Currently trying to tease out how I’ve come to be limited to 6 physio sessions in outpatient physio when the physio says I need ongoing regular physio for the rest of my life. Just got off the phone with the service. It’s about funding pathways
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The Commonwealth funds outpatients differently depending on if they were referred via GP or ER/hospital service. The funding is better for state health services if outpatients are referred via hospital services vs GP
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So my current referral came via GP and puts me into a ‘community health’ funding stream. It limits me to six sessions a year. Apparently the way to get better funding for long term physio is to get into the ‘hospital physio’ funding stream. That requires a referral thru hospital
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So to get a hospital referral I have to wait for the next outpatient rheumatology appointment and state my case for why I need ongoing physio and get the rheum at the hospital to write the referral for ongoing physio
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My next hospital outpatient rheum appointment is likely to be in a few months from now
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At the hospital treating me there’s 110,188 patients who presented to ER in 2017-18 and 159,678 outpatient appointments
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If the C’wealth funded community health outpatient services the same regardless of if a patient comes via GP or outpatient clinic appointment, it’d reduce bottle-necks in outpatient services & revolving door presentation at ER because clients could access services in a timely way
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Asher Wolf Retweeted Health Nerd
So why isn’t the Commonwealth covering the costs for ppl with ongoing progressive conditions? I will need physio for the rest of my life. Health policy is a shamhttps://twitter.com/gidmk/status/1128109557325033472?s=21 …
Asher Wolf added,
Health NerdVerified account @GidMKReplying to @GidMK @Asher_WolfMedicare only rebates for a set number of clinic visits per year, so if people are under that scheme, it's 6 appointments then a review. Alternatively, the hospital can keep providing the appointments past this date as an entirely free service and eat the cost2 replies 2 retweets 11 likesShow this thread
Short answer? It's one of the places that States and Commonwealth have a tug of war going on. Technically it's community/population health, so the Commonwealth should pay, but there aren't really funding mechanisms so it falls apart
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