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2 Comments

  1. 1

    Richard Hockey

    This article is quite misleading as it only includes MBS data. Public hospital outpatient data was not included as its not available. Use of specialist services in MBS is highly dependent on income and insurance status. Patients with low income tend to use public hospital clinics so are completely missing from this study. The only comparable group are the GP visits as they are largely unaffected by insurance status.

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  2. 2

    tim woodruff

    agree with above comment. The case is not made by the evidence provided, but it may still be true as access to public hospitals is somewhat problematic.

    But not sure that the evidence that GP service access is equitable. Using Mooney’s definition of equity (equal access to equal care for equal need), I wonder whether the adjustment for need used in this study and the adult study takes into account the extra need because of all the social determinants of health factors such as education ( explaining to and getting adherence to treatment requires more time simply because a person might have trouble understanding), culture, poverty itself etc.

    tim woodruff
    doctors reform society

    Reply

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