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Health Care

Does Enhanced Primary Care enhance primary care? Policy-induced dilemmas for allied health professionals

Michele M Foster, Geoffrey Mitchell, Terry Haines, Sean Tweedy, Petrea Cornwell and Jennifer Fleming
MJA 2008; 188 (1): 29-32
Abstract
  • One aim of Medicare’s Enhanced Primary Care (EPC) initiative is to encourage multidisciplinary care of patients with chronic disease by funding five allied health treatment sessions per patient per year.

  • In many cases, the number of funded treatments is far less than standard clinical practice indicates, particularly when the five visits are shared between service providers.

  • We believe clinical outcomes may be compromised by adhering to the funded hours, and inequity of outcome may arise based on socioeconomic status and the ability of patients to pay.

  • Research that determines how patients and allied health practitioners are responding to this initiative is required.

  • Research is also required to evaluate whether EPC enhances clinical outcomes compared with no allied health intervention and standard allied health practice.

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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377