- Written by David Guest
Practices on the North Coast are beginning to feel the effects of the Coalition's freeze on Medicare rebates. Several practices are foreshadowing changes to their billing practices with rises in fees and decreases in bulk billing expected.
Patients can expect to see flyers and posters such as those below encouraging patients to contact their local members, the Minister for Health and the Prime Minister about the effects the rebate freeze will have on both themselves as individuals and more generally on the Australian health system.
It is anticipated that this will become an increasingly significant issue over the next 12 months in the lead up to the next Federal election.
- Written by Robin Osborne
When Connie Sporne took up yoga 25 years ago she had no idea that within a decade she would have relocated to Doha in the Gulf Emirates with her husband, an oil and gas engineer, and be teaching the practice in people’s homes, one of them a princess’s palace.
At the time she was living in Adelaide, had children, owned and ran a health food store, and was training to be a naturopath. A technique to reduce stress seemed a useful part of the mix.
Later, Connie moved to Melbourne where she took up yoga teacher training, and conducted classes that were attended by her daughter Lucy, then pregnant with twins, now aged 36 and also living in Alstonville.
- Written by Harald Puhalla, MD FRACS, Assoc Prof of Surgery, Griffith University
In Australia more than one million people are diagnosed with type 2 diabetes and at least two million have pre diabetes.
The rapid increase of type 2 diabetes goes in hand with the well-known obesity epidemic. A strong association in-between increased body fat and insulin resistance was initially described as part of the Syndrome X in the 1980’s. More recently in conjunction with hypertension and hyperlipidaemia, obesity and elevated glucose level were named metabolic syndrome. 80% of patients with type 2 diabetes are obese or overweight. When their diabetes becomes clinically apparent the risk for cardiovascular events rises sharply. In these patients obesity additionally increases their possibility of developing pulmonary embolism, cancer, osteoarthritis, depression or asthma.
- Written by Robin Osborne
As yoga increasingly puts the world into contortions, a key challenge for would-be followers is choosing a style to adopt. In the Northern Rivers, there is no shortage of options, from the traditional to the upside-down. GP Speak editor and yoga enthusiast Robin Osborne investigates this increasingly popular form of exercise.
Cricket may be India’s national sport but it is the home-grown pastime of yoga that has been enshrined in the governance of the country where it was developed. After coming to office a year ago, India’s charismatic prime minister Narendra Modi established a ministry with a name as complex as a difficult yoga asana (posture) – the Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy.
Then, with the backing of the United Nations General Assembly, he announced that an International Yoga Day would be held annually on June 21, the solstice/equinox, depending on the hemisphere one inhabits.
- Written by Dean Denman
Improved data management through clean data will make looking after patients easier for both GPs and their medical practices, as Dean Denman explains.
The new Primary Health Networks (PHNs) will have an increased role in supporting practices undertaking chronic disease management. Under the new arrangements there will be a greater focus on data analysis at the practice level. In the past many practices, particularly those that have taken part in federally funded quality improvement programs, have used clinical audit tools such as PENCAT and Canning. Many of the contracts for using these tools have now expired and other options are being explored.
Nearly all clinical software has built in tools to extract data useful for the management of chronic diseases.