The Academic Fellows Scheme in South Wales (UK): a response to the inverse care law.
نویسندگان
چکیده
Compared with their counterparts in more affluent areas, patients in deprived areas die younger, are sicker for longer before they die, and present more complex problems to primary care.1,2 Furthermore, people in areas of socio-economic deprivation are often underserved, as primary care is relatively understaffed and under-resourced and less able to meet patients’ needs than primary care in more affluent areas.3 Important barriers to achieving high-quality primary care in deprived areas are higher levels of complex clinical problems and multi-morbidity, which increase demand for service delivery time. Consequently, time available for service development and quality improvement is also limited, and there are difficulties with training and retaining staff.4,5 Rhondda Cynon Taff, Merthyr Tydfil and Blaenau Gwent are among the most deprived areas of Wales and the United Kingdom, with large proportions of the region in the lowest quintile of the Welsh Index of Multiple Deprivation. Several health indices are amongst the highest in Wales such as standardised mortality rates and rates of unemployment for 16–64-year-olds.6 In 2001, Cardiff University and the Welsh Government set up the Academic Fellows’ Scheme to address some of the difficulties faced by primary care in deprived areas of Wales, particularly Rhondda Cynon Taff, Merthyr Tydfil and Blaenau Gwent. The Academic Fellows Scheme in South Wales employs recently qualified GPs as academic fellows (AFs). The scheme aims to provide developmental support to general practices in deprived areas of South Wales, whilst promoting the professional development of the AFs in teaching and research. In this paper we describe the background to the scheme and its performance and achievements over the ten years since inception.
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عنوان ژورنال:
- Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors
دوره 26 3 شماره
صفحات -
تاریخ انتشار 2015