Dismantling the Hospital Authority in favour of smaller self-contained units to give continuity between primary and secondary care was too drastic, a health professional said.
The Harvard team proposed the authority be reorganised into 12 to 18 self-contained regional Health Integration Systems to contract private GPs and specialists to provide preventive, primary, outpatient and hospital care.
It said a lack of co-ordination between the primary care sector - provided mostly by private GPs - and secondary care provided by the Hospital Authority led to 'confused patients'.
Harvard's Professor William Hsiao found laboratory tests were repeated unnecessarily, one organisation not knowing what the other had done and the same service offered by more than one organisation when there was no demand.
But the Public Doctors' Association said the scheme would mean each unit had its own services, which would lead to duplication and unnecessary competition.
'Why don't we just look at the existing system and build on that rather than have a completely new plan?' council member Dr Yip Wai-chun said.
To bridge primary and secondary care, Dr Yip said a patient's records and every treatment he received could be stored on a computer disk.
