Schütze Heike, Pulver Lisa Jackson, Harris Mark
BSc, MPH, is a research officer, Centre for Primary Health Care, University of New South Wales.
Aust Fam Physician. 2016 Jun;45(6):415-20.
The Medicare-rebated Health Assessment for Aboriginal and Torres Strait Islander People (Medicare Benefits Schedule [MBS] item number 715) has been progressively implemented across Australia since 1999.
This paper explores some of the reasons why the uptake of Health Assessment for Aboriginal and Torres Strait Islander People remains low in some metropolitan general practices.
Semi-structured interviews and self-complete mail surveys with 31 general practice staff and practitioners were combined with an audit of practice systems and patient medical records in seven general practices in Sydney.
Barriers to MBS item number 715 uptake included low rates of Indigenous status identification, lack of knowledge of MBS item numbers, lack of organisational teamwork within the practice and avoidance of billing specific MBS item numbers.
The low uptake of MBS item number 715 in some metropolitan areas is of particular concern given the known gaps in Aboriginal and Torres Strait Islander health. Targeted action is required to address the barriers to uptake and re-evaluate the use of MBS item number 715 as a key performance indicator.
自1999年以来，澳大利亚已逐步推行针对原住民和托雷斯海峡岛民的医疗保险报销健康评估（医疗保险福利计划[MBS]项目编号715）。
本文探讨了在一些大都市普通诊所中，原住民和托雷斯海峡岛民健康评估的接受率仍然较低的部分原因。
对31名普通诊所工作人员和从业者进行半结构化访谈和自填式邮件调查，并结合对悉尼七家普通诊所的诊疗系统和患者病历的审核。
MBS项目编号715接受率的障碍包括原住民身份识别率低、对MBS项目编号缺乏了解、诊所内缺乏团队合作以及避免开具特定MBS项目编号的账单。
鉴于已知的原住民和托雷斯海峡岛民健康差距，一些大都市地区MBS项目编号715的低接受率尤其令人担忧。需要采取有针对性的行动来消除接受障碍，并重新评估将MBS项目编号715用作关键绩效指标的情况。
