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Minister pushes for MBS review of eating disorders

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BRETT EVANS FEDERAL Minister for Health Greg Hunt is pushing for changes to Medicare items for eating disorders in response to concerns about high suicide rates.
In a letter to the Medicare Review Taskforce, the minister urged them to look at whether the current MBS model was failing to provide access to treatment for people with eating disorders.
“ In particular, I would like the taskforce to look at options to better align the MBS with national standards for safe integrated treatment for eating disorders that address all aspects of the illness, including physical, psychological, behavioural, nutritional, occupational and social needs,” he wrote.
The minister was responding to the Butterfly Foundation for Eating Disorders, which released findings
‘ With a disease like anorexia nervosa, you probably need one session of psychological therapy a week,’ says Professor Hay.
from a meta-analysis last week showing that suicide is up to 31 times more likely for people with an eating disorder.
According to the Butterfly Foundation, the minister also committed to making eating disorders core business
for primary health networks and to including workforce training and service development for the condition as part of the Fifth National Mental Health Plan.
The foundation said that, under the Medicare system,
patients were unable to access early treatment.
Medicare presently covers 10 sessions of psychological therapy. Clinicians specialising in eating disorders told Australian Doctor that this was inadequate.
“ With a disease like anorexia nervosa, you probably need one session a week, and you might need that for a year”, said psychologist Professor Phillipa Hay from Western Sydney University.
“ And for bulimia nervosa, and other forms of eating disorders, they often do need more than the 10 sessions”.
“ There is a lot of stigma associated with eating disorders.
“ It is perceived as a selfinflicted problem, and unfortunately, doctors aren’ t immune from the general community’ s beliefs and attitudes,” Professor Hay added.

Experts say, eggs are OK every day.

The National Health & Medical Research Council’ s Australian Dietary Guidelines * advise:“ There do not appear to be any increased health risks associated with consumption of eggs. There is recent evidence to suggest that consumption of eggs every day is not associated with increased risk of coronary heart disease.” So when it comes to recommending a healthy, affordable source of protein for your patients, eggs are hard to beat. Find out more at enc. org. au
* https:// www. eatforhealth. gov. au / guidelines, PDF page 51.
2 | Australian Doctor | 12 May 2017 www. australiandoctor. com. au