By Siaw-Teng Liaw, Sue Kilpatrick, Australian Rural Health Education Network
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Extra resources for A Textbook of Australian Rural Health
Appropriate financing relates closely to streamlining of Commonwealth–state relations, such as with a ‘pooled funding’ or ‘block funding’ model (Productivity Commission 2005). Governance, management and leadership: Appropriate governance structures, adequate management skills and systems, and champions, are all hallmarks of successful services. Linkages: Linkages are critical within the health service and with external agencies and services relevant to patient care. Infrastructure: Infrastructure should be adequate and include physical infrastructure such as clinics, accommodation, equipment and vehicles, and ICT systems appropriate to the service.
The present decade In 1999, the Australian, state and territory governments developed Healthy Horizons (NRHPF and NRHA 1999) with the National Rural Health Alliance (NRHA) as the national framework to guide rural and remote health activity for the following five years, a policy framework that has been reaffirmed through to 2008. As a result, there is now general agreement across governments on the need for a specific policy response to rural health issues and the guiding principles that should underpin planning for the provision of health care services: • The Primary Health Care approach is supported as it provides the opportunity to keep people healthy within the community setting and to intervene at the earliest possible stage to support and maintain good health.
Cultural security is the responsibility of all health professionals to ensure that all consumers feel secure in their culture, identity and self when using, accessing and visiting the health service. Creating an environment that is inviting and nonjudgmental and where 37 A Textbook of Australian Rural Health clients and their family and friends feel comfortable and able to express their cultural traditions and identities can be achieved in a number of ways. For example, it may require translating information, allowing large groups of visitors, and having big print for older consumers.