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2. Commentary on the private practice implications of the Deed of Settlement in the Honeysuckle Health – NIB Australian-Competition-Tribunal-hearing.

Author

Looi, Jeffrey CL, Galambos, Gary, Pring, William, Allison, Stephen, Bastiampillai, Tarun, and Kisely, Stephen R

Subjects
*INFORMED consent (Medical law), *HONEYSUCKLES, *PATIENT autonomy, *CONTRACTING out, *ONLINE education, *SINGLE-payer health care
Abstract

Objective: To provide a commentary on the implications of the Deed of Settlement in the Honeysuckle Health – nib Australian-Competition-Tribunal Hearing. This hearing has major implications in relation to the potential for a single dominant private-health-insurance buying-group to contract for medical-purchaser-provider-agreements that might limit the clinical autonomy of patients and psychiatrists. Conclusions: The Australian Competition and Consumer Commission (ACCC) authorised the formation of a joint buying-group for private-health-insurers in 2021 to provide collective contracting and related services to private-health-insurers and other healthcare-payers. A consequent legal challenge resulted in a Deed of Settlement on 18 July 2022 that for 5 years preserves doctor-patient autonomy in clinical decision-making, the medical gaps scheme, the transparency of contractual arrangements, and if clinical data of those insured are collected by HH-nib, it must be with the full informed consent of patients. However, there remain options for private-health-insurers to apply for formation of new buying-groups, as well as to collect data and profile the general public and insured patients using online programs. Vigilance on private-health-insurer buying-groups, and the potential for US-style managed-care is warranted. [ABSTRACT FROM AUTHOR]

Published
2023
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3. Primary Sjogren’s Syndrome Associated With Treatment-Resistant Obsessive–Compulsive Disorder

Author

Ong, Lawrence T. C., Galambos, Gary, and Brown, David A.

Subjects
Psychiatry, treatment resistance, obsessive–compulsive disorder, autoimmune serology, major depressive disorder, Sjogren’s syndrome
Abstract

There is an increasing awareness that autoimmune diseases can present with neuropsychiatric manifestations. We present the case of a 17-year-old female requiring psychiatric hospitalization for obsessive–compulsive disorder and major depressive disorder with mixed affective features, who was subsequently diagnosed with primary Sjogren’s syndrome. Treatment with potent immunosuppression resulted in remission of psychiatric illness. Due to a lack of awareness and/or the lack of specific biomarkers, clinicians may not associate psychiatric symptoms with autoimmune disease, including primary Sjogren’s syndrome. This case demonstrates that Sjogren’s syndrome may be a causative or aggravating factor in mental disorders and that autoimmune diseases should be carefully considered in the differential diagnosis of psychiatric illness especially in cases of concurrent physical symptomatology and severity or treatment resistance of psychiatric disease.

Published
2017
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5. Fellows recognised in Australia Day Honours.

Author

Galambos, Gary and Baruah, Manoj

Subjects
*AWARDS
Abstract

The article offers information on several notable personalities of Royal Australian and New Zealand College of Psychiatrists (RANZCP), who received Australia Day Honours for their contributions to society, which include, professors Alexander (Sandy) McFarlane, David Copolov, and Louise Newman. It also contains the names of the recipients of 2011 awards and prizes distributed by the college. A list of new appointees at the RANZCP's General Council is also mentioned in the article.

Published
2011
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