It's going, it's going :-) 
Den ULTRAlavpraktiske (Man må jo bruge de forhåndenværende søm.
) løsning blev:
1: luk formularen
2: slet tabellen (fra backend'en (BE))
3: drop linket til BE-tabellen
4: kør batchen
5: importer tabellen fra txt filen (lokalt)
6: eksporter tabellen til BE
7: drop den lokale tabel
8: opret link til BE-tabellen
Jeg fandt inspiration til funktionerne her: 
http://www.micronetservices.com/manage_remote_backend_access_database.htm[code]
Private Sub btnDelRunBatchImport_Click()
    Dim wsh As Object
    Set wsh = VBA.CreateObject("WScript.Shell")
    Dim strBatch As String: strBatch = "Q:\...\genererusers.bat"
    Dim waitOnReturn As Boolean: waitOnReturn = True
    Dim windowStyle As Integer: windowStyle = 1 
    Dim strPath As String: strPath = "Q:\...\udlaansusers.txt"
    Dim strDest As String: strDest = "Q:\...\Udlaan_be.accdb"
    Dim strTbl As String: strTbl = "Medarbejder"
    Dim strSpec As String: strSpec = "Udlaansusers Importspecifikation"    
    Call DeleteTableFromBackEnd(strDest, strTbl)
    DoCmd.DeleteObject acTable, strTbl    
    wsh.Run strBatch, windowStyle, waitOnReturn 'wait for batch to finish    
    DoCmd.TransferText acImportFixed, strSpec, strTbl, strPath, False
    Call PutTableOnBackEnd(strDest, strTbl)    
    DoCmd.OpenForm "Udlaan", acNormal
    DoCmd.Close acForm, "OpdaterMedarbejdere"
End Sub 
Function DeleteTableFromBackEnd(DbPath As String, TblName As String)
'Data still exists in txt-file. Backup is not mandatory.
    Dim Db As Database    
    'test back end
        On Error Resume Next
        Set Db = OpenDatabase(DbPath)
        If Err <> 0 Then
            'failed to open back end database
            Exit Function
        End If
        Db.Execute "DROP TABLE [" & TblName & "]"
        If Not Db Is Nothing Then Db.Close    
        DeleteTableFromBackEnd = True 'defaults to false if it fails to get here        
End Function 
Function PutTableOnBackEnd(DBName As String, TblName As String) As Boolean
    Dim Db As Database
    'test back end
        On Error Resume Next
        Set Db = OpenDatabase(DBName)
        If Err <> 0 Then
            'failed to open back end database
            Exit Function
        End If
        If Not Db Is Nothing Then Db.Close    
    'test if table is local
        If IsNull(DLookup("Type", "MSysObjects", "Name='" & TblName & "' AND Type=1")) Then
           'table is not local
            Exit Function
        End If    
    'put table on back end
        DoCmd.TransferDatabase acExport, "Microsoft Access", DBName, acTable, TblName, TblName
        If Err <> 0 Then GoTo Done        
    'link to the back end table
        DoCmd.DeleteObject acTable, TblName
        DoCmd.TransferDatabase acLink, "Microsoft Access", DBName, acTable, TblName, TblName        
        PutTableOnBackEnd = True 'defaults to false if it fails to get here
[/code]
Ja ja - jeg har stadig meget at lære. Så vidt jeg kan læse mig frem til, kan man ikke importere til en allerede eksisterende tabel, men det har måske ikke noget på sig?