Anna Moran, Olivia King, Catherine Cosgrave, Christina Malatzky, Rosalie Boyce
{"title":"出现一个新的后专业联合卫生人力,以解决农村患者复杂的医疗保健需求:一项定性探索性研究","authors":"Anna Moran, Olivia King, Catherine Cosgrave, Christina Malatzky, Rosalie Boyce","doi":"10.1111/ajr.70056","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To explore the nature and key functions of emerging allied health post-professional roles and to identify the contextual factors that continue to shape their development and operationalisation in rural public healthcare settings.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A qualitative exploratory study design utilising Ritchie and Spencer's team-based five-stage framework and Nancarrow's six principles to enhance workforce flexibility.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>Victoria and New South Wales, Australia.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>Semi-structured individual and group interviews were undertaken with allied health professionals working in post-professional roles and their managers/directors from four teams across multiple regional and rural areas.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Four key themes were identified, two of which related to the nature of the allied health post-professional role: (1) Allied health post-professionals meet clients ‘where they are at’ and (2) Hidden healthcare heroes. Two further themes described the factors that shape allied health post-professional roles in rural health settings: (3) Allied health post-professionals stretch and grow their skillset and the (4) Social construction of allied health post-professional roles.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The post-professional workforce exemplifies the six principles of a ‘flexible workforce’ and may play a key role in addressing many system challenges that make client-centred care in rural settings difficult to achieve. However, the ongoing evolution and advancement of this workforce is limited by macro and meso-level constraints. It is thus critical that the value of post-professional roles is structurally supported through macro-level policy levers as well as at an organisational and individual profession level.</p>\n </section>\n </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 3","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Emergence of a New Post-Professional Allied Health Workforce to Address Complex Healthcare Needs of Rural Patients: A Qualitative Exploratory Study\",\"authors\":\"Anna Moran, Olivia King, Catherine Cosgrave, Christina Malatzky, Rosalie Boyce\",\"doi\":\"10.1111/ajr.70056\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To explore the nature and key functions of emerging allied health post-professional roles and to identify the contextual factors that continue to shape their development and operationalisation in rural public healthcare settings.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A qualitative exploratory study design utilising Ritchie and Spencer's team-based five-stage framework and Nancarrow's six principles to enhance workforce flexibility.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>Victoria and New South Wales, Australia.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>Semi-structured individual and group interviews were undertaken with allied health professionals working in post-professional roles and their managers/directors from four teams across multiple regional and rural areas.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Four key themes were identified, two of which related to the nature of the allied health post-professional role: (1) Allied health post-professionals meet clients ‘where they are at’ and (2) Hidden healthcare heroes. Two further themes described the factors that shape allied health post-professional roles in rural health settings: (3) Allied health post-professionals stretch and grow their skillset and the (4) Social construction of allied health post-professional roles.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>The post-professional workforce exemplifies the six principles of a ‘flexible workforce’ and may play a key role in addressing many system challenges that make client-centred care in rural settings difficult to achieve. However, the ongoing evolution and advancement of this workforce is limited by macro and meso-level constraints. 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Emergence of a New Post-Professional Allied Health Workforce to Address Complex Healthcare Needs of Rural Patients: A Qualitative Exploratory Study
Objective
To explore the nature and key functions of emerging allied health post-professional roles and to identify the contextual factors that continue to shape their development and operationalisation in rural public healthcare settings.
Design
A qualitative exploratory study design utilising Ritchie and Spencer's team-based five-stage framework and Nancarrow's six principles to enhance workforce flexibility.
Setting
Victoria and New South Wales, Australia.
Participants
Semi-structured individual and group interviews were undertaken with allied health professionals working in post-professional roles and their managers/directors from four teams across multiple regional and rural areas.
Results
Four key themes were identified, two of which related to the nature of the allied health post-professional role: (1) Allied health post-professionals meet clients ‘where they are at’ and (2) Hidden healthcare heroes. Two further themes described the factors that shape allied health post-professional roles in rural health settings: (3) Allied health post-professionals stretch and grow their skillset and the (4) Social construction of allied health post-professional roles.
Conclusion
The post-professional workforce exemplifies the six principles of a ‘flexible workforce’ and may play a key role in addressing many system challenges that make client-centred care in rural settings difficult to achieve. However, the ongoing evolution and advancement of this workforce is limited by macro and meso-level constraints. It is thus critical that the value of post-professional roles is structurally supported through macro-level policy levers as well as at an organisational and individual profession level.
期刊介绍:
The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.