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The development of family health nurses and family nurse practitioners in remote and rural Australia

journal contribution
posted on 06.12.2017, 00:00 authored by W Lauder, S Reel, S Sharkey
BACKGROUND The World Health Organisation HEALTI-I2t strategy has firmly placed families and family oriented services at the core of health care delivery. OBJECTIVE In this article we argue that a fundamental reorganisation of primary health care practices in remote and rural Australia needs to be undertaken. DISCUSSION Nurses have been shown to be equally effective and less costly than general practitioners. Family nurse practitioners should be a first point of contact, and family health nurses should he responsible for responding to problems of multiple deprivation and social exclusion in remote and rural areas. These practitioners would, in their respective areas of responsibility identify, iagnose, refer or treat individuals, families and communities. In effect they would act as gatekeepers to health and social care services. Family health nurses would also aim to support the community in developing and sustaining the capacity to take responsibility for its own health and social care. The main obstacles to these initiatives are concens of general practitioners and nurses, the inertia of large organisations when faced with the need to undertake radical change and the highly unionised and rule bound nature of Australian nursing.

Funding

Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)

History

Volume

32

Issue

9

Start Page

2003)

End Page

2003)

ISSN

0300-8495

Location

Sydney, NSW

Publisher

Royal Australian College of General Practitioners

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

College of Nursing; Dept. of Nursing and Midwifery; Faculty of Arts, Health and Sciences; TBA Research Institute;

Era Eligible

Yes

Journal

Australian family physician.