We conducted a literature review to assess the current status of general practitioner services in residential aged-care facilities (RACFs) in Australia and the impact of recent initiatives to enhance access by RACF residents to these services. Of 400 publications identified, 22 were selected as relevant to our study. We also analysed publicly available statistical data on GP services in RACFs. Recent initiatives to improve quality of care and facilitate access to GP services for RACF residents include the Aged Care GP Panels Initiative, the Enhanced Primary Care program, and an expanded role of palliative care. Despite these initiatives, many GPs still find RACF services unappealing due to a perceived poor level of remuneration for the effort involved. Further improvements in access to and quality of GP services to RACFs may require new models of care delivery and financing.

译文

:我们进行了文献综述,以评估澳大利亚住宅老年护理设施(RACF)中全科医生服务的当前状况,以及最近旨在增强RACF居民获得这些服务的举措的影响。在确定的400种出版物中,有22种与我们的研究相关。我们还分析了RACF中GP服务的公开统计数据。为提高护理质量并促进RACF居民获得全科医生服务而采取的最新举措包括老年护理全科医生小组倡议,增强的初级保健计划以及姑息治疗的作用扩大。尽管采取了这些举措,但由于认为所付出的努力的报酬水平很低,许多全科医生仍然没有发现RACF服务的吸引力。进一步改善RACF获得GP服务的质量和质量可能需要新的护理提供和融资模式。

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