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Articles on Primary care

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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…
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…
The biggest and fastest-growing spending category in health is hospitals. Image from shutterstock.com

Tough choices: how to rein in Australia’s rising health bill

With health costs rising and costly medical innovations on the horizon, it’s crunch time for health funding. In the lead up to the May budget, The Conversation’s experts will explore the options for reining…

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