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Review Article

The Fly-in Fly-out and Drive-in Drive-out model of health care service provision for rural and remote Australia: benefits and disadvantages

Submitted: 24 March 2014
Revised: 18 August 2014
Accepted: 24 November 2014
Published: 19 July 2015

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Author(s) : Hussain R, Maple M, Hunter SV, Mapedzahama V, Reddy P.

Sally Hunter

Citation: Hussain R, Maple M, Hunter SV, Mapedzahama V, Reddy P.  The Fly-in Fly-out and Drive-in Drive-out model of health care service provision for rural and remote Australia: benefits and disadvantages. Rural and Remote Health (Internet) 2015; 15: 3068. Available: http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=3068 (Accessed 21 October 2017)

ABSTRACT

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.

Key words: DIDO, FIFO, healthcare service delivery, primary health care, resource allocation.

This abstract has been viewed 3125 times since 19-Jul-2015.

   
 

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