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Title: What are the determinants of different forms of professional boundary change for allied health professionals in England and Australia?
Author: Strode, Alison Irene
ISNI:       0000 0004 6057 7231
Awarding Body: University of Bristol
Current Institution: University of Bristol
Date of Award: 2016
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Health care in England and Australia is currently undergoing reforms in response to factors such as an ageing population and changes in technology. Both Governments, through the development of policy, have recognised the need to develop a sustainable health workforce for the future. This requires addressing the inflexibility of professional boundaries which place restrictions on being able to fully utilise the skills of the healthcare workforce. This research aimed to identify the determinants of professional boundary change for Allied Health Professions (AHPs). AHPs are part of the clinical healthcare professional workforce, distinct from medicine and nursing, and this group name is given to a range of professions which include physiotherapy, occupational therapy and podiatry. Using a qualitative methodology, utilising semi-structured interviews, the research examined the views of policy leads, uni and multiprofessional associations and regulators about how professional boundary change had been occurring. Employing an exploratory research approach using two sites, England and Australia, it examined the process that professional boundary change has undergone for AHPs with particular relevance to a subset of AHPs covering therapists namely; occupational therapy, podiatry and physiotherapy. The research identified the forms of boundary change occurring for AHPs in Australia and England and the drivers and constraints contributing to this change. The AHP professional status was assessed using Abbott's (1998) concept that the prestige of a profession is determined by a series of jurisdictional disputes within a system rather than by ambitious strategies orchestrated by the professions themselves. Significantly, the research concludes that the development of government policy has been the strongest determinant in professional boundary change for AHPs in Australia and England. Therefore, if professional groups want to improve their professional status, they need to be able to influence policy development.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available