Australian Healthcare System Flashcards

1
Q

Medicare (define)

A

Form of Commonwealth Government-sponsored health insurance that funds hospitals and medical practitioners and provides access to free* healthcare for Australian citizens (and citizens of countries with reciprocal arrangements).

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2
Q

MBS (define)

A

Medicare benefits schedule pays for consultations by medical practitioners and some investigations/procedures - e.g. GP appointments, diagnostic imaging, pathology.

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3
Q

PBS (define)

A

Pharmaceutical benefits scheme provides subsidised medicines and covers the balance for patients with concessional entitlements.

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4
Q

National health and hospitals network agreement (explain)

A

Outlines the responsibilities of state and federal governments for funding of public hospitals. States are primarily responsible for provision of public healthcare (approx. 60% of total expenditure) and Cth provides capped contributions.

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5
Q

Bulk-billing (explain)

A

Medical practitioners bill Medicare directly for the episode of care and accepts the pre-determined rebate as full settlement of the account.

Cf. private billing where the doctor bills the patient directly with no upward limit of fees and the patient obtains a rebate from Medicare for a percentage of the cost.

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6
Q

Gap Fee (define)

A

The difference between the Medicare rebate and the doctor’s fee for an episode of care. i.e. the out-pf-pocket expense for the patient.

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7
Q

Primary vs Secondary healthcare

A

Primary healthcare is provided at the first point of contact for the patient entering the health system - e.g. GP clinics, pharmacies, allied health practises, ACCHOs. It includes treatment for acute episodes of illness in the community and referrals to secondary healthcare. Secondary healthcare is provided by a facility or specialist after receiving a referral from a primary health provider - e.g. hospitals, specialist practices.

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8
Q

Clinical nurse specialist

A

RN with post-registration qualifications in specialty area of practice. Contributes to specialist knowledge and improvement of clinical practice in workplace.

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9
Q

Clinical nurse educator

A

RN with clinical experience in specialty area and qualifications in education. Delivers clinical education programs in workplace.

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10
Q

Clinical nurse consultant

A

RN with masters-level qualifications and 3-7 years full-time post-registration experience in distinct specialty. Provides clinical services, consultancy, leadership, research, education and management.

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11
Q

Nurse unit manager

A

RN in charge of ward/unit or group of wards. Coordinates patient services, nursing staff and ward management.

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12
Q

Nurse practitioner

A

Advanced practice RN with AHPRA endorsement. Provides independent/autonomous practice including assessment, diagnosis and management of patients.

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13
Q

Intern (Junior Medical Officer)

A

New graduate, provisionally registered by MBA, completing 1+ years of supervised practice involving rotation through specialities (medicine, surgery and emergency).

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14
Q

Resident Medical Officer

A

Fully-registered and licensed by MBA, medical practitioner engaged in independent medical practice.
SRMO - completed 1 year of residency but has not yet applied to training program.

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15
Q

Registrar

A

Medical practitioner undertaking accredited course of study leading to higher medical qualification and/or admission to specialist medical college.

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16
Q

Specialist (Consultant)

A

Medical practitioner who has successfully completed the entry requirements for and been admitted as a fellow of a specialist college.