Rural health srvivces and workforce Flashcards
week 4
Why are there shirtages of doctors in some rural and remote areas?
maldistribution, sub specialisation, and reliance on IMGs
What are the 4 recommendations from WHO to counteract dr shortages?
Financial
Educational
Regulatory
Personal + professional support
Explain WHO’s Financial reccomendation
Incentives
Explain WHO’s educational recommendation
Enrol students with rural background
locate med schools outside capital cities
Explain WHO’s
Regulatorty reccomendation
- enhanced scope of practice
- different types of health workers
- scholarships/ bursaries with return of service
Explain WHO’s Personal And Professional reccomendation
- safe working environment
- rural networks
- journals, public recognition/ awards
What are goals of the National Strategic Framework for Rural and Remote Health?
improved access to appropriate and comprehensive healthcare
effective, appropriate and sustainable health care service delivery
an appropriate, skilled and well-supported health workforce
collaborative health service planning and policy development
strong leadership, governance, transparency and accountability
What are 3 Delegated Practcie Models?
Remote area Nurse
Nurse Practitioner
Physician Assistants
Describe RANs?
Nurse with some extra training for an extended scope of practice
- mostly employed in primary care clinics and small rural/ remote hospitals
Describe Nurse practitioners
- nurses with skills in diagnosis and treatment, usually within a particular specialty area
- masters degree and >5yrs experience in that particular area
What are the features of physician assistants (PA)?
provide primary healthcare services in collaboration with a doctor
can examine, order and interpret tests, form management plans, assist in surgery, and refer
can work independently
What are the four overall ways that health services are organised differently in Rural and remote areas?
Supplementing PRI care services
Estb specialist service regional centres
integrating and coordinating services
Providing culturally app care to indigenous communities
what is a scheme used to prong patients to a service?
Patient Travel Subsidy Scheme
What does the Patient Travel SS cover and what is the eligibility?
Cover
fuel/ fares (30c/km) and accommodation
Eligibility
- Referal
- >50km from nearest public hospital
What are ‘taking services to patient’ services?
Specialist outreach services
supporting emergency retrivel
