Further to below:

1) It's already happening in Tassie -
http://www.gpat.com.au

2) My local federal member, Greg Hunt, has
contacted me and would like further information
on the concept/ proposal - I will  be meeting with 
him over the weekend.

John Mac

> John Mackenzie wrote:

>Sir, 
>
>I wish to draw your attention to the rural GP shortage ... 
>Whilst there is more than one cause for this, an important 
>factor is the burden of after hours care causing sleep 
>deprivation, exhaustion and burn out.   
>
>In the many smaller rural hospitals unable to distribute this 
>after hours burden amongst several GPs, I believe that it would 
>be possible to implement a system with a remote "1st on-call" 
>doctor/GP able to manage most after hours problems.  There 
>would still need to be a local GP available as "2nd on-call" 
>for circumstances unable to be managed remotely, but the 
>overall reduction in after hours calls and sleep deprivation 
>to rural GPs would be of great benefit to themselves and the 
>safety of their patients.  
>
>The technology is now available to implement this concept, but 
>there are hurdles to overcome:
>
>1) The rural hospital should use _electronic health records_ which
>can be accessed remotely using _virtual private networking_ -
>rural hospitals would need this to be set up by IT techies, and 
>nursing and medical staff would need some training to adapt 
>to the new computerised medical record system. 
>
>2) There would need to be a "panel" of suitably trained/experienced
>doctors to be remotely on-call for these smaller rural hospitals.  
>Theoretically it would be possible for all rural hospitals throughout 
>Australia to be covered from 10pm to 8am by remote on-call doctors 
>working shifts in W.A. from 8pm to 2am and then an eastern state 
>from 4am to 10am.  
>
>
>This is the concept for which I have no vested interest other than a
>wish to help rural
>GPs and their patients.  Hoping the idea is of interest. 
>
>Yours respectfully,
>
>Dr John Mackenzie (Monash 1974)
>Westernport Medical Centre
>4 Mornington-Tyabb Rd, Tyabb 3913.
>- past Chairman MPDGP
>- past secretary AMA Peninsula subdivision 
>

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