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Copyright: © 2015 Comino E. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Australian’s generally have access to a high class health care system administered by the Australian Government Department of Human Services through Medicare [1]. Under Medicare claims for medical, specialist, diagnostic and other health care services and pharmaceutical products are subsidised according to claims for specific Medicare Items as defined by the funding schedules. Medical care provided by general practitioners (GPs) is charged as a fee for service and are frequently ‘bulked billed’ so that there are no out of pocket costs for patients. This model of funding has limitations for the ongoing treatment and management of patients with chronic and complex care needs such as diabetes. A number of specific financial incentive payments to enhance the quality of care for these patients have been introduced in recent years including the Practice Incentive Program (PIP) and Chronic Disease Management (CDM) Medicare Items. PIP payments support accredited general practices and GPs to implement best practice processes of care, enhance practice capacity for management of patients with chronic and complex care needs, and improve patient outcomes [2]. CDM Items are designed to encourage multidisciplinary and team care arrangements involving the GP and other health care professionals [3]. They include payments for the preparation and review of multidisciplinary GP Management plans (GPMP) and establishing Team Care Arrangements (TCA).

primary health care

Access to Health Care for People with Diabetes: Variation in the Use of Primary Care Services for Diabetes Management According to Country of Birth and Geography among Older Australians