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,以评估澳大利亚老年护理机构 (RACF) 中全科医生服务的现状,以及最近为增加RACF居民获得这些服务而采取的举措的影响。在确定的400份出版物中,选择了22份与我们的研究相关。我们还分析了RACFs中GP服务的公开统计数据。最近为提高护理质量和促进RACF居民获得全科医生服务而采取的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扩大作用。尽管采取了这些举措,但由于所涉及的工作报酬低,许多全科医生仍然认为RACF服务没有吸引力。Rcf获得全科医生服务的机会和质量的进一步提高可能需要新的护理提供和融资模式。

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