Mounting calls for Medicare to fund longer GP consultationsPeak health bodies believe the current rebate system unfairly punishes patients with complex needs.4 min read

7NEWS03-04 00:00

The average patient spends 20 minutes in their GP’s office — a timeframe doctors say can be too brief to catch subtle signs of illness.That standard consultation can offer barely enough time to ...

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USD-H","BK4534":"瑞士信贷持仓"},"translate_title":"医疗保险为更长时间的全科医生咨询提供资金的评级不断增加Speak卫生机构认为，当前的回扣制度不公平地惩罚了有复杂需求的患者。4分钟阅读","themeId":null,"isJumpTheme":false,"ttsUrl":null,"symbols_score_info":{"XAO.AU":0.9,"XKO.AU":0.9,"GP":1.5,"MND.AU":1,"XJO.AU":0.9},"content_text":"The average patient spends 20 minutes in their GP’s office — a timeframe doctors say can be too brief to catch subtle signs of illness.That standard consultation can offer barely enough time to scratch the surface of concerns for patients with comorbidities, or the more than 13 million Australians who have chronic or complex health issues.But longer consultations come a cost, and experts say this impacts on early intervention and overloads the health system.Know the news with the 7NEWS app: Download today ArrowThere are now 20 peak Australian health bodies united in their call for Medicare rebates on longer GP consultations to be boosted by 40 per cent.“When people can’t afford longer GP appointments, complications and other health issues develop — people get sicker and need expensive hospital care,” Royal Australian College of GPs (RACGP) president Dr Michael Wright said.For Victorian mother-of-two Sarah Willits, 47, who has lived with kidney failure for more than a decade, managing her chronic health condition leaves no time in a standard session to discuss other health concerns.“By the time I get through all my physical issues with my GP, time is up,” Willits said.“I would love longer appointments to have the chance for a wellbeing check to get the help I need with related issues.”Dangerous effects of delayed carePeak bodies have said long consultations are “critical” for conditions that require timely diagnosis for treatment to be most effective.Be the first to know: Add 7NEWS as your preferred news source on Google“Many of the early signs of multiple sclerosis (MS) are invisible or subtle, and timely diagnosis depends on GPs having enough time to recognise symptoms, listen carefully, and refer early,” MS Australia CEO Rohan Greenland said.“After diagnosis, longer consultations are just as critical for managing comorbidities and the complex, lifelong needs of people living with MS.”Motor Neurone Disease (MND) Australia CEO Clare Sullivan said reaching an MND diagnosis is also “often clinically difficult” and that “access to longer consultations to provide rapid and accurate diagnosis is crucial”.Diabetes Australia CEO Justine Cain said for the two million people with diabetes, a long consultation can “provide critical time to consider a referral to a credentialled diabetes educator or endocrinologists where appropriate”.“You can’t always manage a complex chronic condition in a 10-minute conversation,” she said.The knock-on effects of delaying care and diagnoses can be drastic, including an increase in hospital and emergency presentations, Australian Patient Advocacy Alliance CEO Deidre Mackechnie said.“Inadequate management of a chronic condition can result in disease progression to the point of disability, including the need to access the NDIS,” Mackechnie said.Kidney Health Australia, Parkinsons Australia, Sexual and Reproductive Health Australia, and Dementia Australia, Palliative Care Australia are also among the 20 peak bodies advocating for long consultation funding.“Longer consultations with the GP will contribute to better management and consequently better outcomes,” the group said.“Analysis shows increasing patient Medicare rebates for long GP appointments would deliver more than $338.9 million in annual healthcare system savings and mean more than 85 per cent of these appointments could be bulk-billed.”AFL great told he has less than a year to live: ‘I shed a few tears’1 min readDaughter’s priceless memento from mother before MND death2 min readHow various sessions are billedShorter consults are easier to bulk bill, as bulk-billing incentives for GPs apply per eligible service, not per minute.This disincentivises longer session for GPs but there are certain consults that cannot be rushed, the RACGP said.GP consults are booked by category — A, B, C and D — based on the nature of the concerns to be discussed, and the time likely required for related examination or management.A standard appointment — a level B consult lasting six minutes to 20 minutes — is privately billed at an average of $82. With the MBS rebate of $43.90, the average out-of-pocket cost for patients is about $38.For level C consults up to 40 minutes, and level D consults for anything longer, the bulk-billing incentive does not increase for doctors, who receive the same support funding for a 12-minute consult as they do for a 52-minute consult.This impacts their ability to bulk bill, which is already impacted by location remoteness.“The per-minute value of patient Medicare rebates decreases as patients spend more time with their specialist GP. That means, for many people, the sicker you are, the more you pay out of pocket,” RACGP said.“The only way to reduce out-of-pocket costs for patients who can’t be bulk-billed is to increase the Medicare rebate patients receive for longer consults.”‘Shut up’: Patient claims Aussie hospital dismissed severe back pain4 min readAussie musician holds her breath after debilitating diagnosis6 min read","kind":"highlight","is_publish_news":true,"is_publish_highlight":false,"is_publish_live":false,"is_publish_wemedia":null,"editions":null,"column":"","sentiment":"0","news_tag":"","news_rank":0,"symbols":[],"gpt_button":0,"need_auth":false,"code":"91000000","status":"200"},"commentList":[],"isCommentEnd":true,"newsSizeData":{"likeSize":0,"commentSize":0,"repostSize":0,"favoriteSize":0,"likeStatus":false,"favoriteStatus":false},"APP":{"userAgent":"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)","isDev":false,"isTTM":true,"tenantId":"TBGLOBAL","deviceId":"web-server-community-laohu8-v3","version":"4.36.2","shortVersion":"4.36.2","platform":"web","vendor":"web","appName":"ttm","isIOS":false,"isAndroid":false,"isTiger":false,"isTHS":false,"isWeiXin":false,"isWeiXinMini":false,"isWeiBo":false,"isQQ":false,"isBaiduSwan":false,"isBaiduBox":false,"isDingTalk":false,"isToutiao":false,"isOnePlus":false,"isHuaWei":false,"isXiaomi":false,"isXiaomiWebView":false,"isOppo":false,"isVivo":false,"isSamsung":false,"isMobile":false},"href":"/m/news/2616250300","isCrawlerRequest":true}