Exploring clinician understanding and experiences of the Australian Medicare scheme in the treatment of eating disorders

Objective The Medicare Eating Disorder Plan (EDP) was introduced in Australia to improve access to evidence-based treatment for moderate to severe eating disorders (EDs). However, limited research has examined its implementation in practice. This study investigated clinician knowledge, experiences, and perceptions of the EDP.Method A mixed-methods design was employed. Australian clinicians (N = 38), primarily psychologists and dietitians, completed an online survey assessing knowledge and satisfaction with the EDP. A subset (n = 6) participated in semi-structured interviews. Quantitative data were analysed descriptively and qualitative data using reflexive thematic analysis.Results Clinicians demonstrated variable knowledge of EDP requirements and reported mixed experiences. Quantitative findings indicated generally positive perceptions of increased access to care, alongside gaps in understanding of eligibility criteria and early plan processes. Qualitative analysis identified five themes: barriers to access, limited multidisciplinary communication, administrative complexity, general practitioner (GP) related challenges, and mixed views of the EDP, collectively highlighting ongoing disruptions to continuity of care despite its recognised benefits in practice.Conclusions While the EDP has increased treatment availability, structural and implementation barriers may limit its effectiveness. Reducing administrative complexity, strengthening GP support, and improving system-level coordination may enhance delivery of care.