Diverse and vulnerable: experiences of private allied health practices managing through the coronavirus (COVID-19) pandemic. Implications for the financial viability of Australian primary care
M. John Petrozzi
A B , Michael Wright A C D * , Rebekah Hoffman E F , Brendan Goodger G and Sarah Wise C
A Faculty of Medicine and Health, The University of Sydney, NSW, Australia.
B Body Mind Central, 216 Norton Street, Leichhardt, NSW 2040, Australia.
C Centre for Health Economics Research and Evaluation, Faculty of Health, University of Technology Sydney, NSW, Australia.
D Woollahra Doctors, Level 1, 112 Queen Street, Woollahra, NSW 2025, Australia.
E Graduate Medicine General Practice Academic Unit, University of Wollongong, NSW, Australia.
F Kirrawee Family Medical Practice, 455 President Avenue, Kirrawee, NSW 2232, Australia.
G Central and Eastern Sydney Primary Health Network, Tower A, Level 5, 201 Coward Street, Mascot, NSW 2020, Australia.
Australian Health Review 47(4) 394-400 https://doi.org/10.1071/AH22268
Submitted: 21 November 2022 Accepted: 14 June 2023 Published: 4 July 2023
© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY).
Abstract
Background The majority of allied health services are delivered by small, private practices in the primary care setting with limited government funding. During the coronavirus disease 2019 (COVID-19) lockdowns these practices were subject to the same health orders as any other private business with only ‘essential services’ permitted to remain open.
Research aim We set out to understand the impact of the COVID-19 pandemic, and associated public health measures, on the financial viability of private allied health practices.
Methods Thirteen semi-structured interviews were conducted with primary care allied health practice owners and managers in Sydney. Data were analysed thematically.
Findings All of the interviewees reported experiencing the stress of balancing precarious finances caused by reduced and/or fluctuating patient demand. Patients’ reluctance to seek care was compounded by ambiguity around whether allied health services were ‘essential’. Manual therapies were particularly vulnerable to financial stress because their capacity to transition to telehealth and access to government funding were limited. Conversely, psychologists reported demand for their services exceeded what they could provide.
Study implications The findings are indicative of primary care allied health’s peripheral status in Australia’s primary care landscape. Greater priority to the funding and integration of primary care allied health is needed in primary care policy.
Keywords: allied health, health economics, health funding and financing, health system resilience, pandemic, primary health care, public policy, qualitative.
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