Zeitz Kathryn, Malone Geri, Arbon Paul, Fleming Jenny
Zeitz Enterprises, South Australia.
Aust J Rural Health. 2006 Jun;14(3):99-104. doi: 10.1111/j.1440-1584.2006.00781.x.
In 2003 the Rural Doctors Workforce Agency in South Australia (SA) facilitated the 'SA Rural Hospital After Hours Triage Education and Training Program'. It was designed to improve communication between rural general practitioners (GPs) and nurses undertaking after-hours triage, provide training in triage for rural nurses and develop local collaborative after-hours primary medical care models that can be applied in other settings.
The program consisted of a series of three workshops. The first workshop provided an opportunity for GPs and nurses to discuss local issues relating to after-hours primary medical care service delivery. This was followed by a one-day workshop on triage for nurses. A follow-up refresher workshop was conducted approximately six months later.
Twenty-three rural communities in SA.
Rural GPs and nurses working in rural communities.
This paper reports on the issues highlighted by clinicians in providing after-hours primary medical care in rural and remote communities. These included community expectations, systems of care, scope of practice, private practice/public hospital interface, and medico legal issues.
The issues facing after-hours health services in rural communities are not new. There are many opportunities for improvement of systems. A formal program including workshops and training has provided a useful forum to commence service improvements.
2003年，南澳大利亚州（SA）的乡村医生劳动力机构推动了“南澳大利亚乡村医院非工作时间分诊教育与培训项目”。该项目旨在改善乡村全科医生（GP）与从事非工作时间分诊的护士之间的沟通，为乡村护士提供分诊培训，并开发可应用于其他环境的本地非工作时间初级医疗协作模式。
该项目由一系列三个工作坊组成。第一个工作坊为全科医生和护士提供了一个讨论与非工作时间初级医疗服务提供相关的本地问题的机会。接下来是为期一天的护士分诊工作坊。大约六个月后举办了一次后续复习工作坊。
南澳大利亚州的23个乡村社区。
在乡村社区工作的乡村全科医生和护士。
本文报告了临床医生在为农村和偏远社区提供非工作时间初级医疗服务时所强调的问题。这些问题包括社区期望、护理系统、执业范围、私人执业/公立医院接口以及医疗法律问题。
乡村社区非工作时间医疗服务面临的问题并非新问题。系统有很多改进的机会。一个包括工作坊和培训的正式项目为开始服务改进提供了一个有用的论坛。
