Aust Fam Physician
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Communication about end of life care may involve difficult conversations for patients, family members and health professionals. However, a lack of understanding of a person's wishes about their future care may result in a loss of dignity for the person, and additional distress for their family members and health professionals and burden to the healthcare system. ⋯ Involving patients and their family members in advance care planning may be challenging and time consuming for GPs. However, there are a number of resources to support this activity in relation to training, communication support and Medicare item funding.
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Bone mineral density is presently the only reliable diagnostic test for osteoporosis. ⋯ Bone mineral density is subsidised for all patients aged more than 70 years, yet GPs are more likely to request bone mineral density tests only among those who already have a fracture. General practitioner education on the role of bone mineral density testing among all patients aged 70 years or more is important as it influences initiation of appropriate osteoporosis treatment.
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The Healthy Kids Check aims to gather health information, identify health problems and promote healthy lifestyles around the time of the 4 years of age vaccinations. It consists of a checklist of examinations and assessments, six of which are mandatory. ⋯ The proposed examination enables general practitioners to remain positively engaged with families and contribute toward the health surveillance of preschool children. Changes to the Medicare Benefits Schedule, which support time based reimbursement for preventive healthcare may encourage greater uptake of the Healthy Kids Check.