Specialist outreach services in regional and remote Australia: key drivers and policy implications

O’Sullivan, Belinda; Stoelwinder, Johannes Uiltje; McGrail, Matthew Richard

doi:10.5694/mja16.00949

Cited by 9 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is notable, that the highest overall satisfaction was reported by patients who were visiting physicians (GPs and Specialists) at the outreach clinics as compared to non-medical outreach health professionals. This may be because outreach medical services in Australia are typically provided by specialist doctors who periodically visit the same rural community without any health service fees charged to the patient [ 32 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study

Islam

O’Neill²,

Kolur

et al. 2022

Healthcare

View full text Add to dashboard Cite

Introduction: Many studies have been conducted on how physicians view outreach health services, yet few have explored how rural patients view these services. This study aimed to examine the patient experience and satisfaction with outreach health services in rural NSW, Australia and the factors associated with satisfaction. Methods: A cross-sectional study was conducted among patients who visited outreach health services between December 2020 and February 2021 across rural and remote New South Wales, Australia. Data on patient satisfaction were collected using a validated questionnaire. Both bivariate (chi-squared test) and multivariate analyses (logistic regression) were performed to identify the factors associated with the outcome variable (patient satisfaction). Results: A total of 207 participants were included in the study. The mean age of respondents was 58.6 years, and 50.2% were men. Ninety-three percent of all participants were satisfied with the outreach health services. Respectful behaviours of the outreach healthcare practitioners were significantly associated with the higher patient satisfaction attending outreach clinics. Conclusions: The current study demonstrated a high level of patient satisfaction regarding outreach health services in rural and remote NSW, Australia. Further, our study findings showed the importance of collecting data about patient satisfaction to strengthen outreach service quality.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Rural communities account for 28% of Australia’s population, out of which 62% are Indigenous Australians [ 25 , 30 ]. However, only 12% of medical specialists reside in rural areas [ 31 , 32 ]. Similarly, rural areas typically have fewer nurses and allied health professionals compared to urban areas [ 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study

Islam

O’Neill²,

Kolur

et al. 2022

Healthcare

View full text Add to dashboard Cite

show abstract

“…Many of the foundational principles are consistent with other rural medical contexts, including the centrality of general medicine in rural practice (FP5); [31][32][33][34] the importance of rural immersion (FP4) rather than shorter training attachments; 4,6,8,9,35-37 the interprofessional training and practice context (FP8); 7,34,[38][39][40] and the dynamic complexity of rural specialist work to meet community demand (FP3). 4,6,8,[41][42][43] Together, these principles provide a roadmap for tailoring physician workforce development to each rural community, thereby breaking down barriers to action by stakeholders working collaboratively.…”

Section: Discussionmentioning

confidence: 99%

Building a sustainable rural physician workforce

Ostini¹,

McGrail²,

Kondalsamy‐Chennakesavan³

et al. 2021

Medical Journal of Australia

Self Cite

View full text Add to dashboard Cite

c4b-796f-49bd-87eb-5a111 35956 f5/16934.pdf. aspx?inlin e=true (viewed May 2021). ■Understanding the professional experience of both the rural physician workforce and junior physician trainees and the impact of their training or working location is vital. Given the lack of empirical evidence on the experience of rural physicians across all career stages, the aim of our study was to assess differences in the demographic characteristics, professional profile and professional satisfaction of rural and metropolitan junior physicians and physician consultants in Australia. MethodsOur study used data from the Medicine in Australia: Balancing Employment and Life (MABEL) study, a large longitudinal (annual cohort) survey of the Australian medical workforce. Specialty was self-identified, with only "physicians" included, using the Royal Australasian College of Physicians (RACP) definition (adult internal medicine, paediatric and child health) (Box 1). For junior doctors, due to small annual counts in MABEL, cross-sectional data were pooled between wave 1 (2008) and wave 9 (2016); however, only the first record (at each career stage) over the 9 years was included for analysis. In contrast, cross-sectional

show abstract

“…The preference of many health professionals, particularly medical practitioners, to work in metropolitan areas, has resulted in a mal-distribution of that workforce. While this mal-distribution has been the focus of the Australian Government for many years, it is now increasingly evident that, while the mal-distribution of medical practitioners may continue, driving a shortage in rural and remote areas, there is now a growing overall shortage of nurses in all geographical areas as well as in specific areas of speciality nursing practice [5, 7]. The overall response of the Australian government to address the mal-distribution and shortage has been to increase supply [8].…”

Section: Introductionmentioning

confidence: 99%

From incomer to insider: The development of the TRANSPEC model – A systematic review of the factors influencing the effective rapid and early career TRANsition to a nursing SPECiality in differing contexts of practice

et al. 2019

View full text Add to dashboard Cite

Objective Shortages in the speciality nursing workforce, both nationally and internationally are driving the need for the development of an evidence-based model to inform recruitment and retention into speciality nursing practice. This study aimed to identify the factors influencing rapid and early career transition into speciality nursing practice. Methods A comprehensive systematic review of the literature was undertaken using a convergent qualitative synthesis design where results from qualitative, quantitative and mixed methods studies were transformed into qualitative findings. Databases included CINAHL, Medline, Scopus and PsycINFO. Search terms were: nurse, early career, rapid career, transition, specialty, and Medical Subject Heading terms included: professional development and educational, nursing, and continuing. Using validated tools, papers were independently assessed by a minimum of two reviewers. Results Twenty-three research articles were included. There were no randomized control trials. Through thematic analysis and matrix mapping of the results, the TRANSPEC model was developed. The model outlines three phases of transition: pre-entry, incomer and insider. There has been little focus on pre-entry with programs being designed at the incomer and insider phases. Impacting on these phases are three concepts: the self (professional and personal), the transition processes (informal and formal) and a sense of belonging. The overarching theme influencing the phases and concepts is the context of practice. Enablers and inhibitors influence successful transition and therefore impact on recruitment and retention. Each nurse’s transition is influenced by time. Conclusions For successful transition, the enablers and inhibitors impacting on the three concepts, phases and the context of practice need to be considered when developing any program. It is apparent that while previous studies have focused on the transition processes, such as curricula, the development of the self and a sense of belonging are also essential to successful transition. Further studies should include the pre-entry phase.

show abstract

Specialist outreach services in regional and remote Australia: key drivers and policy implications

Cited by 9 publications

References 12 publications

Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study

Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study

Building a sustainable rural physician workforce

From incomer to insider: The development of the TRANSPEC model – A systematic review of the factors influencing the effective rapid and early career TRANsition to a nursing SPECiality in differing contexts of practice

Contact Info

Product

Resources

About