Australians would be able to examine their own medical records online and would have access to subsidised dental care under a health system overhaul recommended to the federal government.

Changes recommended in the National Health and Hospitals Reform Commission report include:

- A national e-health patient records database, in which doctors would link records to the system to give patients access to Medicare payments, which could save the government $8 billion over 10 years.

- A specialist indigenous health authority.

- A 0.75 per cent rise in the Medicare levy to fund a new Dentacare system aimed at providing more affordable dentalplans-com-2.html” title=”dental care”>dental care and cutting the number of patients (about 600,000 currently) on public dental waiting lists.

- Top-up payments and tax incentives for medical professionals, and cuts to university HECS fees for student doctors, to encourage them to work in rural areas.

But News Limited says the report stops short of recommending a federal takeover of state hospital responsibilities.

Prime Minister Kevin Rudd and Health Minister Nicola Roxon are considering the report.

New privacy laws would protect the e-health data, and patients could decide who gets to see their details, News Limited says.

But others may be allowed access only in emergencies, such as after an accident.

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