Aust Fam Physician
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The Medicare-rebated Health Assessment for Aboriginal and Torres Strait Islander People (Medicare Benefits Schedule [MBS] item number 715) has been progressively implemented across Australia since 1999. ⋯ The low uptake of MBS item number 715 in some metropolitan areas is of particular concern given the known gaps in Aboriginal and Torres Strait Islander health. Targeted action is required to address the barriers to uptake and re-evaluate the use of MBS item number 715 as a key performance indicator.
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Public health is the organised efforts of society to prevent disease, promote health and prolong life in the population. While the focus of general practice is on the care of individuals and families, general practitioners (GPs) have an essential role in promoting the health of the population. ⋯ Clinical general practice contributes to promoting population health. In addition, many GPs undertake work that extends beyond clinical care. The Royal Australian College of General Practitioners' (RACGP's) curriculum includes population health and the context of practice as one of its five domains. Core skills include the incorporation of a population health perspective into clinical practice, and leadership and advocacy in addressing the health needs of the community effectively and equitably.
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Shoulder injury related to vaccine administration (SIRVA) is a previously described phenomenon that is the result of improper vaccine delivery. Appropriate injection technique for administration of intramuscular vaccinations can reduce the risk of shoulder injury. ⋯ SIRVA has previously been described in the world literature. Seventeen cases in women and five cases in men were found. Pain and reduction in the range of movement within a few hours of vaccination were cardinal signs of a shoulder injury. This included injuries to the soft tissues of the shoulder as well as injuries to bone and joint. SIRVA can be avoided with correct vaccination technique as described.
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The 'after hours GP helpline' was added to the existing 24-hour nurse triage and advice lines in Australia in July 2011. Its objective is to improve access to GP advice in the after-hours period. ⋯ Targeted promotion may assist high-need groups to benefit from after-hours telephone-based primary care advice when face-to-face GP services are unavailable.