Weeramanthri T
Territory Health Services, Darwin.
Aust Health Rev. 1998;21(1):50-61. doi: 10.1071/ah980050.
The optimal way of delivering specialist services to rural and remote Australia, and particularly to remote Aboriginal and Torres Strait Islander communities, is a matter of keen debate at present, and is being considered by the Australian Medical Workforce Advisory Committee. This paper contributes to that debate by considering one specialist medical group, namely adult physicians, and discusses both their role and optimal number in the Top End of the Northern Territory, in light of the general workforce literature and recent changes to the organisation of physician services in the Northern Territory. Models of specialist service delivery need to be explicit, and organisational methods transparent, if the service is to be equitable, flexible and accountable to primary care practitioners.
目前，向澳大利亚农村和偏远地区，尤其是向偏远的原住民和托雷斯海峡岛民社区提供专科服务的最佳方式是一个激烈辩论的话题，澳大利亚医疗劳动力咨询委员会正在对此进行审议。本文通过考虑一个专科医疗群体，即成年内科医生，为这场辩论做出贡献，并根据一般劳动力文献以及北领地医生服务组织最近的变化，讨论他们在北领地顶端地区的作用和最佳数量。如果专科服务要做到公平、灵活并对初级保健从业者负责，那么服务提供模式必须明确，组织方法必须透明。
