Changing landscapes, changing lives: is it time for transformational health system change?

Professor John Wakerman1

1Associate Dean, Flinders University Northern Territory


In 1994, the first National Rural Health Strategy called for the development of “…innovative models of rural service delivery…to meet the diverse health care needs of rural communities.” Twenty four years later there continue to be calls for “innovative solutions.” But over this period we have developed a substantial body of knowledge about what service models work in different contexts and why they work. Is it time to implement what we know and is this sufficient to achieve the transformational change we envisaged in 1994?


Professor John Wakerman is the Associate Dean Flinders NT. He has worked for the past three decades as a remote GP, educator and remote and rural health services researcher.

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