Abstract：
In Australia, there are only two publicly reported disciplinary cases against specialist medical administrators. In the most recent decision of Medical Board of Australia v Gruner, the Victorian Civil and Administrative Tribunal confirmed that specialist medical administrators owe patients and the public the same professional obligations as medical practitioners with direct patient contact. More controversially, the Tribunal also held that medical administrators have a professional obligation only to accept roles with clear position descriptions that afford them sufficient time and resources to ensure the safe delivery of health services. We argue that this imposes unrealistic expectations on medical administrators engaged by rural, regional, or private health services that already struggle to attract and retain specialist medical expertise. This may exacerbate existing health inequalities by disincentivising specialist medical administrators from seeking fractional appointments that assist under-funded areas of workforce shortage.
摘要：
在澳大利亚,只有两起公开报道的针对专科医疗管理人员的纪律处分案件。在澳大利亚医学委员会vGruner的最新决定中，维多利亚州民事和行政法庭确认，专业医疗管理人员欠患者和公众与直接与患者接触的医生相同的专业义务。更有争议的是,法庭还认为，医疗管理人员负有专业义务，只接受具有明确职位描述的角色，为他们提供足够的时间和资源，以确保安全提供卫生服务。我们认为，这给农村雇佣的医疗管理人员带来了不切实际的期望，区域,或已经难以吸引和保留专业医疗专业知识的私人医疗服务。这可能会加剧现有的健康不平等，因为它阻止了专科医疗管理人员寻求帮助资金不足的劳动力短缺领域的临时任命。
