top of page

Impact of Collaborative Team Based Care models on improving access to appropriate and quality health care for chronic disease patients in rural and remote communities

The Challenge

Increased rates of chronic disease, and an ageing population, require health services to improve how we utlise team-based care to maintain patient outcome and improve quality of life.  While there is broad agreement on the goal, the focus remains on piloting 'innovative models of care' in under-serviced areas rather than delivering innovation models of care.  In rural and remote communities, securing even a single health practitioner can be challenging due to the failure of government rural health and medical workforce programs.  New and proven models are therefore needed to ensure rural and remote people can enjoy the right to universal health care access using technology and innovative partnerships.  The aim of this project was to demonstrate that rural and remote communities have the existing knowledge and skills to immediately begin delivering integrated healthcare, and to build confidence among policy makers that we can move beyond "trials" to implementation of services.

Theory of Change

Adopting a flexible, place-based and teams based approach across primary health care and social care providers, incorporating on-site, virtual and mobile services, will improve access to multidisciplinary care to Australia's vulnerable rural and remote communities and lead to improved health.

Anticipated Outcomes

Short-Intermediate Term

  1. Team-based care services provided

  2. Practitioner satisfaction with ability to provide quality care

  3. Self-reported patient satisfaction with quality and access

Long Term Outcomes

Improved health and well-being for vulnerable people living in rural and remote communities.



Team-based care services provided


Practitioner satisfaction with ability to provide quality care using multiple modes and multiple disciplines

Quality & Access

Self-reported patient satisfaction with quality and access

15 April 2024


The trial was funded by the Murray Darling Basin Authority. Additional funding was requested from NSW Minister for Health to reduce avoidable hospital admissions but was declined. New funding applications are being prepared.


bottom of page