Connect
MJA
MJA

Holistic medicine provision in the outback

John T Wenham, Malcolm Moore and Zachary Pancer
Med J Aust 2017; 206 (4): . || doi: 10.5694/mja16.00749
Published online: 6 March 2017

Overcoming the barriers to chronic disease management in rural areas

The Royal Flying Doctor Service (RFDS) has been providing essential medical services to rural and remote Australia since its inception in 1927. The service, founded by Reverend John Flynn, started as a single base at Cloncurry in Queensland1 and now operates out of 21 bases, providing both primary care clinics and emergency retrieval services. RFDS has been servicing clinics from its Broken Hill base since the 1940s; by 1970, there were three full-time doctors conducting the clinics and running the on-call service via the radio network. In 2016, Broken Hill doctors treated patients in 17 different clinic locations each month. On most weekdays, there are general practitioners at three clinic sites, along with dentists, nurses and mental health practitioners.


  • 1 Broken Hill Department of Rural Health, University of Sydney, Broken Hill, NSW
  • 2 Rural Clinical School, Australian National University, Canberra, ACT
  • 3 University of Toronto, Toronto, Canada



Competing interests:

No relevant disclosures.

  • 1. Rudolph I. John Flynn — of flying doctors and frontier faith. 3rd ed. Brisbane: Boolarong Press; 2012.
  • 2. Royal Flying Doctor Service. More than a flying doctor: Annual report 2013–14. Sydney: RFDS; 2016. https://www.flyingdoctor.org.au/about-the-rfds/annual-reports/ (accessed June 2016).
  • 3. Royal Flying Doctor Service. What we do in the South East Section. Sydney: RFDS; 2015. www.flyingdoctor.org.au/nswact (accessed July 2016).
  • 4. New South Wales Health, Ambulance Service of NSW. Fees and charges 2016. Sydney: NSW Health; 2016. http://www.ambulance.nsw.gov.au/Accounts--Fees/Fees-and-Charges.html (accessed Sept 2016).
  • 5. Van Walraven C, Oake N, Jennings A, Forster AJ. The association between continuity of care and outcomes: a systematic and critical review. J Eval Clin Pract 2010; 16: 947-956.
  • 6. Cheng S, Chen C, Hou Y. A longitudinal examination of continuity of care and avoidable hospitalization: evidence from a universal coverage health care system. Arch Intern Med 2010; 170: 1671-1677.
  • 7. NHS Employers. Quality and Outcomes Framework. NHS Employers. 2016. London: NHS Employers; 2016. http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework (accessed Aug 2016).
  • 8. Wickramasinghe LK, Schattner P, Hibbert ME, et al. Impact on diabetes management of General Practice Management Plans, Team Care Arrangements and reviews. Med J Aust 2013; 199: 261-265. <MJA full text>
  • 9. Harris MF, Jayasinghe UW, Taggart JR, et al. Multidisciplinary Team Care Arrangements in the management of patients with chronic disease in Australian general practice. Med J Aust 2011; 194: 236-239. <MJA full text>
  • 10. National Rural Health Alliance. Current issues for Australia’s rural and remote health workforce position statement. Canberra: NRHA; 2004. http://www.ruralhealth.org.au/document/current-issues-australias-rural-and-remote-health-workforce (accessed July 2016).
  • 11. Scott JG, Cohen D, DiCicco-Bloom B, et al. Understanding healing relationships in primary care. Ann Fam Med 2008; 6: 315-322.
  • 12. Saultz JW, Albedaiwi W. Interpersonal continuity of care and patient satisfaction: a critical review. Ann Fam Med 2004; 2: 445-451.
  • 13. Carrillo JE, Carrillo VA, Perez HR, et al. Defining and targeting health care access barriers. J Health Care Poor Underserved 2011; 22: 562-575.
  • 14. Freeman T, Baum F, Lawless A, et al. Reaching those with the greatest need: how Australian primary health care service managers, practitioners and funders understand and respond to health inequity. Aust J Prim Health 2011; 17: 355-361.
  • 15. Russell DJ, Humphreys JS, Ward B, et al. Helping policy-makers address rural health access problems. Aust J Rural Health 2013; 21: 61-71.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.