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Chapter 1: Patient interactions and health trends in general practice

Emerging issues for patients and the health system

GPs are often the first point of contact for people seeking medical care. As such, they offer unique insights into the issues impacting both patient outcomes and the wider health system.

The most common health system concerns for GPs were workloads, patient access to healthcare, and health system fragmentation (Figure 17). This mirrors patient experiences across the health system, with 40% of patients indicating they are not confident navigating the health system.6

Forty percent of patients indicate they are not confident navigating the health system.6

 


The proportion of GPs nominating Medicare and GP remuneration as an issue dropped from 17% to 8%, potentially reflecting the funding provided for general practice in the 2023–24 Federal Budget. Concerns about patient financial issues, however, remain relatively high among GPs. As shown in Figure 17, it was the fourth highest issue of concern in 2024, likely reflecting ongoing cost-of-living challenges across Australia.   

Regarding patient conditions, mental health remains the most mentioned concern, followed by chronic illness and obesity and lifestyle issues (Figure 18). This aligns with the earlier finding that mental health remains the most common reason for patients presenting to general practices.

Figure 17. Emerging health system issues causing the most concern for GPs

Emerging health system issues causing the most concern for GPs

Measure: Proportion of GP responses to the question, ‘What are the emerging health system issues causing you the most concern for the future?’ by year. 
Sample: Practising GPs 2023 n=2050, 2024 n=3006.
Source: The Navigators, RACGP Health of the Nation survey April/May 2024.

Figure 18. Emerging patient issues causing the most concern for GPs

Emerging patient issues causing the most concern for GPs

Measure: Proportion of GP responses to the question, ‘What are the emerging patient health issues causing you the most concern for the future?’ by year. 
Sample: Practising GPs 2023 n=2050, 2024 n=3006.
Source: The Navigators, RACGP Health of the Nation survey April/May 2024.

GP INSIGHTS

What are the emerging patient health issues causing you the most concern for the future?

‘Mental health issues across the board with all age groups and genders. Chronic health conditions are not managed in time by the hospital system and affordable specialist care leading to the issues not being managed well and leading to complications. Fragmented health care by different allied health workers and not addressing the person as a whole leading to delay in treatment and care.’
‘Increased fragmentation of care - duplication rather than enhancement of patient care. No interest in the overall coordination of care and its value in keeping people well. Healthcare is increasingly divided into many different silos and patients are falling in between.’
‘Increasing complexity and higher rates of financial stress amongst patients, plus just not enough GPs with shortages everywhere so that we are always trying to catch up or fix issues that have been 'bandaided' elsewhere.’