de Graaff, B and Nelson, M and Neil, A, Up, up and away: The growth of after-hours MBS claims, Australian Family Physician, 46, (6) pp. 407-411. ISSN 0300-8495 (2017) [Refereed Article]
Copyright 2017 The Royal Australian College of General Practitioners.
Official URL: http://www.racgp.org.au/afp/2017/june/up,-up-and-a...
Methods: Retrospective analysis of MBS claims data for general practitioner (GP) after-hours items from 2010–11 to 2015–16 was conducted. The Tasmanian experience is presented as a case study.
Results: The number of claims was greatest for MBS item number 597 (urgent, sociable after-hours consultations), increasing by 170% over the study period. For jurisdictions with dates identified for the introduction of AHMDSs, dramatic growth in per capita claims were observed: 1270% for the Australian Capital Territory, 485% for Tasmania and 150% for the Northern Territory. For Tasmania, no decrease in emergency department presentations was observed.
Discussion: Rapid increases in after-hours claims for MBS item number 597 have coincided with the introduction of AHMDSs in three jurisdictions. The impact on patient outcomes and equitable resource distribution requires attention.
|Item Type:||Refereed Article|
|Keywords:||Medicare, after-hours, value in health|
|Research Group:||Applied Economics|
|Research Field:||Health Economics|
|Objective Division:||Expanding Knowledge|
|Objective Group:||Expanding Knowledge|
|Objective Field:||Expanding Knowledge in the Medical and Health Sciences|
|Author:||de Graaff, B (Ms Barbara de Graaff)|
|Author:||Nelson, M (Professor Mark Nelson)|
|Author:||Neil, A (Dr Amanda Neil)|
|Deposited By:||Menzies Institute for Medical Research|
|Downloads:||1 View Download Statistics|
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