another distinct feature of the primary care system is that the majority around of clinics are solo practices table 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 coordination 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