Abstract
Abstract The purpose of this paper is to discuss the rural health policies of the federal and Victorian governments and the challenges to the nursing workforce. The discussion will centre on the separation of the purchaser and provider functions of the public sector management teams, the fiscal policies of Casemix, the Care Aggregated and Standard Aggregated Modules (CAM/SAM) and the possibilities for creating new nursing roles (Commonwealth 1991, 1994; DH&CS 1993, 1994). The focus is on the direct challenge to the traditional distribution of power and the principles of social control in health care services. The renegotiation of the established order demands careful management of the knowledge and change required to secure the nursing profession's role in a changing society.
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