Economic assessment of disability models of care in remote communities

This project evaluated the costs, benefits and broader impacts of three allied health service delivery models used in remote northern Australia: resident allied health professionals, fly-in fly-out (FIFO) services and a community co-designed student-assisted model. Led by Flinders University and partners, the research focused on improving access to disability and rehabilitation services in remote communities where workforce shortages and geographic isolation often limit care options. Using data from East Arnhem Land and other northern Australian communities, the project assessed how each model contributes to health outcomes, service accessibility and value for money. The analysis found that resident allied health professionals provided the most cost-effective service model where workforce availability allowed. The student-assisted model, while more costly to deliver, generated significant additional benefits through workforce development, culturally responsive care, enhanced care coordination and stronger community engagement. The project also demonstrated the importance of local cultural governance in delivering effective allied health services for First Nations communities. The findings provide an evidence base for governments, health services and funders to make informed decisions about future disability and rehabilitation service delivery across remote northern Australia. By identifying the strengths and trade-offs of different models of care, the project has helped inform pathways to improve health outcomes, strengthen the remote allied health workforce and support more sustainable service provision in underserved communities.

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