The Division of Laborers: Allied Health Professions

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 ◽  
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

Drawing on case studies from optometrists, physiotherapists, pedorthists and allied health assistants, this book offers an innovative comparison of allied health occupations in Australia and Britain. Adopting a theory of the sociology of health professions, it explores how the allied health professions can achieve their professional goals.


2021 ◽  
pp. 151-172
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This chapter explores the development of podiatric surgery as a state-registered allied health specialisation, and the negotiations with the state and the medical profession that shaped it. Few allied health professions have successfully achieved recognised specialisms. The medical profession particularly and the nursing profession to a lesser extent have both been successful in achieving internal divisions of labour through state-recognised specialisations. While many allied health professions recognise 'special interests' and endorse specialist areas of practice, few of these specialisms are formally recognised by the state or attract a higher level of professional recognition through higher roles and reimbursement. The two notable exceptions to this are the practice of psychology and podiatry.


2021 ◽  
pp. 1-26
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. 107-130
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This chapter draws on the examples of the professionalisation of operating department practitioners (ODPs), pedorthists and developmental educators (DEs) to examine the pathway to professionalism in the late 20th and early 21st centuries. These examples illustrate potential pathways that can be adopted for successful professionalisation by other occupational groups. Newly emerging allied health professions at the end of the 20th century and start of the 21st century have been able to access a far more straightforward pathway to achieve their professional project. Newly emerging occupations that meet a series of minimum professional standards face limited opposition from the state and minimal, if any, intervention from the medical profession. Their primary challenge is achieving professional closure and convincing large (mostly state) funding bodies to recognise and purchase their services, effectively achieving professional closure.


2021 ◽  
pp. 83-106
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This chapter explores in detail using the examples of optometry and radiography the early development of the well-established and more mature allied health professions who have had to negotiate their professional boundaries with the state and the medical profession. In many ways, it is these early disputes and negotiations that are responsible for shaping the modern health workforce and the allied health division of labour. Optometry and radiology constitute two clear examples of professions that may be regarded as established within contemporary mainstream healthcare. One has a long pre-modern history, with a degree of autonomy built on its claim to a unique knowledge base that is independent of medicine and a track record of retail business success; the other emerged firmly rooted in hospital practice comprising technicians competing with medicine within a medical sphere of practice. Optometry, historically male-dominated, was established prior to the advent of full medical hegemony and power; radiography, mainly female, arose within it. Yet, both continue to operate within limits to a scope of practice defined by the presence of two major medical specialities with which they closely interface: ophthalmology and radiology. Both groups have a clearly limited and subordinate role in the provision of healthcare within their own spheres, and both had to concede the right to make diagnoses within their fields of expertise. It is the latter that has so clearly influenced the limitations set on the prescribing of medicines for both groups, even in the current policy climate of workforce redesign and role flexibility.


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