Comprehensive nutritional support for preconception, pregnancy and breastfeeding
generally express positive perceptions of GPs and their management of client care, however the gatekeeping role of GPs has been challenged. In one study, co-located natural medicine practitioners were interviewed about their experiences of GP referrals.( 13) Some supported the GP as gatekeeper because of their diagnostic skills, particularly in regard to patients requiring immediate medical intervention. However, others believed their own education and experience in identifying those requiring referral for medical care, in managing complex chronic health conditions and in illness prevention more than adequate to act as first line care. Natural medicine practitioners have expressed concerns about GPs ' scepticism regarding the evidence-base for natural medicine and their reticence to refer clients to them.( 14-16) Respondents also referred to the
widespread provision of multi-modal, holistic services by members for clients, often with complex health care needs and co-morbidities( 17-19) and the challenge this brings to health fund item codes. However, around a fifth of respondents supported dedicated item codes for preventive health care, chronic condition management, women’ s health and mental health conditions.
The results of this survey provide strong evidence to inform ATMS ' s strategic consultation with private health funds and to reinforce their advocacy for better recognition and support of natural therapy practitioners. ATMS is well-positioned to represent these needs to health funds and stakeholders and pledges to continue to lead a datainformed approach to practitioner advocacy and sector reform.
Strategic Recommendations
Based on the results of this survey, ATMS recommends the following:
1. Design simplified, flexible item Codes
• Prioritise appointment-type or time-based options with minimal complexity
• Consider bundling options for consultation + dispensary or wellness programs
2. Advocate against GP referral requirements
• Align with member sentiment that referrals create unnecessary barriers
3. Support broad claim categories
• Advocate for codes that recognise care for chronic conditions, preventative health, and women’ s health
Reformulated
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Comprehensive nutritional support for preconception, pregnancy and breastfeeding
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