Show simple item record

dc.contributor.authorStevens, Stella
dc.contributor.authorVecchio, Nerina
dc.date.accessioned2017-05-03T13:21:37Z
dc.date.available2017-05-03T13:21:37Z
dc.date.issued2009
dc.identifier.issn0156-5788
dc.identifier.doi10.1071/AH090019
dc.identifier.urihttp://hdl.handle.net/10072/26084
dc.description.abstractObjective: The service type offered by a home care agency contracted by the Queensland government is not based on the qualifications of the worker providing the service, but the service itself. This allows agencies to substitute certain levels and categories of labour in order to provide a service to meet their contract obligations. This study investigated evidence of labour substitution between nursing and allied health services. Method: Correlation and regression analysis was performed on the data collected from 218 clients of a branch of a community-based service agency operating nationally in Brisbane, Australia, during April, May and June 2005. Results: The results of the regression analysis revealed that when either allied health or nursing time rose by 10%, all else held constant, it was predicted that the other would fall by 4%. The subcategories, registered/enrolled nursing and physiotherapy, appeared to drive the inverse relationship between nursing and allied health service time. Registered/enrolled nursing service time was more sensitive to changes in physiotherapy rather than the other way around. Conclusions: The higher labour turnover among allied health staff compared with the nursing staff reported by the agency implies a substitution of labour between the two professions to ensure that the needs of clients are met. Health policy makers and health care professional educators need to acknowledge that workforce shortages will inevitably reshape professional boundaries. Leaving labour-force substitution undiscussed and unplanned may compromise the quality and safety of care.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent313850 bytes
dc.format.extent53609 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.languageEnglish
dc.language.isoeng
dc.publisherAustraliasian Medical Publications
dc.publisher.placeAustralia
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom19
dc.relation.ispartofpageto26
dc.relation.ispartofissue1
dc.relation.ispartofjournalAustralian Health Review
dc.relation.ispartofvolume33
dc.rights.retentionY
dc.subject.fieldofresearchHealth and community services
dc.subject.fieldofresearchHealth economics
dc.subject.fieldofresearchcode420305
dc.subject.fieldofresearchcode380108
dc.titleSubstitution across professions within the home care sector: An investigation of nursing and allied health services
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2009 Australasian Medical Publishing Company. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2015-06-09T05:25:27Z
gro.hasfulltextFull Text
gro.griffith.authorVecchio, Nerina


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record