To the Editor: Donovan and colleagues bring attention to the restrictions placed by the Health Insurance Commission via the Medicare system on clinicians investigating patients for sexually transmitted infections (STIs).1 In their study of Sydney general practitioners, they suggested that reform was required to the three-test pathology testing rule to improve gonorrhoea screening in high-risk individuals living in a region of epidemic gonorrhoea.
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- Kimberley Public Health Unit, Derby, WA.
- 1. Donovan B, Knight V, McNulty AM, et al. Gonorrhoea screening in general practice: perceived barriers and strategies to improve screening rates. Med J Aust 2001; 175: 412-414.
- 2. Guidelines for managing sexually transmitted infections. Perth: Sexual Health Program, Communicable Disease Control Branch, Health Department of Western Australia, 2001.
- 3. BT v Oei [1999] New South Wales Supreme Court Case No. 1082.