The Australian Medical Association (AMA) has expressed support for enhanced access to Long-Acting Reversible Contraceptives (LARC) through general practice, responding to the draft report from the Medicare Benefits Schedule (MBS) Review Advisory Committee. In a recent submission, the AMA praised the federal government’s commitment to increasing funding and providing bulk-billing incentives aimed at improving women’s health services.
Despite this endorsement, the AMA firmly opposes the proposed expansion of MBS access to endorsed midwives (EMs) for the insertion and removal of intrauterine devices (IUDs). This recommendation, part of phase two of the review, raises concerns regarding potential fragmentation of care, which the AMA argues could undermine the roles of general practitioners (GPs), obstetricians, and gynaecologists (O&Gs) in women’s health.
Concerns Over Fragmentation of Care
The AMA’s submission emphasizes the importance of maintaining a cohesive healthcare system where women receive consistent and comprehensive care. According to the association, allowing EMs to perform IUD insertions and removals could lead to a lack of continuity in care, which is crucial for the health and well-being of patients. The AMA insists that GPs and O&Gs are integral to the process, providing necessary medical oversight and support throughout the contraceptive journey.
Dr. Michael Gannon, President of the AMA, stated, “While we fully support measures to improve access to LARC services, we must ensure that this access does not come at the cost of care quality and continuity.” He further asserted that the involvement of GPs and O&Gs is essential in navigating the complexities associated with contraceptive choices and management.
Government Commitment and Future Directions
The federal government’s initiative to boost funding for LARC services aims to address the increasing demand for effective contraceptive options. The government has committed to supporting general practices that offer these services, which aligns with the AMA’s goals for better access and affordability.
The AMA’s position reflects a broader concern within the medical community regarding the balance of responsibilities between various healthcare providers. As discussions around the MBS Review continue, stakeholders are urged to consider the implications of expanding services to include midwives without compromising the essential roles played by other medical professionals.
In conclusion, while the AMA commends the federal government’s efforts to enhance access to LARC services, it stands firm in its opposition to the proposed changes that would allow EMs to perform IUD procedures. The association advocates for a collaborative approach that prioritizes patient care and the expertise of established healthcare providers, ensuring that women receive the best possible care in their reproductive health decisions.
