In view of its systematic character, the public law system provides a rigid backbone which restricts opportunities for swift and single-handed institutional reorganisation.
The practices in the study covered different socio-economic areas and ranged from a small single-handed practice to larger health centres.
Much of their care is provided by single-handed physicians in the community; many of their hospitals are small, under-capitalised institutions run by these same physicians.
Four of the practices are single-handed, and two of the health centres serve practice populations with high numbers of temporary residents.
However, there is no generally accepted criteria list for reviewing economic evaluations, which may be because most of the criteria lists are created single-handed.
Two single-handed rural sites felt it was impractical to collect enough patient contacts in the time period available, so did not participate in this part of the study.
These numbers refer only to single-handed doctors and those who stated that their answers referred to their own personal list, not the practice as a whole.
Administrative changes thus require to go through formal procedures, a process which encourages participation and open conflict of interests, hence working against swift, single-handed institutional reorganisation.
