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澳大利亚幅员辽阔,面积760多万平方公里,人口1400万余,农村人口约占15%。全国有6个州,各州均享有较大的自治权,公共卫生事业历来由各州卫生部门负责。多年来,虽然澳大利亚在边远地区的发病率和死亡率正在逐步降低,经费的支出也在严格控制,但是,用于卫生保健方面的预算却继续在增长。尽管如此,卫生资源的分配在城市与农村之间存在较大的不公正。比如在新南威尔士州的尤维尔地区,距离基层医院就有69公里,既无铁路相通,有些地方甚至也无到城镇去的公共汽车。在西德尼平均每200人有1名医生,而在某些农村有6000村民集中的地方却连1名医生都没有。由于这些乡村地处偏僻,交通不便,资源匮
Australia is a vast country with an area of more than 7.6 million square kilometers, a population of more than 14 million, and a rural population of about 15%. There are six states across the country, and all states enjoy greater autonomy. Public health undertakings have historically been responsible for the health departments of all states. Over the years, although Australia’s morbidity and mortality rates in remote areas are gradually declining and expenditures on funds are strictly controlled, the budget for health care continues to grow. Despite this, the distribution of health resources has a large degree of injustice between urban and rural areas. For example, in the Youville area of New South Wales, 69 kilometers from the basic hospital, there is no connection between the railway, and in some places there is no bus to the town. In Sidney, there are an average of 200 doctors per 200 people. In some rural areas, where there are 6,000 villagers, there is not even one doctor. As these villages are remote and inaccessible, resources are scarce.