Murray, Richard, and Sen Gupta, Tarun K. (2014) Assessment in rural medicine: hHow to measure and motivate achievement of abilities. In: Chater, Alan Bruce, Rourke, Jim, Strasser, Roger, Couper, Ian, and Reid, Steve, (eds.) WONCA Rural Medical Education Guidebook. WONCA, Bangkok, Thailand, pp. 1-12.

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Abstract

[Extract] The unique nature of rural and remote medicine is now well documented. As a result of its context, rural medicine is characterised by an expanded scope of clinical practice in the community and hospital setting, authentic multi-professional care, the necessity of a population health approach and an obligation to ration scarce resources. These are also global challenges: in high-income countries, governments are grappling with the health care demands of ageing populations and complex care; and in low-income countries, infectious and chronic disease increasingly co-exist in a predominantly rural context. A key driver in the emergence of rural medicine as a distinct discipline has been a divergence between metropolitan and rural general practice. Expansion of medical specialist numbers and increasing sub-specialisation in cities has led to more referral-oriented practice and ‘shared-care’ for GPs, less GP access to hospitals and a reduced involvement in procedural and emergency medicine. In contrast, in many rural and remote areas in Australia and around the world, rural contexts continue to require comprehensively-skilled doctors who can work across the primary and secondary care settings, including emergency and hospital in-patient services as well as in population health and community.

Item ID:	34016
Item Type:	Book Chapter (Scholarly Work)
ISBN:	978-0-9952419-0-9
Date Deposited:	14 Jul 2017 05:00
FoR Codes:	11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes:	92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 100%
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