The practice should have a system for contacting all patients who go over time with [not] paying their bill, suggesting weekly small automatic payments till it's paid off, and offering pre-payment the same way as an option. The reception staff should be used to arranging this, so all you should need to do is raise it with the patient and hand them over to the reception staff to organise it.
As a pharmacist in rural Kaeo we have made allowing prescription accounts, a way of life
Without us doing this, the fallout is on secondary care and makes no sense. We spend an enormous amount of time and effort helping people get help.
I remember talking to the renal hypertension specialist at the Goodfellow symposium who acknowledged a lot of his referred patients simply were not taking their pills
The patient payment system for pharmaceutical is old, hard for Gp and patients to understand and is ready for change .If we cannot do the basics well then we can expect this to be part of the big burden to or hospitals.
Bring on the new health minister... hopefully Annette King is still helping behind the scenes and the bridges between the ministry of social development and the healthcare sector will work better than they currently do and a newer more modern system where people who can pay more, can pay more and those who really could do with help get it.. without the "whakama" or shame that they often forced to experience"
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New Zealand Doctor