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“如果没有海外培训医生(OTDs),就不会有偏远地区医疗服务(AMS)”:在农村和偏远地区原住民健康机构工作的海外培训医生。

"If it wasn't for OTDs, there would be no AMS": overseas-trained doctors working in rural and remote Aboriginal health settings.

作者信息

Gilles Marisa T, Wakerman John, Durey Angela

机构信息

Population Health, Western Australia Country Health Service, Shenton Street, Geraldton, WA 6530, Australia.

出版信息

Aust Health Rev. 2008 Nov;32(4):655-63. doi: 10.1071/ah080655.

Abstract

Australian-trained doctors are often reluctant to work in rural and remote areas and overseas-trained doctors (OTDs) are recruited to practise in many rural Aboriginal medical services. This paper focuses on recent research carried out in Australia to analyse factors affecting OTDs' professional, cultural and social integration and examine their training and support needs. Ten case studies were conducted throughout Australia with OTDs, which also included interviews with spouses/partners, professional colleagues, co-workers, and Aboriginal and Torres Strait Islander community members associated with the health service. Key themes emerging from the data across all informants included the need to better address recruitment, orientation and cross-cultural issues; the importance of effective communication and building community and institutional relationships, both with the local health service and the broader medical establishment.

摘要

在澳大利亚接受培训的医生往往不愿在农村和偏远地区工作,因此海外培训医生(OTDs)被招募到许多农村原住民医疗服务机构执业。本文重点介绍了澳大利亚最近开展的一项研究,该研究分析了影响海外培训医生职业、文化和社会融入的因素,并考察了他们的培训和支持需求。在澳大利亚各地对海外培训医生进行了10个案例研究,其中还包括对配偶/伴侣、专业同事、同事以及与该医疗服务机构相关的原住民和托雷斯海峡岛民社区成员的访谈。所有受访者数据中出现的关键主题包括需要更好地解决招聘、入职培训和跨文化问题;有效沟通以及与当地医疗服务机构和更广泛的医疗机构建立社区和机构关系的重要性。

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