Can we deliver high value care with one eye on the clock and the other on the screen?

So true – especially it is those long consults with frail and complicated, often elderly, patients that we are most likely to end up bulkbilling.

You can only work the system with add-ons like Careplans and Health Assessments so far – after that it becomes a loss maker for the business

Doctor's bag

Long consultations

Given longer consultations are associated with better health outcomes, the Medicare Benefits Schedule should be restructured to incentivise appropriate consultation time in general practice.

It is estimated that doctors are making an incorrect diagnosis in up to 20% of cases, and up to 30% of investigations may be unnecessary. It is often thought that medical knowledge and skills are the culprit, but there is another reason for the majority of medial mistakes.

Doctors need time to listen and think. General practice’s inherent time pressures, interruptions and the need to record information on computers can be distracting and cause cognitive errors. Our thinking process is also influenced by our emotions; for example, as a result of work stress or running late.

This is not rocket science and has been well documented. For example, in his New York Timesbestseller, How doctors think, Harvard professor Jerome Groopman described how snap…

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