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Title: The Fly-in Fly-out and Drive-in Drive-out model of health care service provision for rural and remote Australia: benefits and disadvantages
Contributor(s): Hussain, R  (author); Maple, M  (author)orcid ; Hunter, S V  (author); Mapedzahama, V  (author); Reddy, P (author)
Publication Date: 2015-07-19
Open Access: Yes
DOI: 10.22605/RRH3068Open Access Link
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Context: Rural Australians experience poorer health and poorer access to health care services than their urban counterparts, and there is a chronic shortage of health professionals in rural and remote Australia. Strategies designed to reduce this rural-urban divide include fly-in fly-out (FIFO) and drive-in drive-out (DIDO) services. The aim of this article is to examine the opportunities and challenges involved in these forms of service delivery. This article reviews recent literature relating to FIFO and DIDO healthcare services and discusses their benefits and potential disadvantages for rural Australia, and for health practitioners.

Issues: FIFO and DIDO have short-term benefits for rural Australians seeking healthcare services in terms of increasing equity and accessibility to services and reducing the need to travel long distances for health care. However, significant disadvantages need to be considered in the longer term. There is a potential for burnout among health professionals who travel long distances and work long hours, often without adequate peer support or supervision, in order to deliver these services. A further disadvantage, particularly in the use of visiting medical practitioners to provide generalist services, is the lack of development of a sufficiently well-resourced local primary healthcare system in small rural communities.

Lessons learned: Given the potential negative consequences for both health professionals and rural Australians, the authors caution against the increasing use of FIFO and DIDO services, without the concurrent development of well-resourced, funded and staffed primary healthcare services in rural and remote communities.

Publication Type: Journal Article
Source of Publication: Rural and Remote Health, 15(3), p. 1-7
Publisher: Australian Rural Health Education Network
Place of Publication: Australia
ISSN: 1445-6354
Fields of Research (FoR) 2008: 111717 Primary Health Care
111799 Public Health and Health Services not elsewhere classified
Fields of Research (FoR) 2020: 420304 General practice
420399 Health services and systems not elsewhere classified
Socio-Economic Objective (SEO) 2008: 920506 Rural Health
920206 Health Inequalities
Socio-Economic Objective (SEO) 2020: 200508 Rural and remote area health
200204 Health inequalities
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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Appears in Collections:Journal Article
School of Health
School of Rural Medicine

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