Another distinct feature of the primary care system is that the majority (around 94%) of clinics are solo practices (Table 3.2). From a quality of care perspective and in the absence of a patient registration system embedded within primary care, this raises obvious questions about care continuity and co-ordination and about the functionality of the primary care system outside of normal working hours. Solo privately owned clinics are also less able to weather difficult economic circumstances, which is a compounding viability issue in a market where patients tend to prefer to be seen in a hospital setting.