Less is more


Doctor's Bag

Less is more

I was asked to address the Committee for Economic Development of Australia (CEDA)about how to place health consumers at the centre of future healthcare reform and the delivery of health services. ‘Less is more’ is the presentation I gave on 2 November in Brisbane.

I would like to take you with me this morning to my practice in the Sunshine Coast hinterlands and introduce two of my patients. For privacy reasons their names and details have been altered.

To refer or not to refer?

My first patient is Susan, age 24. Susan requests a referral letter to a plastic surgeon. When asked she explains that she thinks her breasts are too small, and that she wants a breast enlargement.

What would you do if you were in my shoes?Can I please see a show of hands: who would refer Susan? Who wouldn’t?

This is of course about shared decision-making.I noticed…

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