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Reaching vulnerable populations: a framework for primary service role expansion
1School of Social Work, University of Melbourne, Victoria, Australia.
The American Journal of Orthopsychiatry
|July 1, 1992
Summary
This study introduces an ecological framework to evaluate expanding primary service provider roles. It assesses factors like role conflict and user acceptance to broaden client access and improve professional practice.
Area of Science:
- Healthcare Management
- Professional Practice
- Sociology of Health
Background:
- Expanding roles of primary service providers is crucial for healthcare accessibility.
- Assessing the feasibility of role expansion requires a structured approach.
- Existing frameworks may not fully capture the complexities of interprofessional collaboration.
Purpose of the Study:
- To present an ecological framework for assessing the feasibility of expanding primary service provider roles.
- To identify key factors influencing successful role expansion.
- To discuss implications for professional practice and broader client populations.
Main Methods:
- Conceptual framework development.
- Assessment of factors including role conflict, interprofessional tensions, and practitioner knowledge.
- Analysis of service user acceptance.
Main Results:
- The ecological framework provides a comprehensive method for evaluating role expansion feasibility.
- Key factors identified include training, supervision, and tacit knowledge.
- Service user acceptance is a critical determinant of success.
Conclusions:
- The proposed framework facilitates strategic planning for expanded primary service provider roles.
- Addressing interprofessional dynamics and user acceptance is vital for successful implementation.
- This approach can enhance healthcare service delivery and reach wider client groups.