Michael Livingston believes city-based decision-makers are failing remote GPs, leading to unsustainable practices and shortages across the country. But he believes he has a solution — a model he calls the 'rural generalist hub'.
abc.net.au/news/gp-s-idea-for-rural-generalist-hub-to-avoid-doctor-burnout/102102204Fed up with knocking on politicians' doors with ideas to fix remote health care, Michael Livingston has decided to take on the task himself.
"Instead of seeing a burnt-out RG [rural generalist] or a GP in training in the middle of nowhere hanging on by their fingernails and putting off students by the chaotic nature of the job, we have a hub where we can all rotate from, offer support from and consult from," reads the pitch document he circulated to politicians.
Despite the difficulties, Australian College of Rural and Remote Medicine president Dan Halliday said rural generalists were a proven "value for money" model of care. "You're facing a system that doesn't really have an appetite for general practice at all — even though it's clearly the best dollar-for-value service that can be given to the Australian population," he said.
Dr Livingston believes policymakers need to think more creatively about making remote healthcare attractive.Dr Livingston also said that by living in Ravensthorpe, a remote town, he missed out on major incentives available from the state government in some regional centres such as Esperance, a tourist hotspot two hours' drive up the road.
A WACHS spokesperson said it was "problematic" to compare incentives available to different doctors, as they were employed through a number of different arrangements. The 4 Ts project, for example, was launched after the collapse of every private GP practice in Tottenham, Trundle, Tullamore, and Trangie in rural New South Wales, and involved rural generalists, nurses, and administrative staff working together from a central location to service the area.
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