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Estimating non-billable time in Australian general practice.

Joan Henderson1, Lisa A Valenti2, Helena C Britt2

  • 1All the authors are from Family Medicine Research Centre, University of Sydney, Sydney, NSW joan.henderson@sydney.edu.au.

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|July 27, 2016
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Summary
This summary is machine-generated.

General practitioners spend significant unpaid time on patient care, valued between $10,525 and $23,008 annually. This non-billable work, crucial for patient management, highlights issues within the current fee-for-service system.

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Area of Science:

  • Primary care research
  • Health economics
  • General practice management

Background:

  • General practitioners (GPs) provide essential patient care beyond direct consultations.
  • The current fee-for-service model may not adequately compensate for all necessary GP activities.
  • Understanding non-billable time is crucial for evaluating practice sustainability and physician workload.

Purpose of the Study:

  • To quantify the extent and monetary value of non-billable patient care provided by Australian GPs.
  • To identify factors associated with the time GPs spend on non-billable patient care.
  • To inform discussions on future healthcare funding models.

Main Methods:

  • Prospective, cross-sectional survey conducted between April 2012 and March 2014.
  • A substudy of the Bettering the Evaluation and Care of Health (BEACH) program involving 1935 Australian GPs.
  • Data collected on 66,458 patient encounters, focusing on non-billable time duration, reasons, and estimated monetary value.

Main Results:

  • 69.5% of GPs reported non-billable patient care outside of visits, associated with 12.1% of encounters.
  • The average non-billable time per occasion was 10.1 minutes, with an estimated annual value of $10,525.95 to $23,008.05 per GP.
  • Non-billable time was linked to GP gender and age, patient demographics (gender, age ≥65), and the presence of chronic conditions.

Conclusions:

  • Most GPs dedicate substantial unpaid time to patient care between consultations.
  • The fee-for-service system presents inherent challenges in recognizing and compensating this essential work.
  • Findings necessitate a re-evaluation of funding models to better support comprehensive primary care.