|
|
Defined Terms Business Plan Invitation Letter Attachment SWOT Analysis 4.(a) Economic 'Principle of Comparative Advantage' dictates that GPs refer patients with any of Five Lifestyle Risk Factors For Chronic Disease to a Recreational Exercise Consultant to implement the Final Three Stages of the Five Basic ‘Stages of Change’
Section 2 IV. notes that Obesity cost Australia $21 billion in 2005 and is increasing. Section 2 VII. provides a bar graph evidencing the material increase since the early '90s of Australian adults using anti-depressants to treat a normal illness affecting one in four women and one in six men at some stage in their lives. Section 3 VII. a) cites Gail Bell's essay The Worried Well and Rebekah Beddoe's book Dying for a Cure as testaments that anti-depressants, without a support network, often render the ill person materially worse off, particularly people who were experiencing mild Depression. Section 3. VII b) asserts that strenuous, weight-bearing exercise is a proven therapy for treating stress, anxiety and Depression, citing research done by Kline/Coleman in Strenuous Exercise Lowers Depression and article titled "Exercise & depression" by Nick Taylor of La Trobe University's School of Physiotherapy. Section 3. VI (c) cites Michael Colling's book "The Other Side of Blue What we learn through overcoming adversity" and extensive research by Mayo Clinic in the USA over 20 years that "Optimists are less likely to suffer from depression....." to support exploring the brain's natural restorative faculties in a Recreational Exercise Activity amidst a Common Bond Support Group.
A litany of medical journals exists which chronicle the -
(i) vast increase in prescription of SSRI and SSNRI anti-depressants globally since the late '80s, and (ii) serious emotional problems that a not insignificant percentage of the population have experienced whilst taking them.
Man has inhabitated terra firma for millions of years. Why has a materially increasing percentage of the population become reliant on anti-depressants in the last 20 years? Popping a pill is not the panacea to every illness viz a viz "........ we understand the influence of the social and physical environment on health much better.....".
For many years, GP's have been able to provide advice and information about Depression, encourage exercise and refer patients to a psychiatrist or psychologist.
Some GPs occasionally refer to a relaxation therapist who can provide one-on-one meditation which can assist anxiety disorders by using passive techniques to relax the patient. Yoga classes, and even Pilates classes, are also beneficial in relaxation.
GP's are also able to refer a patient to a qualified exercise physiologist which are health professionals who have graduated from a certified university course in exercise science and provide services associated with health, fitness and exercise. Under an Enhance Primary Care plan Medicare rebates $45.85 per session for up to 5 sessions pa. More recently, under the Community Awareness and Infrastructure Initiative, within the Focus on Prevention package, GPs are -
* equipped with
Lifescripts Resource Kits, and
This Business Plan contends that -
(A) it IS cost-effective for GPs to action the below Stages 1 and 2 of the Five Basic ‘Stages of Change’:
(B) it is NOT cost-effective for GPs to action the remaining below Stages 3, 4 and 5:
3. Decide and prepare to make a change (determination/preparation) One of the oldest economic theories, namely Ricardo's Principle of Comparative Advantage deems in this matter - I. that GPs deliver medical treatment that they are highly trained and proficient to provide; and II. that lower cost providers who are better skilled in other less specialised processes should perform those other processes. Most GPs are not expert in the Final Three Stages of the Five Basic ‘Stages of Change’, whereas Recreational Exercise Consultants - A. "possess an infectious enthusiasm for the benefits of regular, rigorous, Challenging exercise"; B. have Walked The Talk; and C. possess the integral Motivational Interviewing Skills each having previously motivated over 100 adults to commence a Rigorous Recreational Exercise Activity. Hence, due to their Ten Sports Administration Attributes, Recreational Exercise Consultants are qualified to: * implement the 11 features/requirements to complete the Supervision process for an Interested Adult to successfully commence one of 8 Rigorous Recreational Exercise Activities; or * Refer Interested adults who wish to commence one of 6 Moderate Recreational Exercise Activities to the Organiser of one of 6 Moderate Recreational Exercise Activities. Upon GPs actioning Stages 1 and 2 above for patients suffering from anxiety/Depression or Obesity/Type 2 diabetes, or excessively indulging in Recreational Drugs, economic merit exists for GPs to refer these patients to an accredited Recreational Exercise Consultant to implement the Final Three Stages by administering those GP's Patients self-treat their illness, within a Common Bond Support Group, by commencing one of 14 Recreational Exercise Activities.
Having encouraged several adults over the years who were Obese, or suffering anxiety or mild Depression or highly reliant on alcohol, nicotine and or caffeine, to the belief that regular rigorous Challenging exercise would re-generate their own natural faculties to strengthen their Coping Skills and enhance their self-esteem where they became fastidious about weight management and maintaining a clear head to perform at their best, the Writer considers that Recreational Exercise Consultants could Supervise or Refer GP's Patients with the following symptoms into a local District Recreational Exercise Group - ¨ suffering Obesity and Type 2 diabetes; or ¨ using excessive Recreational Drugs. In addition, the Writer believes that GPs could similarly refer patients experiencing lethargy, anxiety or Depression to a Recreational Exercise Consultant. Not all adults who experience Depression treat that normal illness which afflicts one in 5 Australian adults by going to their local GP. Some are aware that all work and no play makes Jack a dull boy, and identify the power of Recreational Exercise Activities to get their mind off their worries which have lowered their energy to handle stresses, and strengthen their resolve by achieving Challenging physical milestones within a Common Bond Support Group. Such suffers of lethargy, anxiety or Depression opt to refocus on exercise in the great outdoors and many of them Cold Turkey and benefit by learning from their bout due to recovering without drugs. Hence, Recreational Exercise Consultants are equipped to similarly assist patients experiencing lethargy, anxiety or Depression. Commencing a Recreational Exercise Activity could compliment a GP's Patient who is taking traditional anti-depressant medication.
|
|
|
|