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培养我们自己的农村、偏远和原住民卫生工作队伍:三个澳大利亚农村学术卫生部门的贡献、采取的方法和吸取的经验教训。

Growing Our Own Rural, Remote and Aboriginal Health Workforce: Contributions made, approaches taken and lessons learnt by three rural Australian academic health departments.

机构信息

School of Rural Health (Dubbo/Orange), Faculty of Medicine and Health, The University of Sydney, Dubbo, New South Wales, Australia.

Broken Hill University Department of Rural Health, Faculty of Medicine and Health, The University of Sydney, Broken Hill, New South Wales, Australia.

出版信息

Aust J Rural Health. 2023 Jun;31(3):589-595. doi: 10.1111/ajr.12972. Epub 2023 Feb 22.

Abstract

AIMS

This paper describes the investments made, approaches taken and lessons learnt by three rural Australian academic health departments engaged in the delivery of the Health Career Academy Program (HCAP). The program seeks to address the under-representation of rural, remote and Aboriginal populations within Australia's health workforce.

CONTEXT

Significant resources are directed towards rural practice exposure for metropolitan health students to address workforce shortages. Fewer resources are directed towards health career strategies that focus on the earlier engagement of rural, remote and Aboriginal secondary school students, those in Years 7-10. Best practice career development principles highlight the importance of earlier engagement in the promotion of health career aspirations and in influencing secondary school student career intentions and uptake of health professions.

APPROACH

This paper describes: delivery contexts; the theory and evidence that has informed the HCAP; program design, adaptability and scalability; program focus on priming the rural health career pipeline; program alignment to best practice career development principles; enablers and barriers confronted in program delivery, and lessons learnt to inform rural health workforce policy and resourcing.

CONCLUSION

There is a need to invest in programs that seek to attract rural, remote and Aboriginal secondary school students to health professions if Australia is to develop a sustainable rural health workforce. A failure to invest earlier undermines opportunities to engage diverse and aspiring youth in Australia's health workforce. Program contributions, approaches and lessons learnt can inform the work of other agencies seeking to include these populations in health career initiatives.

摘要

目的

本文描述了澳大利亚三所农村学术卫生部门在提供健康职业学院计划(HCAP)方面所做的投资、采取的方法和吸取的经验教训。该计划旨在解决澳大利亚卫生劳动力中农村、偏远和土著人口代表性不足的问题。

背景

为了解决大都市卫生学生的农村实践经验不足的问题,投入了大量资源。然而,针对那些更早期参与农村、偏远和土著中学生(7-10 年级)的健康职业战略的资源却较少。最佳实践职业发展原则强调了更早地参与促进健康职业抱负、影响中学生职业意愿和接受健康职业的重要性。

方法

本文描述了:交付背景;HCAP 所依据的理论和证据;项目设计、适应性和可扩展性;该计划专注于为农村卫生职业管道做好准备;与最佳实践职业发展原则的一致性;在项目交付过程中遇到的促进因素和障碍,以及为农村卫生劳动力政策和资源提供信息的经验教训。

结论

如果澳大利亚要发展可持续的农村卫生劳动力,就需要投资于旨在吸引农村、偏远和土著中学生从事健康职业的计划。如果不更早地投资,就会错失让多样化和有抱负的年轻人参与澳大利亚卫生劳动力的机会。该计划的贡献、方法和经验教训可以为其他寻求将这些人群纳入健康职业计划的机构提供参考。

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