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Globalisation, rural restructuring and health service delivery in Australia: policy failure and the role of social work?

机译：全球化，澳大利亚的农村结构调整和医疗服务的提供：政策失灵和社会工作的作用？

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The impacts of globalisation and rural restructuring on health service delivery in rural Australia have been significant. In the present paper, it is argued that declining health service access represents a failure of policy. Rural communities across the world are in a state of flux, and Australia is no different: rural communities are ageing at faster rates than urban communities and young people are out-migrating in large numbers. During the past 5 years, rural Australia has also experienced a severe and widespread drought that has exacerbated rural poverty, and impacted on the health and well-being of rural Australians. Australian governments have responded to globalising forces by introducing neoliberal policy initiatives favouring market solutions and championing the need for self-reliance among citizens. The result for rural Australia has been a withdrawal of services at a time of increased need. This paper addresses the social work response to these changes.
机译：全球化和农村结构调整对澳大利亚农村地区卫生服务的提供具有重大影响。在本文中，有人认为减少医疗服务的获取代表了政策的失败。世界各地的农村社区处于不断变化的状态，澳大利亚也是如此：农村社区的老龄化速度比城市社区快，年轻人大量外出移民。在过去的五年中，澳大利亚农村地区还经历了严重而广泛的干旱，加剧了农村贫困，并影响了澳大利亚农村居民的健康和福祉。澳大利亚政府通过采取有利于市场解决方案和主张公民自力更生的新自由主义政策举措来应对全球化势头。澳大利亚农村的结果是，在需求增加的时候撤回了服务。本文讨论了社会工作对这些变化的反应。

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