Concern over charges to private health funds

The Federal Government is very concerned about the growing practice of private health insurance being charged by public hospitals for treatments that should be free, according to the Minister for Health, Greg Hunt. Figures released (Dec 2017) by the Australian Institute of Health and Welfare (AIHW) show that state governments and hospitals are continuing to actively encourage patients to use their private health insurance to boost hospital revenue. Read more

What to do with GPs’ mine of data

Dr Edwin Kruys*

General practice has been sitting on a goldmine of digital data, locked away on hard drives in our practices all over the country. And while we were busy looking after our patients, others have quietly started mining it for us. Read more

New cervical cancer screening test

From 1 December, Australian women will benefit from a new and more effective screening test for cervical cancer — it’s more accurate and requires testing less often. The new human papillomavirus (HPV) test will prevent up to 30 per cent more women from developing cervical cancer because it detects HPV, an early risk indicator for cervical cancer. The current Pap test detects cervical abnormalities after they occur. Read more

Primary care: pitfalls for GPs and practices

By Dr Bill Coote* , a former federal health minister advisor and former AMA secretary general, breaks down the forces reshaping general practice.

Last week, economist and serial health policy commentator Stephen Duckett told a Senate committee: “Every galah in every pet shop is talking about primary care payment redesign to reduce the emphasis on fee-for-service payment.” Read more

Updated AGPA newsletter

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Should a practice treat its own staff?

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W(h)ither general practice? Be careful what you wish for

Dr Ian Kamerman*

Let’s be quite clear. The move by the Department of Health to return general practice training to the colleges is a good thing. This is in fulfilment of their obligation to the Australian Medical Council.

This is, after all, what colleges are supposed to do, and now the general practice colleges will join their fellow specialty colleges.
However, my concern is that this may also signal a reduction in government engagement and its resourcing of general practice training.
What message is government sending? Read more

AGPA Editorial. Australian GPs deliver best outcomes

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Record 85.9 per cent bulk-billing rate

More Australian patients are visiting their GP without having to pay, with the bulk billing rate for the September quarter increasing to a record 85.9 per cent.

This is the highest bulk billing rate ever achieved for a September quarter – and significantly higher than Labor’s 82.2% when they were last in Government, according to Health Minister Greg Hunt.

“We’re spending more than ever before on Medicare – with record funding increasing each and every year from $23 billion in 2017-18, to $24 billion, to $26 billion to $28 billion in 2020-21,” he said. “Spending under Labor was $19.5 billion in 2012-13.

“Last financial year, Australian patients received an additional 21 million bulk billed GP visits compared with Labor’s last year in Government in 2012-13 – an increase of more than 20 per cent.”

Diagnosis creep: people made patients unnecessarily

Australians are increasingly facing ‘diagnosis creep’, where disease definitions are widened and people are unnecessarily turned into patients, experts say.

Dr Ray Moynihan (PhD), senior research fellow at Bond University, said expanded disease definitions were often decided upon by panels muddied by conflicts of interest, and had the potential to be harmful. Read more