title: Therapists' perspectives on the management and delivery of occupational therapy and physical therapy services.
abstract: The impact of resructuring healthcare services on the day-to-day practice of occupational therapists and physical therapists was examined. Four main issues emerged: limited understanding of scopes of practice; absence of a rehabilitation perspective at decision-making tables; lack of a career ladder; and barriers to the maintenance and enhancement of professional competence. This article describes the reported impact of these issues on patient care specifically and on the healthcare system in general. Recommendations for an improved structure within an interdisciplinary management paradigm that would ensure effective and efficient use of healthcare resources are provided.
authors.affiliation: University of Alberta, Edmonton, Alberta.
authors.forename: Annette
authors.initials: A
authors.lastname: Rivard
authors.forename: Vivien
authors.initials: V
authors.lastname: Hollis
authors.forename: Johanna
authors.initials: J
authors.lastname: Darrah
authors.forename: Helen
authors.initials: H
authors.lastname: Madill
authors.forename: Sharon
authors.initials: S
authors.lastname: Warren
mesh_terms: D000488:Allied Health Personnel / Q000523:psychology*; D002170:Canada; D017598:Efficiency, Organizational; D018166:Health Care Reform; D006801:Humans; D009313:National Health Programs; D009788:Occupational Therapy; D026761:Physical Therapy Specialty / Q000458:organization & administration*