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J Epidemiol Community Health 56:517-521 doi:10.1136/jech.56.7.517
  • Public health policy and practice

Outreach and improved access to specialist services for indigenous people in remote Australia: the requirements for sustainability

Table 3

Requirements for sustainable specialist outreach in the Northern Territory

Specialist base considerations

  • Adequate number of specialists

  • Outreach is integrated, valued, and facilitated

  • Outreach specialist has a hospital role

  • Outreach is shared and not dependent on one person
Primary care considerations

  • Adequately resourced and staffed

  • Demand exists for specialist care

  • A multidisciplinary framework centered in primary care and not dominated by specialists
The outreach service

  • Coordination and prior planning of visits

  • Funded separately

  • Evaluated regularly
The nature of outreach visits

  • Regular and predictable

  • Respond to individual community needs

  • Accountable to the referring practitioner and community

  • Appropriate mix of clinical services, education and support

  • Utilise education and training opportunities

  • Reliable correspondence and good communication

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