Gadzhanova Svetla, Reed Richard
Department of General Practice, Flinders University, Adelaide, SA, Australia.
Med J Aust. 2007 Jul 16;187(2):92-4. doi: 10.5694/j.1326-5377.2007.tb01148.x.
We conducted a literature review to assess the current status of general practitioner services in residential aged-care facilities (RACFs) in Australia and the impact of recent initiatives to enhance access by RACF residents to these services. Of 400 publications identified, 22 were selected as relevant to our study. We also analysed publicly available statistical data on GP services in RACFs. Recent initiatives to improve quality of care and facilitate access to GP services for RACF residents include the Aged Care GP Panels Initiative, the Enhanced Primary Care program, and an expanded role of palliative care. Despite these initiatives, many GPs still find RACF services unappealing due to a perceived poor level of remuneration for the effort involved. Further improvements in access to and quality of GP services to RACFs may require new models of care delivery and financing.
我们进行了一项文献综述，以评估澳大利亚住宅型老年护理机构（RACF）中全科医生服务的现状，以及近期为提高RACF居民获得这些服务的机会而采取的举措的影响。在识别出的400篇出版物中，有22篇被选为与我们的研究相关。我们还分析了RACF中全科医生服务的公开统计数据。近期为改善护理质量和便利RACF居民获得全科医生服务而采取的举措包括老年护理全科医生小组计划、强化初级保健计划以及姑息治疗角色的扩大。尽管有这些举措，但许多全科医生仍然认为RACF服务缺乏吸引力，因为他们觉得所付出努力的报酬水平较低。进一步改善RACF获得全科医生服务的机会和服务质量可能需要新的护理提供和融资模式。
