Community perceptions of GP health service delivery models in rural Victoria and the implications for rural workforce planning

--Abstract-- Aim and objectives In many small rural communities, where health demands or resources are insufficient to sustain a resident GP or attempts to recruit a permanent GP have failed, health services are being provided by non-resident GPs on a drive-in/drive-out (DIDO) or fly-in/fly-out (FIFO) basis. While DIDO and FIFO GP service models have been politically unpopular due to concerns of lack of continuity of care, poor understanding of local community issues and loss of social capital, the perceptions of residents in communities receiving these services have not previously been examined. This study uses a collective case study approach to examine community perceptions of GP service delivery models in two discrete rural communities in Victoria – one with a long-term resident GP and the other with a DIDO GP model serviced by permanent GPs from the nearest regional centre. We aim to: Identify differences and similarities in community perceptions of the two GP service delivery models and the key factors contributing to these Use this information to discuss implications for future GP health service delivery in rural communities Method/Design Semi-structured interviews are currently being conducted with permanent residents in two rural communities. Data will be interpreted using thematic analysis, followed by cross-case comparison. Results Pending Conclusions Traditional resident GP models of care are likely to continue to be the preferred model of GP service delivery in small rural communities. However, for communities where recruiting and retaining GPs has proved difficult, alternative models are needed. A DIDO/FIFO GP service delivery model with permanent GPs has the potential to provide a sustainable and locally responsive workforce in many rural communities. This study will provide critical information on how a DIDO/FIFO GP service delivery model compares with a traditional model from a community perspective. Poster presentation