The RACP has thrown its support behind a proposal to allow consultant specialists to refer directly for Medicare-rebated consultations with allied health professionals, bypassing the GP.
In a plan laid out by the MBS Review Taskforce, a direct referral pathway will allow specialists to refer patients with chronic complex morbidities directly to allied health practitioners such as dieticians, nurses, physiotherapists and psychologists.
The proposals released for consultation early this year gave examples such as gastroenterologists referring to psychologists to treat IBS, or endocrinologists referring patients to a diabetes educator or nurse.
Consultant specialists can already refer to allied health professionals, but the patient will not have access to a Medicare rebate. Currently, patients must be assessed by their GP for eligibility and development of a GP Management Plan (item 721). If granted, the patient can access up to five AHP visits with a rebate.
“This is inconvenient for patients, adds an additional cost of visiting their GP, and increases the likelihood of the intervention not taking place,” the Taskforce noted.
It recommended that direct referrals be introduced “but only after a full review of the evidence and the associated costs and benefits of any suggested pathway.”
In its response to the proposals, the RACP said a poll of members showed that 71% agreed with the introduction of an Allied Health Pathway (after removing the one fifth of ‘don’t know’ respondents).
Supporters of the proposals said direct referrals would make for better team care and also reduce costs for patients.