<institution content-type="university">Academic Unit of Psychiatry and Addiction Medicine, The Australian National University School of Medicine and Psychology, Canberra Hospital</institution>, <addr-line>Building 4, Level 2, PO Box 11, Garran</addr-line>, <city>Canberra</city>, <state>ACT</state> <postal-code>2605</postal-code>, <country>Australia</country>; and <institution content-type="university">Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA)</institution>, <city>Canberra</city>, <state>ACT</state>, <country>Australia</country>.
<institution content-type="university">Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA)</institution>, <city>Canberra</city>, <state>ACT</state>, <country>Australia</country>; and <institution content-type="university">College of Medicine and Public Health, Flinders University</institution>, <city>Adelaide</city>, <state>SA</state>, <country>Australia</country>.
Aust Health Rev. 2024 Feb;48(1):34-36. doi: 10.1071/AH23237.
In 2022, the Australian Federal Minister for Health and Aged Care commissioned the Medicare Benefits Schedule (MBS) Review Advisory Committee (MRAC) to conduct a post-implementation review of MBS telehealth services, including settings of video and telephone consultations. The MRAC has made a series of administrative recommendations for telehealth practice that appear at cross-purposes to the evidence-base on medical consultations and that would limit patient access to medical specialist assessment in Australia. These recommendations particularly underestimate the role of telehealth in rural and remote Australia and did not take into account high patient satisfaction with telehealth assessment and treatment during the ongoing coronavirus disease 2019 (COVID-19) pandemic. They also appear to contradict the Medical Board of Australia's guidance on telehealth. On this basis, the recommendations for telehealth principles and abolition of reimbursement for telehealth for all initial non-general practitioner medical specialist consultations should be withdrawn.
2022 年,澳大利亚联邦卫生和老年护理部长委托医疗保险福利计划(MBS)审查咨询委员会(MRAC)对 MBS 远程医疗服务进行实施后审查,包括视频和电话咨询的设置。MRAC 针对远程医疗实践提出了一系列行政建议,这些建议与医疗咨询的证据基础背道而驰,并且会限制澳大利亚患者获得医学专家评估的机会。这些建议特别低估了远程医疗在澳大利亚农村和偏远地区的作用,并且没有考虑到在持续的 2019 冠状病毒病(COVID-19)大流行期间,患者对远程医疗评估和治疗的高度满意度。它们似乎也与澳大利亚医疗委员会关于远程医疗的指导意见相矛盾。基于此,应撤回关于远程医疗原则的建议和取消所有初始非全科医生医学专家咨询的远程医疗报销。