Palliative care management in rural and remote areas generally relies on local resources including a primary healthcare professional and a local health facility. Either in the absence of a primary healthcare professional, or in more complex cases, a patient is frequently transferred to a larger rural- or metropolitan-based health facility, away from community and local supports. With increasing challenges in locum availability, healthcare professionals are challenged in looking out for their own wellness needs, often having to choose between taking time-off or staying on duty and available to provide ongoing care for their patients. In this case report, we describe an alternative hybrid model of care which integrates place-based and virtual management, utilising digital health technologies. This approach supported a rural healthcare professional to take leave, by transferring the care and management of a palliative care patient to the WA Country Health Inpatient Telehealth Service, allowing the patient to remain in their local community and die in their place of choice. Access to palliative care is of great importance to quality care and its impacts cannot be overstated for the person with a terminal illness and their family, it is also important to take into consideration the role of the health professional and their well-being.

中文翻译：

---

整合基于地点和虚拟的姑息治疗模型：案例报告

农村和偏远地区的姑息治疗管理通常依赖于当地资源，包括初级医疗保健专业人员和当地卫生机构。无论是在缺乏初级医疗保健专业人员的情况下，还是在更复杂的情况下，患者经常被转移到较大的农村或大城市的医疗机构，远离社区和当地的支持。随着代理可用性的挑战日益增加，医疗保健专业人员在关注自己的健康需求方面面临着挑战，通常必须在休假或继续值班之间做出选择，以便为患者提供持续的护理。在本案例报告中，我们描述了一种替代混合护理模式，该模式利用数字健康技术集成了基于地点和虚拟管理。这种方法支持农村医疗保健专业人员休假，将姑息治疗患者的护理和管理转移到西澳乡村健康住院远程医疗服务，允许患者留在当地社区并在他们选择的地方死亡。获得姑息治疗对于优质护理非常重要，其对绝症患者及其家人的影响不容小觑，考虑卫生专业人员的作用及其福祉也很重要。