PMID: 18429743Jun 17, 2008Paper

"Beyond workforce": a systemic solution for health service provision in small rural and remote communities

The Medical Journal of Australia
John S HumphreysPhil Entwistle

Abstract

Successful, "innovative" primary health care (PHC) models exist that have adapted to the specific circumstances of their rural and remote context. A typology of discrete, integrated, comprehensive and outreach rural and remote services exists rather than a "one coat fits all" PHC health service model. Successful models are characterised by macro-scale environmental enablers (supportive health policy, federal-state relations, and community readiness) and five essential service requirements (workforce organisation and supply; funding; governance, management and leadership; linkages; and infrastructure). Service sustainability depends on ensuring that key systemic service requirements are met at the local level in ways that accord with, and are supported by, the broader macro-scale environmental enablers. Based on these principles, these model types are amenable to generalisation and evaluation in other regions.

References

Oct 22, 1994·Lancet·B Starfield
May 1, 1996·The Australian Journal of Rural Health·L Holub, B Williams
Dec 9, 2000·The Australian Journal of Rural Health·J S HumphreysA Larson
May 31, 2001·The Medical Journal of Australia·K A LawsonM B Van Der Weyden
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Dec 22, 2006·The Medical Journal of Australia·Max Kamien, W Ian Cameron
Mar 21, 2007·The Medical Journal of Australia·Catherine M JoyceLeon Piterman

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Citations

Sep 11, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Liuyi ZhangYuan Liang
Feb 25, 2014·Health Policy and Planning·Altynay Shigayeva, Richard J Coker
Feb 26, 2019·The Medical Journal of Australia·John Wakerman, John S Humphreys
Apr 17, 2020·International Journal of Environmental Research and Public Health·Catherine Cosgrave
Dec 31, 2008·BMC Health Services Research·John WakermanJudith Jones
Aug 10, 2010·The Australian Journal of Rural Health·Rachel ThamKaren Riley
Jul 26, 2012·The Australian Journal of Rural Health·Jane FarmerGuinever Threlkeld
May 10, 2016·Australian Journal of Primary Health·Nicole E RansonJulian Wright
Jul 5, 2021·The Medical Journal of Australia·Remo OstiniSarah Strasser

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