Introduction

Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This chapter introduces how the book compares the allied health professions, both as a collective and as individual disciplines, in Australia and the UK. Australia and the UK were chosen as a basis for comparison because the allied health professions have emerged in each jurisdiction from similar philosophies, regulatory structures and training approaches, which allows meaningful comparison. The different funding and system contexts provide a comparative basis to understand the impact of different features on allied health professionalisation. It starts from the position of the similarities between the allied health contexts in both countries. Politically, neo-liberalism has been influential in driving the healthcare funding models and accountabilities in both nations, though different healthcare funding systems have facilitated varied flexibilities within the allied health workforces in each context. The modern allied health professions were heavily shaped by the formal organisation of labour that emerged within the colonies of the British Empire as a result of the Industrial Revolution. This book is largely focused on the way in which the allied health professions have emerged and developed within a Western context.

2021 ◽  
pp. 27-56
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This chapter examines the concept of allied health as a confederation of constituent professions. We examine: the way that different jurisdictions define the allied health collective; the rationale for those groupings; and the impact of inclusion (or otherwise) of the groupings on the individual professional project of specific allied health professions. Concepts that will be explored include the considerations around a heterogeneous group of occupations attempting to work together to achieve a single professional project. It also also explores the international contexts of the allied health professions and the relevance of the specific comparisons between Australia and the UK.


1973 ◽  
Vol 3 (3) ◽  
pp. 435-444 ◽  
Author(s):  
Carol A. Brown

As health services have become hospital-centered, many specialized health occupations have been created. The author maintains that these allied health occupations conflict with the medical profession for occupational territory, and that the development of these subordinate occupations has been controlled by the medical profession to its own benefit. This control is achieved through domination of professional societies, education and training, industrial rules and regulations, and government licenses. Detailed examples of the process of control are provided from the fields of radiology and pathology.


Author(s):  
Semoon Chang

Contributions made by allied health programs to the local community extend beyond quality health care. Estimated in this paper are the economic contributions that the College of Allied Health Professions at the University of South Alabama makes to the economy of Mobile County, Alabama, in which the College is located. Economic impact is defined as only those expenditures that are brought to the local economy from outside by the existence of the College, excluding any expenditures that simply change hands in the local economy. Expenditures generated by the existence of the College have the following three groups: expenditures made by out-of-town students, expenditures generated by the College for its operation as well as salaries of its employees who reside in the local area, and external grants generated by the College faculty. In addition to these direct expenditures impact, an estimate is also made for the long-term economic impact of the College on the local economy through the supply of educated health care workers. Total impact is obtained on the basis of RIMS II regional input-output multipliers estimated specifically for Mobile County by the U.S. Bureau of Economic Analysis. The total amount of the annual direct expenditures impact of the College of Allied Health Professions on the local economy is $29,852,490.43. Including the multiplier effect, the amount of total expenditures generated by the College of Allied Health Professions for the local economy is $60,290,089.67 per year. The total number of jobs that are created or maintained in Mobile County by the College-generated expenditures is 1,248. In addition to the direct and indirect economic impact from new expenditures, the College also contributes to the local economy through education and training of its workers. The College of Allied Health Professions contributes $4,424,398.39 in increased earnings annually to the state of Alabama of which $2,145,335.30 is to Mobile County through its education and training.


2021 ◽  
pp. 173-190
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This chapter explores post-professional roles in detail, and the implications of these roles for the allied health professions generally. One relatively unique feature of the allied health professions is the extent of interdisciplinary and transdisciplinary working across the continuum of professionalisation. These trans- and interdisciplinary relationships can be negotiated at a team or institutional level; however, they are also formalised into recognised training structures and professional hierarchies, particularly in the fields of diabetes education, mental health and in generic assessment and case management roles, such as with the National Disability Insurance Scheme in Australia and with intermediate and transitional care for older people in the UK.


Author(s):  
Janice St. John-Matthews ◽  
Charlotte Hobbs ◽  
Paul Chapman ◽  
David Marsden ◽  
Ruth Allarton ◽  
...  

Sustainable growth in the Allied Health Professions (AHP) workforce is an ambition of the United Kingdom’s NHS Long Term Plan. However historically, access to good quality placements has been a barrier to increasing pre-registration training numbers. This article focuses on work carried out by Health Education England (HEE) to gain insights on the impact of the COVID-19 pandemic on capacity. Using a pragmatic, embedded mixed-methods approach, insights were gathered using an online workshop, crowdsourcing, open for two weeks in the summer of 2020. AHP placement stakeholders could vote, share ideas or comment. Descriptive data were extracted, and comments made were analysed using inductive thematic analysis. Participants (N = 1,800) made over 8,500 comments. The themes identified included: diversity of placement opportunity, improved placement coordination, a more joined-up system, supervision models and educator capacity. Alongside considering the challenges to placement capacity, several areas of innovative practice owing to the pandemic were highlighted. Generated insights have shaped the aims and objectives of the Health Education (HEE) pre-registration AHP student practice learning programme for 2020/2021 and beyond. The COVID-19 pandemic has disrupted the delivery of AHP placements. In the absence of face-to-face activities, crowdsourcing provided an online data collection tool offering stakeholders an opportunity to engage with the placement capacity agenda and share learning. Findings have shaped the HEE approach to short-term placement recovery and long-term growth.


PLoS ONE ◽  
2020 ◽  
Vol 15 (10) ◽  
pp. e0241328
Author(s):  
Jennifer Coto ◽  
Alicia Restrepo ◽  
Ivette Cejas ◽  
Sandra Prentiss

2021 ◽  
pp. 191-202
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This concluding chapter considers the policy and practice implications of the preceding chapters. Despite the prolific use of the term 'allied health', the analysis brings the reader no closer to a unifying definition of the confederation of allied health professions. It is clear that allied health professionals are distinct from medicine and nursing; however, those professional boundaries are beginning to blur as allied health professions take on traditional medical roles, such as prescribing and point-of-care testing. Despite their largely successful professionalisation strategies, the allied health professions still face many challenges in influencing service delivery in a way that optimises the use of their services. Despite many common origins to both the Australian and UK health systems, the divergence of the two systems after the Second World War created some significantly different contexts for the evolution of allied health. A defining feature of the UK NHS is the provision of almost all personal care through the health and social care portfolios. These portfolios help to create a singular definition of 'health' and 'social care', and, with few exceptions, most allied health is provided within the 'health' portfolio. The Australian system, in contrast, is highly pluralistic and there is no legislatively endorsed central recognition of or endorsement for the collective allied health professions. It remains likely that the allied health professions must continue to assume that to be a professional means to act professionally, to observe and maintain standards of behaviour that fit the image of professionalism, to construe their actions as altruistic, and to promote a service ethic and orientation.


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