstract
Good legislation unfortunately for the new system also offered unprecedented power for the Ministry of Health to control use diagnostic procedures by specialist staff of public hospitals across Australia in their private practices. Medicare went ahead and the Inquiry succeeded in curbing that power as inappropriate intrusion, whilst recognising a professional obligation to curb irresponsible use of costly tests through effective clinical governance.
Highlights
Competition in the private sector necessitates change and efficiency, and respect for quality
I chaired a national committee over 6 months in 1984 when a dispute between our Federal Government and the Australian Medical Association threatened to halt the initiation of our new ‘Medicare’ health system in 1984
Public administration and management covers a wide range of government and institutional structures; no one model fits all
Summary
Competition in the private sector necessitates change and efficiency, and respect for quality. Public Administration and Management in a Changing World Having led an important research University in this country at a time of vastly increased political control by government between 1988 and 1996, I have maintained close interest in these issues.
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