Health workforce

Analysis and Comment (36)

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The current fee-for-service model makes it difficult to contain costs and boost the quality of care. Image from shutterstock.com

Phase out GP consultation fees for a better Medicare

In the fourth part of our series Health Rationing, Peter Sivey explains why it might be time to abandon Medicare’s fee-for-service model. Teachers aren’t paid a fee for each lesson they teach, nor are…
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The recent rise in the number of GPs could be welcomed as addressing the shortage. Image from shutterstock.com

Is the national doctor shortage a myth?

Monash University demographer Bob Birrell is quoted in today’s Australian newspaper as saying the national doctor shortage is “a myth”. He points out a large recent increase in the number of GPs, a rise…
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The children with the greatest level of disease also have the poorest access to care. Image from shutterstock.com

Filling the gaps in Australia’s dental workforce

Data released recently by the Australian Institute of Health and Welfare show the number of dentists has increased by 24% in the five years to 2011. There are now around 12,700 dentists in Australia, with…
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Taxpayers should get something in return for their investment – good doctors, where they’re needed. UoNottingham

Medical intern crisis won’t be solved with just more hospital places

Almost two hundred medical students from diverse countries have just finished their medical education as full-fee-paying students. They’re now looking for the one year of employment (internship) they need…
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It’s time to rethink Australia’s specialist-driven health workforce and rise to the challenge of chronic disease management. Hands image from shutterstock.com

Hike in health costs should prompt workforce rethink

Data released recently by the Australian Institute of Health and Welfare shows the nation’s health care bill is rising rapidly, from $77.5 billion in 2000-2001 to $130 billion in 2010-11. The largest increases…
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Doctors are expected to be attuned to the latest developments in health care. www.shutterstock.com

Man v mountain: how to overcome the evidence overload

Most doctors shudder at the sight of the growing mountain of unread medical journals gathering dust on their desks over months, if not years. They need not despair though, as there are less time-consuming…
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We need to rethink how we provide health services in rural areas. Alan Levine

Health care in rural areas: the answer is not more of the same

The recent report of the Senate Inquiry into rural health services gave tantalising glimpses of how the future of rural health services should be. But its central theme is not new. The persistent and consistent…
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Relying on FIFO health-care workers is expensive and can end up disempowering local providers. AIA web team

Fly-in, fly-out heath care fails remote Aboriginal communities

This is a story about two small Aboriginal communities in the Gulf region of North Queensland: Mornington Island and Doomadgee. They share two key characteristics with many other remote communities: very…
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Health-care workers who discover they are infected have an ethical obligation to seek professional advice about their work practise limitations. stevendepolo

Privacy vs safety: should doctors disclose their infectious diseases?

A drug-addicted Melbourne anaesthetist has been accused of infecting 56 of his patients with hepatitis C by injecting himself with opiate-filled syringes, before using them on his patients. While his gross…
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Overseas-trained doctors deserve better treatment in Australia but they’re not the solution to rural workforce shortages. syauqee

Overseas-trained doctors can’t fill rural workforce shortages forever

The recently released report from the House of Representatives' inquiry into the registration processes and support for overseas-trained doctors highlights some major shortfalls in how Australia’s health…
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We need to rethink our aged care workforce and funding for dementia patients. Alex E Proimos

Improving care for dementia patients in our ailing aged care system

Last week, Alzheimer’s Australia released a report that was highly critical of the way Australia’s aged care sector responds to the needs of dementia suffers and their families. It’s an issue that demands…
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Current strategies to increase the number of Australian trained medical graduates entering rural practice are not working. Paul Hocksenar

We need new ways to get more doctors into country practice

The Australian Medical Association (AMA) is urging the government to consider the establishment of new medical schools in rural and regional areas to boost the number of doctors in the countryside. The…
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Good dental health is important for overall health – so when will Australia see a national dental scheme? AAP

Healthcare reform in 2012: whose health system is it anyway?

As many of us recover from the festive binge of overeating, drinking too much and not exercising enough, spare a thought for the new health minister as she plans for 2012. An exciting agenda looms – will…
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The strike in Victoria has drawn national attention to the working conditions of nurses across the country. AAP

Who’s really looking after emergency department waiting rooms?

Ongoing industrial action by Victoria’s nurses has focused public attention on acute health-care services, and provided an opportunity to examine the way those services should best be supported, funded…
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All health-care providers should give patients evidence-based information – this includes chiropractors. Planetc

Modern chiropractic therapy is based on evidence – and here it is

Chiropractic has copped some criticism this week, with a group of prominent Australian doctors and scientists urging Central Queensland University to reverse its decision to offer a chiropractic degree…
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Current fee-for-service payments for doctors don’t reward quality care. Flickr/larique

Should doctors be paid to keep patients healthy?

Going to the doctor is, in many ways, like visiting a car sales yard. The customer has a limited knowledge of the product and the supplier may have a financial incentive to over-service or overcharge…
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An equal relationship between doctors and nurses working in general practice will mean comprehensive primary health care for patients. nursing pins/Flickr

Equal but not the same: why we need to rethink how doctors and nurses work

Doctors and nurses appear to work harmoniously together but this apparently serene state of affairs is actually hiding inequality. Instead of giving nurses the room to shine in their workplace, the traditional…
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Bringing research, education and health care delivery together will improve patient care.

Explainer: why Australia needs Advanced Health Research Centres

In an attempt to bring Australia’s medical research, education and healthcare sectors into line with world leaders, the National Health and Medical Research Council (NHMRC) is planning to develop a new…
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Preventive health is the the biggest loser in the health deal. AAP

Can we now close the book on health reform? Not quite

The deal’s been done and health reform is in the bag. It may not be quite as bold as originally planned by then prime minister Rudd – there’s even been a fair amount of watering down on Julia Gillard’s…
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Home help is much more effective than written instructions from a doctor.

Why home help is the best bang for our health buck

The new Victorian Health Plan 2012-22 offers a bleak prognosis: forever rising medical costs, doctors in the wrong places, hospitals overwhelmed. To make matters worse, it claims that patients can’t be…
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Quality and safety in childbirth should not be equated with obstetric care. AAP

Is ‘tribal’ obstetric culture endangering mothers and babies?

How we are born, who supports mothers and the quality of the care provided during birth are vital to good public health and personal well being. But all is not well in modern birthing in spite of the advances…
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Do people want to see a doctor when they are sick or injured?

For better or worse – is a doctor the only solution?

In collaboration with The Drum, The Conversation is giving statements made by public figures the fine-tooth-comb treatment they deserve. Today, healthcare: “When people get sick or injured or want advice…
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Any health practitioner can be the first port of call for a patient. AAP

A cure for our chronic lack of healthcare choice

“When people get sick or injured or want advice about their health, they want to see a doctor,” Dr Andrew Pesce, AMA President. Patients may want to see a doctor but they don’t necessarily want to join…
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Pharmacists should be able to prescribe and dispense some medicines. AAP

Pharmacists under-prescribed in sickly health system

“When people get sick or injured or want advice about their health, they want to see a doctor,” Dr Andrew Pesce, AMA President. When people feel sick, have a rash or need advice about an ailment, pharmacists…
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Seeing a nurse practitioner for plasters and stitches can cut waiting times. Daniel Paquet

Hello nurse practitioners, goodbye long waits in emergency

“When people get sick or injured or want advice about their health, they want to see a doctor,” Dr Andrew Pesce, AMA President. At one time, when people got sick, injured or wanted advice about their…
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Keeping a journal or confiding in a friend can help overcome emotional issues.

You can work it out: shrinks aren’t always the best option

“When people get sick or injured or want advice about their health, they want to see a doctor” Dr Andrew Pesce, AMA President. As a child psychiatrist, I work with general practitioners to enhance the…
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The demand for medical services is putting pressure on the budget. AAP

Doctor’s fee-for-service doesn’t mean price is right

“When people get sick or injured or want advice about their health, they want to see a doctor,” Dr Andrew Pesce, AMA President. The statement by Dr Pesce implies that citizens know what they want and…

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