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首页> 外文期刊>Rural and Remote Health >The Fly-in Fly-out and Drive-in Drive-out model of health care service provision for rural and remote Australia: benefits and disadvantages
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The Fly-in Fly-out and Drive-in Drive-out model of health care service provision for rural and remote Australia: benefits and disadvantages

机译：为澳大利亚农村和偏远地区提供卫生保健服务的“自由进出”和“自由进出”模式：利弊

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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.
机译：背景：澳大利亚农村人口的健康状况较差，他们获得的医疗保健服务较城市居民差，而且澳大利亚农村和偏远地区的卫生专业人员长期短缺。旨在减少这种城乡鸿沟的策略包括飞入飞出（FIFO）和驶入赶出（DIDO）服务。本文的目的是研究这些形式的服务提供中所涉及的机遇和挑战。本文回顾了有关FIFO和DIDO医疗服务的最新文献，并讨论了它们对澳大利亚农村地区和医疗从业者的好处和潜在的不利影响。服务的可及性，减少长途旅行获得医疗保健的需求。但是，从长远来看，需要考虑重大的缺点。为了提供这些服务，长途旅行和长时间工作（通常没有足够的同伴支持或监督）的卫生专业人员可能会感到精疲力尽。另一个不利因素，特别是在利用拜访医生提供通才服务方面，是在农村小社区中缺乏开发资源充足的当地初级卫生保健系统的经验教训。在澳大利亚农村地区，作者警告不要增加使用FIFO和DIDO服务，而不能在农村和偏远社区同时发展资源丰富，资金充足且配备人员的初级医疗保健服务。

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