Integrated health human resource options: the impact on occupational therapy professional practice

Healthcare systems in many countries have gone through numerous changes over the last two decades. Funding bodies and employers have tried to find cost-effective, innovative ways to deliver quality healthcare including methods to reduce labour expenses. Three approaches to cost-savings have been proposed for healthcare professionals: multiskilling, cross-training, and personnel substitution. The advantages and disadvantages associated with each approach are outlined. Issues related to professional practice roles are then reviewed and discussed. Implications for occupational therapy practice are presented and recommendations for the future are made.