Pegram R, Sprogis A, Buckpitt J
GP Branch, Commonwealth Department of Human Services and Health, Australia.
Aust Health Rev. 1995;18(4):78-94. doi: 10.1071/ah950078.
This paper looks at the emergence of divisions of general practice in Australia. Divisions are local groups of general practitioners working to integrate general practice into the wider health system and to explore opportunities for improving service delivery, teaching and research. There are now 116 divisions of general practice, covering over 95 per cent of the Australian population. Projects and infrastructure funding was approximately $35 million in 1994-95. Divisions have enabled general practitioners to retain their autonomy while responding to a government health reform process which depends on their participation. They are a uniquely Australian solution to the problems confronting general practice in the 1990s, bridging the gap that previously existed between individual general practitioners and the health system as a whole. The Divisions and Projects program is being evaluated using a variety of methods which allow feedback into the program in a timely way. The program thus remains sensitive to new strategies and directions, either from the general practitioners themselves or from other stakeholders.
本文探讨了澳大利亚全科医疗部门的出现。这些部门是由全科医生组成的地方团体,致力于将全科医疗融入更广泛的卫生系统,并探索改善服务提供、教学和研究的机会。目前有116个全科医疗部门,覆盖了超过95%的澳大利亚人口。1994 - 1995年的项目和基础设施资金约为3500万美元。这些部门使全科医生在参与政府卫生改革进程的同时能够保持其自主性。它们是澳大利亚针对20世纪90年代全科医疗所面临问题的独特解决方案,弥合了以前个体全科医生与整个卫生系统之间存在的差距。正在使用多种方法对部门与项目计划进行评估,以便及时将反馈纳入该计划。因此,该计划对来自全科医生自身或其他利益相关者的新策略和方向保持敏感。