A Deloitte study on General Practices in 2019 predicted an increase in unmet medical needs and a decrease in the medical workforce. The study discussed new models of care with interdisciplinary team care including nurse practitioners and community paramedics. Australian Health Journal spoke with the Australasian College of Paramedicine on the role paramedics can play aside from delivering emergency care in transit.
John Bruning is the CEO of the Australasian College of Paramedicine, which has been representing the paramedicine profession in Australia and New Zealand for more than 50 years. According to John, there have been exciting developments in the paramedicine and health fields the past year.
The scope of practice review, as well as the Federal Government’s efforts to improve patient outcomes through multidisciplinary team care, have been particularly noteworthy. While paramedics have traditionally been associated with emergency response and ambulance services, the review has highlighted the potential for them to play a significant role in supporting the healthcare of local communities.
Bruning points out paramedics have the opportunity to play a key role in supporting healthcare and improving patient outcomes. Paramedics should be utilised more widely in urgent care clinics to improve patient outcomes as they are experts in urgent, acute, unplanned care.
Despite being seen primarily as emergency responders, paramedics have long been providing care in the primary care space. As such, their increased involvement in primary and urgent care is a natural progression that can lead to improved health outcomes for communities. Urgent care clinics, which treat non-life-threatening injuries and illnesses, have been a recent introduction. However, when these clinics were initially proposed, paramedics were left out of the opportunity, despite being experts in urgent, acute, unplanned, and unscheduled care. They work in these types of situations every day in the ambulance service and should be utilised in these clinics to improve patient outcomes. Working as part of multidisciplinary teams with doctors and nurses can further enhance the outcomes for local communities.
Discussing with Australian Health Journal, Michelle Murphy, the Advocacy and Government Relations Lead for the Australasian College of Paramedicine, says that having a sustainable health workforce is essential for improving access to healthcare. Paramedicine is currently the fastest-growing health workforce, growing at 9% per annum for the last four years. Urgent care clinics are filling the gap between family or primary care and tertiary or hospital-based care and reducing the pressure on emergency departments and ambulances. Paramedics are well-placed to work in these clinics, delivering ad hoc unplanned clinical care when it is urgent but not an emergency. Multidisciplinary teams improve access to care by enabling communities to think about the health providers they need and bringing together different providers to work together to deliver care in communities.
Murphy references a study involving Associate Professor John Adie at the University of the Sunshine Coast. As Assoc Professor of Urgent Care, Prof Adie talks about the workforce of General Practitioners at the time predicted to decrease by 25% from 2019 to 2023, while the unmet need was expected to increase by 38%. Some countries are adopting new models that involve nurse practitioners and community paramedics as part of the workforce. These practitioners will be able to assist GPs in seeing patients with non-life-threatening urgent conditions.
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Op-Ed: CGT and proposed RDTI changes creating uncertainty in life sciences
Proposed Budget changes to the Research and Development Tax Incentive (RDTI) will disproportionally impact Australia’s biotech, medtech and health tech sector forcing more home-grown companies to consider moving overseas.
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Continuity of Care under COVID-19
Series 3, Episode 1
Under the COVID-19 pandemic, the Australian Healthcare system has handled the public health crisis by monitoring and responding to challenges in supply chains, testing & tracing of new infections and stock piling of essential equipment.
The public has largely responded by practising social distancing, understanding how hand hygiene can spread contagion and recently installing the COVIDSafe mobile application. Public health messaging has been largely effective and literacy improve, to combat the dangers of misinformation.
To open up access to medical advice during the pandemic, in March the Australian government issued MBS item codes for telehealth consultations, for advanced practice nurses as well as GPs and other specialists.
According to AMA President Dr Tony Bartone, as of mid-May 2020, around 10 million Medicare-funded telehealth services have been provided, either over the phone or via video, a significant majority of which have been provided by GPs and other specialists since the Medicare telehealth items were introduced in March.
However in recent months, the health system has mounting concerns on:
- a reduction in general practice visits for testing, investigation or immunisation
- lower rates of elective procedures resuming since being halted
- reduction in laboratory testing
- reduction in treatments and diagnosis of chronic and acute conditions
- access to, and continuing to take medications
Those with pre-existing conditions have been urged to keep appointments and routine treatments to maintain their health.
Industry has taken action such as the newly formed Continuity of Care Collaboration (CCC). The 15 health organisations forming CCC are an Australian first national communication collaboration of Peak Bodies, Industry and Healthcare Organisations coming together to stress the importance for people to continue monitoring their health and maintaining their regular care.
This Australian Health Journal episode on the continuity of care was produced with commentary from the following health industry associations and organisations: APNA – Australian Primary Health Care Nurses Association, RACGP, Medical Technology Association of Australia (MTAA), West Cessnock Medical Practice, Consumers Health Forum of Australia, Medicines Australia
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Supporting women in arthroplasty, surgery & orthopaedic oncology
Associate Professor Claudia Di Bella is an academic orthopaedic surgeon based in Melbourne, specialising in orthopaedic oncology and complex joint reconstruction. Originally trained at the world-renowned Rizzoli Orthopaedic Institute (Istituto Ortopedico Rizzoli) in Bologna, Italy, she moved to Australia in 2010 and was awarded Fellowship of the Royal Australasian College of Surgeons in 2013.
