title: Medicare rebate for specialist medical practitioners from physiotherapy referrals: analysis of the potential impact on the Australian healthcare system.
abstract: Abstract
  
  
  OBJECTIVE
  To identify and examine the likely impact on referrals to specialist medical practitioners, cost to government and patient out-of-pocket costs by providing a rebate under the Medicare Benefits Scheme to patients who attend a specialist medical practitioner upon referral direct from a physiotherapist.
  
  
  METHODS
  A model was constructed to synthesise the costs and benefits of referral with a rebate. Data to inform the model was obtained from administrative sources and from a direct survey of physiotherapists.
  
  
  RESULTS
  Given that six referrals per month are made by physiotherapists for a specialist consultation, allowing direct referral to medical specialists and providing patients with a Medicare rebate would result in a likely cost saving to the government ofup to $13 million per year. A range of sensitivity analyses were conducted with all scenarios resulting in some cost savings.
  
  
  CONCLUSIONS
  The impact of the proposed policy shift to allow direct referral of patients by physiotherapists to specialist medical practitioners and provide patients with a Medicare rebate would be cost saving.
authors.affiliation: Centre for Applied Health Economics, Griffith University, University Drive, Meadowbrook, Qld 4131, Australia.
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Byrnes
authors.affiliation: Centre for Applied Health Economics, Griffith University, University Drive, Meadowbrook, Qld 4131, Australia.
authors.forename: Tracy A
authors.initials: TA
authors.lastname: Comans
mesh_terms: D003695:Delivery of Health Care; D019538:Health Care Surveys; D006801:Humans; D009313:National Health Programs / Q000191:economics*; D026761:Physical Therapy Specialty; D012017:Referral and Consultation; D013038:Specialization; D014481:United States