The Sick System -Survival or Greed ?

Dr Thinus' musings

A recent excellent article in The Australian (See text below) highlighted the longstanding issues in our health system that are gnawing away at it like termites and will lead to the system imploding of we do not act.

The article identifies two main areas of concern the first being rorting of Medicare within General Practice. This is off course the more glamorous eye catching component and there are indeed spectacular examples as raised in the article. Things should be however placed in context – the Professional Service Review Investigations and findings involves less than 1 % of the General Practice work force in Australia. To attempt to extrapolate the overcharging of $187, 000 (average) by the 200 odd rogue practitioners to the over 30,000 other GPs out there is ridiculous – especially since the average fulltime GP’s net taxable income is  around $ 180,000 or less.

There is no…

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Google Health Cards: the first test drive



Google’s new health cards became active in Australia just a few hours ago, so I figured I’d be first to give them a test run.

Health cards are Google’s attempt to give the lay public sensible and evidence-based results on searches for medical conditions.

The ‘cards’ appear as a stand-alone box to the right of the usual Google search results, and contain a few sentences and a picture.

For example, when I type in ‘cold’, the usual, familiar results appear – first is my local weather (despite today being decidedly warm!) followed by the hits from more than a billion search results.

But in addition, a new box automatically appears, labelled ‘Common cold’. It contains an artist’s impression of nose-blowing (happily, a ‘before’ image with the tissue still clean) and three clickable sections: About; Symptoms; and Treatments.

Each section typically contains a couple of brief statements and some dot points…

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Doctors in race claim allegedly ‘lacking in key skills’

It is very important for the sake of Doctors seeking training, and the patients that they care for that proper training recognizes and supports adult learning. “Tough love” is not an excuse for taking people’s money and leaving them hanging.

Prehospital and Retrieval Medicine - THE PHARM dedicated to the memory of Dr John Hinds

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Health Care Homes: not yet where the heart is

Doctor's bag

Health Care Homes: not yet where the heart is

Doctors have called on the Federal Government to delay the implementation of the Health Care Homes model from the current starting date of 1 July 2017 by at least three to six months. Here’s why.

United General Practice Australia, which comprises the leading general practice organisations RACGP, AMA, RDAA, GPSA, GPRA, ACRRM and AGPN, has serious concerns regarding capitated funding for chronic disease management and treatment. It may harm patients, and it may undermine GP-led care when funding runs out.

Additional time to plan for the Health Care Home model is required to get the nation’s healthcare system right and properly consider, design, and implement the supporting tools, information and adequate funding mechanisms.

The extended timeline would allow stakeholders time to ensure the instruments and tools being used are appropriate and validated by evidence.

Health Care Homes: the background

A Health Care Home (HCH) is not a place but a partnership…

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