stated their business was thriving and they were busier than ever before , mainly because more people were interested in health and well-being , but also because clients were unable to be treated by other services . Some clients stayed away because they were concerned about catching COVID during a face-to-face visit . Loss of unvaccinated clients was frequently stated and some vaccinated clients were unwilling to go to a clinic that had treated unvaccinated clients .

ii ) Mandates Vaccines , masks , and lockdowns were issues described by respondents . Extra precautions , like more thorough cleaning procedures , cleaning between clients and working while wearing a mask , made working difficult for some respondents . Long term , respondents felt that government-mandated lockdowns had a big impact on business . iii ) Change to Delivery of Health Care For many respondents , the impact of COVID on their business meant a partial or complete redesign of their delivery methods . For some , a redesign included more online consultations , and some switched to telehealth only . While many have gone back to face-to-face consultations , others have stayed online or with telehealth . Some practitioners said the transition to online or telehealth was initially challenging but has had a long-term positive effect .

Discussion

Results of this survey enhance our understanding of natural medicine professions in Australia , including : i ) the viability of practice as indicated by reports of gross income , numbers of consultations and consultation fees , ii ) years in clinical practice and work setting , iii ) health fund rebates for

natural medicine , iv ) collaborations with other health practitioners , v ) reported safety , and vi ) the impact of COVID-19 on natural medicine professions .

i ) Practice viability The question about gross income was not answered by almost a third ( 27.8 %) of those completing the survey . Of those who provided a response , gross incomes were most frequently ( 21.8 %) reported between $ 20,001 to $ 40,000 . However , combining higher income categories showed 42.9 % reported earning over $ 40,000 . According to the Australian Bureau of Statistics ( 2023 ), in the financial year 2020-2021 , the median Australian personal income was $ 54,890 . Registered Practitioners reported the highest gross incomes with 9.23 % reporting gross incomes over $ 120,000 . A total of 7.2 % of Ingestive Medicine practitioners also reported gross incomes

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