2013
DOI: 10.1111/ajr.12065
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Outreach surgical consulting services in North East Victoria

Abstract: Outreach surgical consulting provides surgeons with a larger referral base and provides communities with better access to local specialists. Outreach practice should be encouraged for surgeons in regional centres.

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Cited by 7 publications
(10 citation statements)
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“…However, residing in a rural area was strongly related to providing rural outreach. In rural locations, providing services in nearby towns may be relatively convenient, undertaken as part of employment or organizational expectations [12] (under hub-and-spoke regional health models) or provided to increase the viability of regional specialist practice [20]. Furthermore specialists residing in rural locations may be more aware of regional health needs in neighbouring towns [21].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…However, residing in a rural area was strongly related to providing rural outreach. In rural locations, providing services in nearby towns may be relatively convenient, undertaken as part of employment or organizational expectations [12] (under hub-and-spoke regional health models) or provided to increase the viability of regional specialist practice [20]. Furthermore specialists residing in rural locations may be more aware of regional health needs in neighbouring towns [21].…”
Section: Discussionmentioning
confidence: 99%
“…Decisions about how to deliver services might be influenced by the preferences of local rural staff and patients, the complexity of care with respect to local infrastructure and rural workforce capacity, how practical and affordable it is for patients to travel and the cost and availability of patient and specialist transport and accommodation. Compared with the alternatives, outreach has the potential to provide up-skilling on site, support complex case management [24], enable simple procedures [20], improve continuity of care [4] and reach populations who are unlikely to otherwise seek care [4], but it may not be timely enough in urgent situations, nor have the capacity to reach all communities in need. The way outreach services are billed is yet to be determined systematically, but economies of scale are expressed where the specialist travels to a group of patients, rather than individual patients to the specialist [20].…”
Section: Discussionmentioning
confidence: 99%
“…Further evidence of reasons can be deducted from multiple case reports that suggest specialists participate in outreach to provide equitable healthcare [16–18], support local workers [19], maintain a connection to a region [20], undertake interesting medicine [21] and capture an increased market share of patients [18, 22]. The prevalence of such reasons at a national level has never been systematically measured.…”
Section: Introductionmentioning
confidence: 99%
“…These findings underscore the need for general surgeons or obstetricians/gynecologists to be able to train across the 2 specialties to optimally address the disparities that exist in surgical care. Many articles in this review discussed strategies to provide this type of training, including rotations for medical students in rural or low-income areas [ [77] , [78] , [79] ], residency tracts for rural or global surgery [ 23 , 28 , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , [90] , [91] , [92] , [93] , [94] , [95] , [96] , [97] , [98] , [99] , [100] , [101] , [102] , [103] ], and training courses for general surgeons to enhance their obstetrical skills if they desire to practice in an underserved location locally or abroad [ 13 , 60 , 115 , [121] , [122] , [123] , [124] , [125] , [126] , [127] , [128] , [129] , [130] , [131] , [132] , [133] , [134] , [135] ]. Although it is challenging to provide this broad-based surgical training, sustainable models have been created when continued support is provided to those recruited locally to the area in need [ 31 ].…”
Section: Discussionmentioning
confidence: 99%