Articles sur Primary care

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Very high GP attenders cost Medicare an average of A$3,202 in 2012-13, compared to an Australian average of A$690. Tyler Olson/Shutterstock

Time for policy rethink as frequent GP attenders account for 41% of costs

As well as being responsible for a large share of total costs, people who visit the GP more often are more likely to live in the most disadvantaged areas, and to report being in poor health.
The AMA described the proposed reimbursement changes for level B consultations as “an assault on general practice”. AAP Image/Lukas Coch

The AMA and Medicare: a love-hate relationship

The Australian Medical Association (AMA) has emerged from the recent brouhaha over the Abbott government’s proposed Medicare reforms as both a winner in the protection of doctors’ incomes and an apparent…
A blueprint for Medicare reform must include cost control, but also support quality and equity. Dave Hunt/AAP

New funding models are a long-term alternative to Medicare co-payments

The Abbott government is struggling with its Medicare co-payment reform, scrapping the latest version for a period of consultation, starting this week. The government claims it wants to make Medicare sustainable…
The Coalition government’s proposed changes to Medicare have never managed to garner public favour. AAP/Peter Boyle

Autopsy of a dead policy: government shelves impending Medicare change

The government has backed down from its plan to cut Medicare rebates to doctors, which was to start on Monday, January 19, after several days of public pressure. For those not au fait with the world of…
Most people overestimate the benefits and underestimate the harms of medical intervention. Barbara M./Flickr

Great expectations: our naive optimism about medical care

“It might do me some good and it won’t hurt to give it a go.” How often have you heard a phrase like this? Most people have naïve optimism about medical care. That’s the finding of a systematic review…
The big losers will be ordinary patients. Image Point Fr/Shutterstock

GP co-payment 2.0: a triple whammy for patients

In the May budget, the Commonwealth government proposed a A$7 co-payment for GP services and tests done outside a hospital. After seven months of fierce criticism, the government abandoned those plans…
If you don’t have a concession card and are usually bulk billed, you may face a A$5 co-payment, or more. Image Point Fr/Shutterstock

Medicare co-payment: what the changes mean for you

The Abbott government has scrapped its controversial A$7 co-payment plan and replaced it with a A$5 cut to GP rebates for patients over 16 without a concession card, and other rebate changes. The revised…
If we want to ensure the health system remains sustainable, it makes sense to use its cheapest and most efficient arm: general practice. Iakov Filimonov/Shutterstock

Medicare spending on general practice is value for money

Last year taxpayers spent A$6.3 billion on GP services through Medicare, about 6% of the total government health expenditure. This was a 50% increase (A$2.1 billion) in today’s dollars over the past decade…
Several private health insurers are trailing schemes to prevent their members’ health deteriorating. DIBP images

Keeping people healthy is good for insurers’ bottom line

Australia’s population is in the midst of considerable demographic change, with a proportional rise in older age groups. Medical successes can now save the lives of those who would have died from illnesses…
The AMA proposal would wipe out 97% of the government’s $3.5bn savings. Newzulu/AAP

AMA co-pay plan: protecting the poor and GPs’ bottom line

Bulk billing without restrictions has been a feature of the Australian health system since the introduction of Medicare in 1984. It is particularly important in general practice, as it means any Australian…
Abandoning health reforms will undoubtedly lead to worse performance, including longer waiting times, across the health system. AAP Image/Quentin Jones

Did the health reform process fail? Now we’ll never know

Yesterday was a sorry day in the long history of health reform in Australia. The Council of Australian Governments (COAG) Reform Council issued its five year score-keeper’s report on health reform progress…
The chances of a single level of government taking charge of Australia’s health system are slim. AAP/Quentin Jones

Federal-state health relations: can anything be salvaged?

The federal budget reignited debate over federal-state relations with a decision to cut $80 billion funding for the state responsibilities of schools and hospitals over the coming years. So how can federal-state…
Progress on GP super clinics is mixed, but it would be a mistake to condemn the program without a closer evaluation. Shutterstock

GP clinics aren’t so super but it’s too early to pull the plug

The former Labor government’s GP Super Clinics Program has come in for a bashing. The Coalition has derided it as “a total waste of money” and News Corp has dubbed it a “dangerous health care experiment…
Medicare guarantees free public hospital care and funds a range of primary care and other health services. Image from shutterstock.com

Explainer: what is Medicare and how does it work?

Medicare is Australia’s universal health scheme. It is a Commonwealth government program that guarantees all citizens (and some overseas visitors) access to a wide range of health services at little or…
Some insurers are testing opportunities to expand their involvement in primary care. AAP Image/Mick Tsikas

Balancing public and private as health insurers move into primary care

Prompted by the government’s Commission of Audit, health policy analysts have spent the first weeks of the year vigorously debating ways to rein in Australia’s rising health budget and to make the system…
Medicare Locals plan for better, tailored health services by drawing on local knowledge. Image from shutterstock.com

Let Medicare Locals find their feet and improve primary care

Primary health care in Australia is a messy beast, with many heads and all sorts of body parts. But it’s centrally important because it plays a major role in achieving public health outcomes, such as better…
An identical patient with an identical presenting symptom of ‘tension headache’ might lead to a thousand different discussions. DIBP images

GP consultations are often more complicated than you think

When we think of what defines a medical consultation, we quite reasonably think of the “presenting complaint”: the medical problem which the patient brings to the doctor. In movies, literature, common…

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