Randomised controlled trial of a transprofessional healthcare role intervention in an acute medical setting

Kaltner, Melissa, Murtagh, Doug, Bennetts, Marguerite, Pighills, Alison, James, Julie, and Scott, Annette (2017) Randomised controlled trial of a transprofessional healthcare role intervention in an acute medical setting. Journal of Interprofessional Care, 31 (2). pp. 190-198.

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As demand for health services increases, attention has turned to the development of alternate models of service delivery that maximise efficiency. These include skill sharing models, in which cross-professional skills are delivered by appropriately trained professionals. The usage of skill sharing models is increasing in some professions, but little evidence on efficacy currently exists. This article reports on an intervention of the use of a transprofessional role, which involved delivery of services from a range of health providers, including physiotherapy, occupational therapy, dietetics, speech pathology, podiatry, social work, and psychology, by a trained professional, developed and trialled in the acute medical setting in Toowoomba Hospital, Queensland, Australia. A single-blind randomised controlled trial examined the clinical efficacy of this skill shared service. Participants were allocated at random to either standard care (n=29) or the new model of care (n=29) groups and compared on a range of patient and service provision outcome measures. Descriptive outcomes indicated that patients receiving the new model of care underwent more comprehensive and prompt assessments in the health domains included than those in standard care, and demonstrated more positive health and functional outcomes at 1-, 3-, and 6-month follow-up. Given the paucity of research on skill sharing, this study provides preliminary evidence of the effectiveness of skill shared roles in acute settings.

Item ID: 50491
Item Type: Article (Research - C1)
ISSN: 1469-9567
Keywords: evaluation research, health service delivery, health workforce, models of care, randomised controlled trial, transprofessional
Date Deposited: 20 Sep 2017 09:36
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services) @ 100%
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