Allied health professions

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Allied health professions (AHPs) are a group of health care professions that provide a range of diagnostic, technical, therapeutic, and support services in connection with health care, and which are distinct from the fields of dentistry, optometry, medicine, nursing and pharmacy.

Contents

In providing care as an AHP, their work may support non-AHP health care roles in providing care, and their work may provide specialty health care that would not otherwise be available.

Allied health and care professionals should not be confused with alternative medicine professionals as Allied Health Professional must work within an evidence based practice model. Additionally, some AHPs may also perform the role of Mid-level practitioners with additional education, training and/or certification. Mid-level practitioners are usually AHPs, nurses or other non-physicians with an extended scope of practice.

Definition

In 2012, the International Chief Health Professions Officers[ who? ] defined the allied health professions:

Allied Health Professions are a distinct group of health professionals who apply their expertise to prevent disease transmission, diagnose, treat and rehabilitate people of all ages and all specialties. Together with a range of technical and support staff they may deliver direct patient care, rehabilitation, treatment, diagnostics and health improvement interventions to restore and maintain optimal physical, sensory, psychological, cognitive and social functions. [1]

Professions

Generally, AHPs provide health and care services which are distinct fields of study from non-AHP health care professions. There will generally be a large demand for professionals in their respective fields and these professions will usually require specialised training, higher level education and certification/licensure which will usually prevent it from being an extension of medicine or nursing roles. AHP roles are usually subject to statutory regulation and registration due to their ability to perform some, specific, restricted medical actions.[ citation needed ]

Depending on the country and local health care system, a limited subset of the following professions (professional areas) may be represented, and may be regulated:

The precise titles, roles and requisites of allied health professionals may vary considerably from country to country. A generic definition for the United States is in the Public Health Service Act. [3]

Other healthcare professions

Depending on jurisdiction the professions that are considered AHPs vary.

AHPs are generally considered distinct from other healthcare service providers on the basis of several factors. These factors may include AHPs offering services that support the treatment of service users in ways which support treatments provided by other health care professionals, or by providing services which other health care professionals require and cannot provide themselves. Additionally, areas of allied health care are generally large and specialised areas which are require specific training and/or certification. Moreover, some professions may be arguably be considered AHPs simply on the basis of their smaller size proportional size to other professions such as medicine and nursing. These factors in combination are likely the cause of differences in regulation and inclusion across jurisdictions.

For example, the United States Association of Schools of Allied Health Professionals [4] uses wording from the Public Health Service Act to list those who are and are not allied health professionals in the United States. [3] Those professionals who are excluded are those who possess degrees, or an equivalent degree, in the following:

Training and education

Some allied health professions are more specialized, and so must adhere to national training and education standards and their professional scope of practice. Often they must prove their skills through degrees, diplomas, certified credentials, and continuing education. Other allied health professions require no special training or credentials and are trained for their work by their employer through on-the-job training (which would then exclude them from consideration as an allied health profession in a country like Australia). Many allied health jobs are considered career ladder jobs because of the opportunities for advancement within specific fields. [5]

Allied health professions can include the use of many skills. Depending on the profession, these may include basic life support; medical terminology, acronyms and spelling; basics of medical law and ethics; understanding of human relations; interpersonal communication skills; counseling skills; computer literacy; ability to document healthcare information; interviewing skills; and proficiency in word processing; database management and electronic dictation. [6]

History

The explosion of scientific knowledge that followed World War II brought increasingly sophisticated and complex medical diagnostic and treatment procedures. Increasing public demand for medical services combined with higher health care costs provoked a trend toward expansion of service delivery from treating patients in hospitals to widespread provision of care in physician's private and group practices, ambulatory medical and emergency clinics, and mobile clinics and community-based care. In the developing world, international development assistance led to numerous initiatives for strengthening health workforce capacity to deliver essential health care services. What followed has been an increase in the need for skilled health care delivery personnel worldwide.[ citation needed ]

Changes in the health industry and emphasis on cost-efficient solutions to health care delivery will continue to encourage expansion of the allied health workforce. The World Health Organization estimates there is currently a worldwide shortage of about 2 million allied health professionals (considering all health workers aside from medical and nursing personnel) needed in order to meet global health goals. [7]

In recognition of the growth of the number and diversity of allied health professionals in recent years, the 2008 version of the International Standard Classification of Occupations increased the number of groups dedicated to allied health professions. Depending on the presumed skill level, they may either be identified as "health professionals" or "health associate professionals". For example, new categories have been created for delineating "paramedical practitioners"—grouping professions such as clinical officers, clinical associates, physician assistants, Feldshers, and assistant medical officers—as well as for community health workers; dietitians and nutritionists; audiologists and speech therapists; and others. [8]

Employment projections

Projections in the United States and many other countries have shown an expected long-term shortage of qualified workers to fill many allied health positions. This is primarily due to expansion of the health industry due to demographic changes (a growing and aging population), large numbers of health workers nearing retirement, the industry's need to be cost efficient, and a lack of sufficient investment in training programs to keep pace with these trends. [9] [10]

Studies have also pointed to the need for increased diversity in the allied health workforce to realize a culturally competent health system in the United States [11] and elsewhere.

Workforce and health care experts anticipate that health services will increasingly be delivered via ambulatory and nursing care settings rather than in hospitals. According to the North American Industry Classification System (NAICS), the health care industry consists of four main sub-sectors, divided by the types of services provided at each facility: [12]

In the US, a larger proportion of the allied health care workforce is already employed in ambulatory settings. In California, nearly half (49.4 percent) of the allied health workforce is employed in ambulatory health care settings, compared with 28.7 percent and 21.9 percent employed in hospital and nursing care, respectively. [13] One source reported allied health professionals making up 60 percent of the total US health workforce. [14]

In the United Kingdom there are 12 distinct professions who are considered allied health professionals; in combination they account for about 6% of the NHS workforce. In 2013 the annual expenditure on services provided by allied health professionals amounted to around £2 billion, although there is a lack of evidence around the extent to which these services improve the quality of care. [15]

Advancements in medical technology also allow for more services that formerly required expensive hospital stays to be delivered via ambulatory care. For example, in California, research has predicted the total consumption of hospital days per person will decline from 4 days in 2010 to 3.2 days in 2020 to 2.5 days in 2030. In contrast, the number of ambulatory visits per person will increase from 3.2 visits per person in 2010 to 3.6 visits per person in 2020 to 4.2 visits in 2030. [13]

In developing countries, many national human resources for health strategic plans and international development initiatives are focusing on scaling up training of allied health professions, such as HIV/AIDS counsellors, clinical officers and community health workers, in providing essential preventive and treatment services in ambulatory and community-based care settings. [16]

With this growing demand for ambulatory health care, researchers expect to witness a heavier demand for professions that are employed within the ambulatory sector and other non-hospital settings—in other words, allied health. [13]

See also

Related Research Articles

A dietitian, medical dietitian, or dietician is an expert in identifying and treating disease-related malnutrition and in conducting medical nutrition therapy, for example designing an enteral tube feeding regimen or mitigating the effects of cancer cachexia. Many dietitians work in hospitals and usually see specific patients where a nutritional assessment and intervention has been requested by a doctor or nurse, for example if a patient has lost their ability to swallow or requires artificial nutrition due to intestinal failure. Dietitians are regulated healthcare professionals licensed to assess, diagnose, and treat such problems. In the United Kingdom, dietitian is a 'protected title', meaning identifying yourself as a dietitian without appropriate education and registration is prohibited by law.

<span class="mw-page-title-main">Surgical technologist</span> Profession

A surgical technologist, also called a scrub, scrub tech, surgical technician, or operating department practitioner or operating room technician, is an allied health professional working as a part of the team delivering surgical care. Surgical technologists are members of the surgical team. The members of the team include the surgeon, surgeon's assistant, circulator nurse and anesthesia provider. They possess knowledge and skills in sterile and aseptic techniques. There are few mandatory professional requirements for surgical technologists, and the scope of practice varies widely across countries and jurisdictions. Surgical technologists attend junior colleges and technical schools, and many are trained in military schools. In the military they perform the duties of both the circulator and the scrub. The goal is for surgical technologists to be able to anticipate the next move the surgeon is going to make in order to make the procedure as smooth and efficient as possible. They do this by having knowledge of hundreds of surgical procedures and the steps the surgeon needs to take in order to complete the procedure, including the very wide range of surgical instruments they may need. Specialties can include, but are not limited to, the following: genitourinary, obstetrics and gynaecology, urology, ENT, plastics, general, orthopedics, neurology, and cardiovascular. They only work in surgical or perioperative areas and are highly specialized. Surgical technologist is the proper term for a two-year program which earns a degree in applied sciences. The profession is up and coming and highly in demand.

The Health and Care Professions Council (HCPC), formerly the Health Professions Council (HPC), is a statutory regulator of over 280,000 professionals from 15 health and care professions in the United Kingdom. The Council reports its main purpose is to protect the public. It does this by setting and maintaining standards of proficiency and conduct for the professions it regulates. Its key functions include approving education and training programmes which health and care professionals must complete before they can register with the HCPC; and maintaining and publishing a Register of health and care providers who meet pre-determined professional requirements and standards of practice.

<span class="mw-page-title-main">Dental assistant</span> Medical profession

Dental assistants are members of the dental team. They support a dental operator in providing more efficient dental treatment. Dental assistants are distinguished from other groups of dental auxiliaries by differing training, roles and patient scopes.

Agenda for Change (AfC) is the current National Health Service (NHS) grading and pay system for NHS staff, with the exception of doctors, dentists, apprentices and some senior managers. It covers more than 1 million people and harmonises their pay scales and career progression arrangements across traditionally separate pay groups, in the most radical change since the NHS was founded.

Nursing in the United Kingdom is the largest health care profession in the country. It has evolved from assisting doctors to encompass a variety of professional roles. Over 700,000 nurses practice, working in settings such as hospitals, health centres, nursing homes, hospices, communities, military, prisons, and academia. Most are employed by the National Health Service (NHS).

<span class="mw-page-title-main">Radiographer</span> Healthcare professional

Radiographers, also known as radiologic technologists, diagnostic radiographers and medical radiation technologists are healthcare professionals who specialise in the imaging of human anatomy for the diagnosis and treatment of pathology. Radiographers are infrequently, and almost always erroneously, known as x-ray technicians. In countries that use the title radiologic technologist they are often informally referred to as techs in the clinical environment; this phrase has emerged in popular culture such as television programmes. The term radiographer can also refer to a therapeutic radiographer, also known as a radiation therapist.

In the United Kingdom, operating department practitioners (ODPs) are allied healthcare professionals who are involved in the planning and delivery of perioperative care. As the name suggests, they are primarily employed in surgical operating departments, but they may also work directly within a variety of acute clinical settings, including pre-hospital emergency care, emergency departments, intensive care units (ICUs), endoscopy suites, interventional radiology, cardiac catheter suites, obstetric theatres and reproductive medicine.

A health professional, healthcare professional, or healthcare worker is a provider of health care treatment and advice based on formal training and experience. The field includes those who work as a nurse, physician, physician assistant, registered dietitian, veterinarian, veterinary technician, optometrist, pharmacist, pharmacy technician, medical assistant, physical therapist, occupational therapist, dentist, midwife, psychologist, audiologist, or healthcare scientist, or who perform services in allied health professions. Experts in public health and community health are also health professionals.

<span class="mw-page-title-main">Emergency medical personnel in the United Kingdom</span> People engaged in the provision of emergency medical services

Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.

The American Society of Radiologic Technologists (ASRT) is a professional membership association that serves medical imaging technologists, radiation therapists, and radiologic science students. The organization, located in Albuquerque, New Mexico provides its members with ongoing education and professional development opportunities.

<span class="mw-page-title-main">Health professional requisites</span> Regulations used by countries

Health professional requisites refer to the regulations used by countries to control the quality of health workers practicing in their jurisdictions and to control the size of the health labour market. They include licensure, certification and proof of minimum training for regulated health professions.

Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional. UAPs must demonstrate their ability and competence before gaining any expanded responsibilities in a clinical setting. While providing this care, UAPs offer compassion and patience and are part of the patient's healthcare support system. Communication between UAPs and registered nurses (RNs) is key as they are working together in their patients' best interests. The scope of care UAPs are responsible for is delegated by RNs or other clinical licensed professionals.

The Health Sciences University Foundation is a private educational and health care university founded in 1976. It has two locations: the main hospital and one in the University Children's Hospital, San José, Bogotá, Colombia. It offers seven undergraduate programs: Business Administration, Nursing, Surgical technologist, Medicine, Psychology with clinical emphasis, Emergency medical technician (EMT) and Cytology.

<span class="mw-page-title-main">Paraveterinary worker</span> Professional in veterinary medicine

A paraveterinary worker is a professional of veterinary medicine who performs procedures autonomously or semi-autonomously, as part of a veterinary assistance system. The job role varies throughout the world, and common titles include veterinary nurse, veterinary technician, and veterinary assistant, and variants with the prefix of "animal health".

Healthcare professional credentials are credentials awarded to many healthcare practitioners as a way to standardize the level of education and ability to provide care.

The Health Services functional constituency, formerly called the Health Care, was a functional constituency in the elections for the Legislative Council of Hong Kong first created for the 1988 Legislative Council election. The constituency is composed of health services related professionals with one of the larger number of electorates among the functional constituencies. It was a stronghold of the pro-democracy camp, holding the seat since its creation. It was merged with Medical into Medical and Health Services functional constituency in the major electoral overhaul in 2021.

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The National Commission for Allied and Healthcare Professions (NCAHP) is the Indian regulatory body for allied and healthcare professionals (AHP). It covers all AHP who were not covered under National Medical Commission, Dental Council of India, Indian Nursing Council, Pharmacy Council of India etc till 2021 and groups all into ten categories with power to regulate education and professionals of all ten categories.

References

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