Randomised controlled trial of a transprofessional healthcare role intervention in an acute medical setting.
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.
a Darling Downs Hospital and Health Service , Queensland Health , Toowoomba , Queensland , Australia.|b Family and Community Services New South Wales , Ashfield , New South Wales , Australia.
Melissa
M
Kaltner
a Darling Downs Hospital and Health Service , Queensland Health , Toowoomba , Queensland , Australia.
Doug
D
Murtagh
a Darling Downs Hospital and Health Service , Queensland Health , Toowoomba , Queensland , Australia.
Marguerite
M
Bennetts
c Mackay Base Hospital , Queensland Health , Mackay, Queensland , Australia.|d School of Occupational Therapy, College of Healthcare Sciences , James Cook University , Mackay , Queensland , Australia.
Alison
A
Pighills
a Darling Downs Hospital and Health Service , Queensland Health , Toowoomba , Queensland , Australia.
Julie
J
James
a Darling Downs Hospital and Health Service , Queensland Health , Toowoomba , Queensland , Australia.
Annette
A
Scott
D000368:Aged; D000369:Aged, 80 and over; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D024382:Professional Role; D011793:Queensland; D016037:Single-Blind Method
Evaluation research; health service delivery; health workforce; models of care; randomised controlled trial; transprofessional