Rebate Adolescent Health (RAd Health)

Project Details

Looking for the RAd Health Study website (for participants)? Click here: https://radhealth.org.au/

Should Medicare fund a rebate for an adolescent and young person’s (14-24 years) health assessment in general practice?

RAd Health is a cluster randomised controlled trial (RCT) that aims to investigate whether a Medicare Benefits Schedule (MBS) rebate is effective at increasing the detection and management of risk behaviours and health conditions and is cost-effective. This will provide evidence to inform MBS rebate decision making.

PROJECT SUMMARY

Adolescent health checks have demonstrated improved health outcomes including detection of risky behaviour and physical and mental health conditions. Despite national guidelines recommending annual evidence-based health checks for young people, adolescents remain a neglected population. The implications for young people include undetected sexually transmitted infections, unintended pregnancies, and lack of management for mental health and other conditions. In Australia, lack of consultation time has been reported as a major barrier for general practitioners to undertake regular young person’s checks.

A Medical Benefits Scheme (MBS) rebated health assessment, similar to that offered for 45-49 and 75+ year old and Aboriginal Health Checks, could facilitate these assessments. Enabling a longer, remunerated consultation for adolescents and young people could lead to improved health outcomes in the short-term and into adulthood. This trial will provide the first RCT evidence of whether a rebate for a young person’s health assessment is effective and cost-effective.

Informed by focus groups and interviews with key informants, the RAd Health team developed a young person’s health assessment template for clinicians, as well as resources for GPs, parents and young people .

We have also worked with the GRHANITE™ team at the University of Melbourne to design a data collection process and template for conducting the trial in general practices.

An Advisory Group was established to support the RAd Health Trial and its purpose is to:

  • provide feedback, expert advice and input on clinical training and support needed for the trial and trial resources;
  • provide current knowledge, expert advice and perspectives about adolescent health assessments in general practice;
  • assist with the interpretation and translation of results into practice and policy, and
  • build collaborative relationships between researchers and key stakeholders.

The RAd Health team is working with VicREN [https://medicine.unimelb.edu.au/school-structure/general-practice-and-primary-care/engagement/primary-care-community/research/vicren ] at the Department of General Practice to recruit practices for this studies. We expect to have completed recruitment (42-50 general practices) by the end of July 2023.

Thank you to all who have participated in the project thus far.

For the latest news and to access your induction training and other information related to the RAd health trial check out our website by following this link radhealth.org.au or scanning the QR code below.

RAD QR

If you have any questions about the trial or are interested in participating, please send us an email at rad-health@unimelb.edu.au

Researchers

Professor Jane Hocking

Professor Lena Sanci

Professor Susan Sawyer

Dr Jemimah Ride

A/Prof Patty Chondros

Professor Meredith Temple-Smith

Professor George Paton

Professor Rachel Skinner

Dr Megan Lim

Professor Jane Pirkis

Professor Douglas Boyle

A/Prof Grant Blashki

A/Prof Kim Dalziel

Ms Rebecca Guy

Dr Caroline Johnson

Research Team

Research Officer: Ms Sara Newton

Research Officer: Ms Amelia Wardley

Project manager: Dr Cathy Watson

Collaborators

Wellbeing Health & Youth (WH&Y) Commission

Victorian primary care practice-based Research and Education Network (VicREN)

Funding

National Health and Medical Research Council

Grant number: 1184842 | Funding period: 2020 – 2024

HREC ID 2022-23435-29990-3

Research Publications

Considerations for conducting a young person’s health assessment in the general practice setting: Insights from key informants in Victoria is available in the April 2023 issue of the AJGP, here.

August 2022: ‘Practice and patient considerations for conducting a young person’s health check in general practice: Insights from key informants’, Australasian Association for Academic Primary Care (AAAAPC) Annual Research Conference; oral presentation

Research Group

Sexual Health



Faculty Research Themes

Infection and Immunology

School Research Themes

Disparities, disadvantage and effective health care, Screening and early detection of disease



Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

Centre for Epidemiology and Biostatistics

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