PMID: 20642408Jul 21, 2010Paper

Decline with a capital D: long-term changes in general practice consultation patterns across Australia

The Medical Journal of Australia
Michael J TaylorHal Swerissen

Abstract

To determine changes in the pattern of use of standard general practice consultations, and the degree to which any changes are offset by the use of special Medicare Benefits Schedule (MBS) items. Population-based retrospective analysis of age- and sex-standardised Medicare claims data (1994-2009) on the utilisation of general practice standard consultations (Levels A, B, C and D) alone and in combination with health assessments and care plans and other special MBS items. Utilisation rates of Level C and D (long) consultations increased consistently from 1994 to 2004, but by 2009 a considerable decline had occurred. A reverse of this pattern was observed for Level A (short) consultations. When utilisation rates for special items and long consultations were combined, the combined utilisation rate followed an upward trend until 2007, but also declined in 2008 and 2009. The decline in the use of Level C and D consultations in recent years has been dramatic and accompanied by an increase in use of Level A consultations. While the use of special items has offset the decline in long consultations, this compensating effect has weakened in the past 2 years. This pattern is at odds with health policy objectives that rely on long consulta...Continue Reading

References

Jul 20, 2004·The Medical Journal of Australia·Fernando A InfanteMark F Harris
Jul 20, 2004·The Medical Journal of Australia·Helena BrittJillann Farmer
Feb 5, 2008·Australian Health Review : a Publication of the Australian Hospital Association·Hal Swerissen, Michael J Taylor
May 26, 2010·Australian Health Review : a Publication of the Australian Hospital Association·Michael J Taylor, Hal Swerissen

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Citations

Oct 19, 2011·The Medical Journal of Australia·Gary L FreedNeil A Spike
Feb 18, 2014·The Medical Journal of Australia·Michael J Taylor
May 7, 2011·Drug and Alcohol Review·Richard HallinanAlex Wodak
Jul 21, 2010·The Medical Journal of Australia·Helena C BrittGraeme C Miller
Mar 26, 2013·Australasian Journal on Ageing·Michael J TaylorHal Swerissen
May 2, 2013·Australian Health Review : a Publication of the Australian Hospital Association·Michael J TaylorHal Swerissen

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