New professionals roles in Europe Antoinette de Bont, Maarten Janssen, Iris Wallenburg Munros Team...
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Transcript of New professionals roles in Europe Antoinette de Bont, Maarten Janssen, Iris Wallenburg Munros Team...
New professionals roles in Europe
Antoinette de Bont, Maarten Janssen, Iris Wallenburg Munros TeamErasmus University Rotterdam
Panel: Engaging Doctors and Health Professionals What Is It? Does It Matter?
21st March 2015
Allied ProfessionalsHeart Attack Breast Cancer Diabetes
Emergency physician Breast clinician Diabetes ward physician
Outpatient physician Ward physician Outpatient physician
Physician assistant Nurse practitioners Practice nurse
Emergency nurse Physician Assistant Podiatrist
Triage nurse Breast Care Nurses Food care technicians
Out-patient nurse Technical radiation assistant Neurophysiopathology technicians
Perfustionist Medical assistant Dieticians
Paramedic Ward Assistant Nutritionists
Technician Health care assistant
Resuscitator
Documentation assistant
Health care assistant
How do physicians, nurses and allied professionals control the work they do?– How do physicians, nurses and allied professionals
distributed and reclaim work?– What kind of work do they distributed and/or
reclaim?
Integrated care
Co-ordination of care delivery to a patient with new general professional roles within a care organization (e.g. expansion of services) and/or between care organizations (e.g. primary and secondary care)
Patient-centred care
Specialized, integrated care pathway
Traditional care delivery with one specialist within a care organization responsible for the care delivery to a patient, supported by general nursing, technical and/or administrative staff
Physician-centred care
Multiple specialists within a care organization involved in care
delivery to a patient, based on the required expertise, supported by
specialized nursing, technical and/or administrative staff
Expertise-centred care
SPECIALIZATION OF CARE Developments in medical technology and training
Developments in information technology
INTE
GRA
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F H
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CES
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Incr
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ervi
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INCREASIN
G SKILL
-MIX CHANGE
Allied professionals and organized professionalism• Health Care Organizations provide the training for Allied
Professionals.• Allied professionals claim to fulfill organizational goals• patient centered care, productivity and transparency.
• Their competencies are defined by products and services of the organization
Yet, allied professionals are locked in organizations.
High status professionals are not the ones who distribute the work.High status professionals can not reclaim work at any time.The work that is delegated to allied professionals is not only lower status work.
We wish to thank the European Commission for funding this research programme ‘Health Care Reform: The iMpact on practice, oUtcomes and cost of New ROles for health profeSsionals (MUNROS), under the European Community’s Seventh Framework Programme (FP7 HEALTH-2012-INNOVATION-1) grant agreement number HEALTH-F3-2012-305467EC .