Extended roles for allied health professionals: An updated systematic review of the evidence

Journal of Multidisciplinary Healthcare

Volumn 7, Issue , 2014, Pages 479-488

  Saxon, Robyn L ^a,b   Gray, Marion A ^a   Ioprescu, Florin ^a  

^a UNIVERSITY OF THE SUNSHINE COAST   (Australia)

^b QUEENSLAND HEALTH   (Australia)

Author keywords

Allied health professionals; Extended scope practice

Indexed keywords

ALLIED HEALTH PROFESSIONAL; ARTICLE; COST EFFECTIVENESS ANALYSIS; HEALTH PRACTITIONER; HEALTH SERVICE; HUMAN; MEDICAL EDUCATION; OCCUPATIONAL THERAPY; OUTCOME ASSESSMENT; PATIENT CARE; PHYSIOTHERAPY; PROFESSIONAL DEVELOPMENT; SCOPE OF PRACTICE; SPEECH THERAPY; SYSTEMATIC REVIEW;

EID: 84908128211     PISSN: None     EISSN: 11782390     Source Type: Journal    
DOI: 10.2147/JMDH.S66746     Document Type: Article

References (53)

1. ONU. World population ageing 1950–2050. 2002. Available from: www.un.org/esa/population/publications/worldageing19502050/.
2. Pieper C, Kolankowska I. Health care transition in Germany – standardization of procedures and improvement actions. J Multidiscip Healthc. 2011;4:215–221.
3. Lubitz J, Cai L, Kramarow E, Lentzner H. Health, life expectancy, and health care spending among the elderly. N Engl J Med. 2003;349: 1048–1055.
4. Schoen C, Osborn R, How SK, Doty MM, Peugh J. In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. Health Aff (Millwood). 2009;28:w1–w16.
5. Goss JR. Projection of Australian health care expenditure by disease, 2003 to 2033. Canberra, Australia: Australian Institute of Health and Welfare; 2008. Available from: http://www.aihw.gov.au/publications/hwe/pahced03-33/pahced03-33.pd. Accessed August 18, 2014.
6. Australian Institute of Health and Welfare. Public health expenditure in Australia 2008–2009. Canberra, Australia: Australian Institute of Health and Welfare; 2011. Available from; http://www.aihw.gov.au/publication-detail/?id=10737418329&tab=1. Accessed August 18, 2014.
7. Gill PS. Technological innovation and its effect on public health in the United States. J Multidiscip Healthc. 2013;6:31–40.
8. Gray LC, Wright OR, Cutler AJ, Scuffham PA, Wootton R. Geriatric ward rounds by video conference: a solution for rural hospitals. Med J Aust. 2009;191:605–608.
9. Chopra M, Munro S, Lavis JN, Vist G, Bennett S. Effects of policy options for human resources for health: an analysis of systematic reviews. Lancet. 2008;371:668–674.
10. Duckett SJ. Health workforce design for the 21st century. Aust Health Rev. 2005;29:201–210.
11. Gilmore LG, Morris J, Murphy K, Grimmer-Somers K, Kumar S. Skills escalator in allied health: a time for reflection and refocus. J Multidiscip Healthc. 2011;3:53–58.
12. Holdsworth LK, Webster VS, McFadyen AK. Physiotherapists’ and general practitioners’ views of self-referral and physiotherapy scope of practice: results from a national trial. Physiotherapy. 2008;94:236–243.
13. Kersten P, McPherson K, Lattimer V, George S, Breton A, Ellis B. Physiotherapy extended scope of practice – who is doing what and why? Physiotherapy. 2007;93:235–242.
14. Kersten SG, Lattimer V, Ellis B. Briefing paper: Extending the practice of allied health professionals in the NHS. Available from: http://www.nets.nihr.ac.uk/__data/assets/pdf_file/0005/81248/BP-08-1203-031.pdf.
15. McPherson K, Kersten P, George S, et al. A systematic review of evidence about extended roles for allied health professionals. J Health Serv Res Policy. 2006;11:240–247.
16. McPherson K, Kersten P, George S, et al. Extended roles for allied health professionals in the NHS. 2004. Available from: http://www.nets.nihr.ac.uk/__data/assets/pdf_file/0019/64342/FR-08-1203-031.pdf.
17. Sibbald B, Shen J, McBride A. Changing the skill-mix of the health care workforce. J Health Serv Res Policy. 2004;9 Suppl 1:28–38.
18. Stanhope J, Grimmer-Somers K, Milanese S, Kumar S, Morris J. Extended scope physiotherapy roles for orthopedic outpatients: an update systematic review of the literature. J Multidiscip Healthc. 2012;5:37–45.
19. Lundon K, Shupak R, Sunstrum-Mann L, Galet D, Schneider R. Leading change in the transformation of arthritis care: development of an inter-professional academic-clinical education training model. Healthc Q. 2008;11:62–68.
20. Aiken AB, Atkinson M, Harrison MM, Hope J. Reducing hip and knee replacement wait times: an expanded role for physiotherapists in orthopedic surgical clinics. Healthc Q. 2007;10:88–91.
21. Aiken AB, Harrison MM, Hope J. Role of the advanced practice physiotherapist in decreasing surgical wait times. Healthc Q. 2009;12: 80–83.
22. Boissonnault WG, Badke MB, Powers JM. Pursuit and implementation of hospital-based outpatient direct access to physical therapy services: an administrative case report. Phys Ther. 2010;90:100–109.
23. Crane J, Delany C. Physiotherapists in emergency departments: responsibilities, accountability and education. Physiotherapy. 2013;99: 95–100.
24. McPherson KM, Reid DA. New roles in health care: what are the key questions? Med J Aust. 2007;186:614–615.
25. Robarts S, Kennedy D, MacLeod AM, Findlay H, Gollish J. A framework for the development and implementation of an advanced practice role for physiotherapists that improves access and quality of care for patients. Healthc Q. 2008;11:67–75.
26. Merlin T, Weston A, Tooher R. Extending an evidence hierarchy to include topics other than treatment: revising the Australian ‘levels of evidence’. BMC Med Res Methodol. 2009;9(1):34.
27. Aiken AB, Harrison MM, Atkinson M, Hope J. Easing the burden for joint replacement wait times: the role of the expanded practice physiotherapist. Healthc Q. 2008;11:62–66.
28. MacKay C, Davis A, Mohamed N, Badley E. Physical therapists working in expanded roles in orthopaedic clinics: impact on non-surgical patients with arthritis. Osteoarthritis Cartilage. 2012;20:S166.
29. Lineker SC, Lundon K, Shupak R, Schneider R, Mackay C, Varatharasan N. Arthritis extended-role practitioners: impact on community practice (an exploratory study). Physiother Can. 2011;63: 434–442.
30. Grimmer-Somers K, Morris J, Murphy K. Multidisciplinary musculoskeletal triage clinic: outcomes 12 months on. Scientific poster RHPA-P3 presented at the Australian Rheumatology Association annual meeting, May 12–15, 2012, Canberra, Australia.
31. Kennedy DM, Robarts S, Woodhouse L. Patients are satisfied with advanced practice physiotherapists in a role traditionally performed by orthopaedic surgeons. Physiotherapy Canada. 2010;62(4):298–305.
32. Passalent LA, Kennedy C, Warmington K, et al. System integration and clinical utilization of the Advanced Clinician Practitioner in Arthritis Care (ACPAC) program-trained extended role practitioners in Ontario: a two-year, system-level evaluation. Healthc Policy. 2013;8:56–70.
33. Rhon DI. A physical therapist experience, observation, and practice with an infantry brigade combat team in support of Operation Iraqi Freedom. Mil Med. 2010;175:442–447.
34. Kilner E. What evidence is there that a physiotherapy service in the emergency department improves health outcomes? A systematic review. J Health Serv Res Policy. 2011;16:51–58.
35. Li LC, Westby MD, Sutton E, Thompson M, Sayre EC, Casimiro L. Canadian physiotherapists’ views on certification, specialisation, extended role practice, and entry-level training in rheumatology. BMC Health Serv Res. 2009;9:88.
36. Green A, Perry J, Harrison K. The influence of a postgraduate clinical master’s qualification in manual therapy on the careers of physiotherapists in the United Kingdom. Man Ther. 2008;13:139–147.
37. Braund R, Abbott JH. Recommending NSAIDs and paracetamol: a survey of New Zealand physiotherapists’ knowledge and behaviours. Physiother Res Int. 2011;16:43–49.
38. McClellan C, Greenwood R, Benger J. Effect of an extended scope physiotherapy service on patient satisfaction and the outcome of soft tissue injuries in an adult emergency department. Emergency Medicine Journal. 2006;23(5):384–387.
39. Desmeules F, Roy J-S, MacDermid JC, Champagne F, Hinse O, Woodhouse LJ. Advanced practice physiotherapy in patients with musculoskeletal disorders: a systematic review. BMC Musculoskelet Disord. 2012;13:107.
40. Stanhope J, Beaton K, Grimmer-Somers K, Morris J. The role of extended scope physiotherapists in managing patients with inflammatory arthropathies: a systematic review. Open Access Rheumatology: Research and Reviews. 2012. Available from: http://www.dovepress.com/the-role-of-extended-scope-physiotherapists-in-managing-patients-with--peer-reviewed-article-OARRR. Accessed August 19, 2014.
41. Anaf S, Sheppard LA. Physiotherapy as a clinical service in emergency departments: a narrative review. Physiotherapy. 2007;93:243–252.
42. Kilner E, Sheppard L. The ‘lone ranger’: a descriptive study of physiotherapy practice in Australian emergency departments. Physiotherapy. 2010;96:248–256.
43. Lundon K, Shupak R, Reeves S, Schneider R, McIlroy JH. The Advanced Clinician Practitioner in Arthritis Care program: an interprofessional model for transfer of knowledge for advanced practice practitioners. J Interprof Care. 2009;23:198–200.
44. Amaker RJ, Brower KA, Admire DW. The role of the upper extremity neuromusculoskeletal evaluator at peace and at war. J Hand Ther. 2008;21:124–128.
45. Williamson GR, Webb C, Abelson-Mitchell N, Cooper S. Change on the horizon: issues and concerns of neophyte advanced health care practitioners. J Clin Nurs. 2006;15:1091–1098.
46. Mathisen BA, Carey LB, O’Brien A. Incorporating speech-language pathology within Australian neonatal intensive care units. J Paediatr Child Health. 2012;48:823–827.
47. Anaf S, Sheppard LA. Lost in translation? How patients perceive the extended scope of physiotherapy in the emergency department. Physiotherapy. 2010;96:160–168.
48. Davis S, Machen MS, Chang L. The beneficial relationship of the colocation of orthopedics and physical therapy in a deployed setting: Operation Iraqi Freedom. Mil Med. 2006;171:220–223.
49. Humphreys A, Richardson J, Stenhouse E, Watkins M. Assessing the impact of nurse and allied health professional consultants: developing an activity diary. J Clin Nurs. 2010;19:2565–2573.
50. MacKay C, Davis AM, Mahomed N, Badley EM. Expanding roles in orthopaedic care: a comparison of physiotherapist and orthopaedic surgeon recommendations for triage. J Eval Clin Pract. 2009;15: 178–183.
51. Pearse E, Maclean A, Ricketts D. The extended scope physiotherapist in orthopaedic out-patients – an audit. Ann R Coll Surg Engl. 2006;88:653.
52. Rhon DI, Gill N, Teyhen D, Scherer M, Goffar S. Clinician perception of the impact of deployed physical therapists as physician extenders in a combat environment. Mil Med. 2010;175:305–312.
53. Bethel J. The role of the physiotherapist practitioner in emergency departments: a critical appraisal. Emerg Nurse. 2005;13:26–31.