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Doctors’ view of AHPRA the most negative of all: Survey


Jolyon Attwooll


28/06/2023 4:43:23 PM

No other health profession had a bleaker perception of the regulator than medical practitioners, according to research released this week.

Angry doctor.
Only over a third of medical practitioners had a positive view of AHPRA, compared with 52% of overall respondents.

Doctors have the most negative view of AHPRA of any health practitioner group in Australia, newly published survey results suggest.
 
This week, the regulator released the results of a 2021 ‘social research’ study, which looked into the perceptions of all 15 health professions under its auspices.
 
Just over a third of medical practitioners (35%) had a positive view of AHPRA, compared with 52% overall. Psychologists were the group with the next lowest perception of the organisation at 40%.
 
Alongside paramedics, doctors also had the lowest level of confidence (40%) that their national board is doing everything it can to keep the public safe.
 
In a separate question about whether health practitioners trust their national board, only paramedics expressed a more negative opinion (34%) when compared to medical practitioners (38%).
 
‘Both trust and confidence in the Board have declined since the first survey in 2018,’ a report collating the survey results relating to the Medical Board of Australia stated.
 
‘Levels of trust and confidence were significantly lower compared to the average across all practitioners.’
 
The recorded levels of trust have fluctuated significantly since the survey was first undertaken by a Melbourne-based brand consultancy in 2018.
 
In 2019, trust stood at 42% for medical practitioners, rising to 51% in 2020, meaning that the latest figures represent a slide of 13% year on year.
 
Dr Edwin Kruys, a member of the RACGP Expert Committee – Funding and Health System Reform (REC–FHSR), said the regulator is unlikely to ever score highly among doctors.
 
‘As the regulation agency, AHPRA is never going to win a popularity contest,’ he told newsGP.  
 
‘This … evaluation demonstrates again that they don’t have a good reputation.’
 
However, while Dr Kruys believes it is hard to draw conclusions from the year-on-year changes, he does believe the new figures show a need for change.
 
‘The bigger picture is that [the] results do not come as a surprise,’ he said.
 
‘I agree with APHRA’s own conclusion that the levels of trust and confidence should be addressed to maintain organisational legitimacy. 
 
‘I think it is important that AHPRA continues to focus on improving the quality and timeliness of their work.
 
‘It would be good to hear from AHPRA what their action plan will be based on the survey results, what the level of trust and confidence is they are aiming for in future surveys and within what timeframe they want to achieve this.’
 
In a press release this week, AHPRA said it will be using a different approach in 2023 that will ‘address the limitations of previous surveys’.
 
It warned that due to the voluntary nature of the survey, the responses might not be representative of the overall health professions.
 
In response to an inquiry from newsGP requesting further detail about the new approach, an AHPRA spokesperson said a pilot survey is due to run in the second half of this year.
 
They did not address queries about any actions planned to address the poor perception of AHPRA among medical practitioners, nor whether the regulator has a benchmark for the levels of trust and confidence it is aiming for in the future.
 
Three previous surveys were carried out from 2018–2020, commissioned by AHPRA and conducted by an independent brand consultancy.
 
The most recent survey was conducted directly by the regulator, largely following the same format as previous questionnaires. Its response rate of 11% was significantly higher than previously.
 
‘Generally speaking, a higher response rate can help reduce bias in a sample and provide greater confidence in survey findings,’ the report authors wrote.
 
Of those who responded, 1509 are recorded as medical practitioners, although the results do not specify what proportion of those are GPs.
 
The sample for medical practitioners skews heavily towards males (61%) as well as more experienced (54% aged 50 and older).
 
Of all those who participated, 23% said they had been the subject of a complaint, while 8% reported having been audited for compliance with registration standards.
 
Previously, a survey of broader community perceptions was also included in the survey, but the latest results only relate to health practitioners.
 
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Dr Edward Thomas Wu   28/06/2023 9:27:52 PM

I was led to believe by my upbringing in this country that the "professions" in this country are able and have been given the right to self-regulate ? Have I been wrong all these years?


Dr Edward Thomas Wu   28/06/2023 9:31:04 PM

Dr Edwin Kruys, a member of the RACGP Expert Committee – Funding and Health System Reform (REC–FHSR), said the regulator is unlikely to ever score highly among doctors. Is our profession NOT able to set its own standard of care to the community we serve ?


Dr Tawhid Mohamed Sayed Hassanien   29/06/2023 6:59:26 AM

it is my view that AHRPA should be funded by public fund not by the medical profession. Only then its work will be subjected to scrutiny.


Dr Peter James Strickland   29/06/2023 11:34:52 AM

AHRPA should be closed down. It does NOT function as it was originally designed to do, i.e. to allow doctors to have ethical registration over the whole of Australia. The AMA and RACGP etc should tell the Federal Govt that AHPRA is a failure for the health professions, should NOT be the sources of registrations or investigations, and that role should go back to the States in co-operation with one another to ensure whole Australian registration remains, and ethical standards are again made with local Medical Boards with respect to investigations etc, and the cost of the Boards borne by the States with a minimal charge made on doctors to register instead of the rorts in charges made by an inefficient AHPRA now for its whole existence over many years now.


Dr Clara Isabelle Johanna Jonsson   29/06/2023 9:18:59 PM

AHPRA is an acronym with no accountability for what “ they” are doing to Drs. They have taken on a role they were never intendended to. That of judge, jury and executioner. I fail to see how they get away with the murder of my colleagues And the powers to be fail to keep them in tow. They are also ineffective. Promises and no action as nobody want to rock the boat. Not even the AMA has been able to put the message out there. All just promises and observation How can you ever trust them. Self righteous and evil. But who will stop them if our politician cannot even do so. What an eye opener and how disappointing for the future of medicine in this country


Dr Peter Andrew Fletcher   30/06/2023 12:26:04 PM

The process of dealing with complaints is not balanced. Being the recipient of a complaint can be a very stressful process. Often the complaint is vexatious, embelished, coloured with righteous indignation and sometimes outright lies. Even when the process is completed and the complaint found to be without merit, there is no sense that the complainant faces any censure for not being truthful and for causing considerable unnecessary distress. It feels like you are guilty until proven innocent, and the resentment often lingers long after you have been cleared.


Dr Tieu Minh Tat   2/07/2023 1:06:49 PM

I agree with all the other doctors' comments.
AHPRA should only do registration work, nothing else. The other work should leave it to the Medical Board.
AHPRA should not be able to introduce any CPD requirements to GP. They put in a program of more than 3x the normal total triennium requirements into a 1 year period. Every doctor has to give up so much valuable patient time every week for the whole year to fulfil this monster task.
The college always talking about reducing red tape & work life balance. They are living in fantasy.
The college probably is the force behind making all this terrible things to the GPs because they are hungry for power & control, such as VR, accreditation & the very high high standard of practice, but they forget the Bulk billing is so low & the doctors can't even keep their doors open or there is no doctor left behind to work because they all quit or resign or work somewhere which is not Bulk billing.
I feel very sorry for the new coming GPs.