Specialist clinics in remote Australian Aboriginal communities: where rock art meets rocket science.

摘要: People in remote Aboriginal communities the Northern Territory have greater morbidity and mortality than other Australians, but face considerable barriers when accessing hospital-based specialist services. The Specialist Outreach Service, which began 1997, was a novel policy initiative to improve access by providing regular multidisciplinary visiting services communities. It led two interesting juxtapositions: that of 'state art' alongside under-resourced primary care relatively traditional communities; attempts develop an evidence base for effectiveness outreach, while meeting short-term evaluative requirements policy-makers. In this essay, first we describe development service its initial process evaluation. Through Cochrane systematic review then summarise published research on outreach improving tertiary care. Finally findings observational population-based study use impact three over 11 years. improves may lessen demand both outpatient inpatient hospital is, however, dependent well-functioning According way is conducted organised, it can either support or hinder and, as result, reduce own effectiveness.