I am in two minds about paying a gap for pathology tests. I see a wide spectrum of patients. Those with chronic conditions, or on certain medications that require frequent monitoring, should not be burdened by extra fees. But I also see many patients who request tests that I consider not really necessary or appropriate. Some doctors will order tests to keep the patient happy, or for medico-legal reasons, but this is not good practice.
Health care providers (doctors, nurses, natural health practitioners etc) and health consumers all have a part to play in considering the cost and appropriateness of investigations.
Medicare rebates do not apply to tests which are not clinically indicated; a private fee applies. Performing multiple investigations without considering the limitations and usefulness of the tests can do more harm than good.
I have a standard approach – I take a history from the patient, perform a targeted examination, and discuss a strategy. This helps to address concerns, and can lead to deferring any tests. Many symptoms settle with time, but if they don’t, a review is certainly warranted (by your GP, not Dr Google!).
