Up, up and away: The growth of after-hours MBS claims.

Q3 Medicine

Australian family physician Pub Date : 2017-06-01

Barbara de Graaff, Mark Nelson, Amanda Neil

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引用次数: 0

Abstract

Background: Media reports suggest that growth in urgent, after-hours Medicare Benefits Schedule (MBS) claims has coincided with an increasing number of after-hours medical deputising services (AHMDSs). This article assesses these claims in the context of an increasing presence of AHMDSs.

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.

本刊更多论文

上升，上升，离开:盘后MBS索赔的增长。

背景:媒体报道表明，紧急，下班后医疗保险福利计划(MBS)索赔的增长与下班后医疗代理服务(AHMDSs)数量的增加相吻合。本文在AHMDSs日益增多的背景下对这些说法进行了评估。方法:回顾性分析2010-11年至2015-16年全科医生(GP)下班后项目的MBS理赔数据。塔斯马尼亚的经验是一个案例研究。结果:MBS项目编号597(紧急，社交下班后咨询)的索赔数量最多，在研究期间增加了170%。在确定引入AHMDSs日期的司法管辖区，观察到人均索赔的急剧增长:澳大利亚首都地区为1270%，塔斯马尼亚州为485%，北领地为150%。在塔斯马尼亚州，急诊就诊人数没有减少。讨论:在三个司法管辖区引入AHMDSs的同时，MBS项目编号597的非工作时间索赔迅速增加。需要注意对患者预后和公平资源分配的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian family physician 医学-医学：内科

CiteScore

0.61

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian GPs to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to a peer-review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded.