Wood Angela J, Schuurs Sarita B, Amsters Delena I
Princess Alexandra Hospital, Queensland Health, c/o Dietetics, Ground Floor, Building 15, Princess Alexandra Hospital, 199 Ipswich Road, Buranda, QLD 4102, Australia.
Aust Health Rev. 2011 Feb;35(1):86-91. doi: 10.1071/AH10880.
Alternative workforce models need to be explored to adequately meet the future health care needs of the Australian population. A new role for the support workforce, to optimise their contribution in community rehabilitation in Queensland--the advanced community rehabilitation assistant (ACRA)--was developed on the basis of service activity mapping and gap analysis.
Evaluation of a trial of the new ACRA role at six pilot sites in Queensland.
ACRAs, health professionals and rehabilitation clients.
Transcripts of semistructured telephone interviews conducted with ACRAs, health professionals and rehabilitation clients were thematically analysed. The nature of the role as well as perceived strengths and weaknesses were explored.
The presence of an ACRA was generally seen to diversify and expand local service capacity. The major challenge was the initial intensity of instruction that was required from supervising health professionals.
ACRAs have potential to be valuable resources in the provision of community rehabilitation services. The challenge of meeting each new ACRA's preliminary training needs requires further consideration. A critical mass of people trained to this role may be required to ensure sustainability. Further trial and evaluation is needed to investigate the role more thoroughly over time and in different settings.
需要探索替代性劳动力模式，以充分满足澳大利亚民众未来的医疗保健需求。基于服务活动映射和差距分析，为支持性劳动力开发了一个新角色，即优化他们在昆士兰社区康复中的贡献——高级社区康复助理（ACRA）。
对昆士兰六个试点地点新ACRA角色的试验进行评估。
ACRA、医疗专业人员和康复客户。
对与ACRA、医疗专业人员和康复客户进行的半结构化电话访谈的记录进行主题分析。探讨了该角色的性质以及感知到的优势和劣势。
ACRA的存在通常被认为使当地服务能力多样化并得到扩展。主要挑战是监督医疗专业人员所需的初始指导强度。
ACRA有潜力成为提供社区康复服务的宝贵资源。满足每个新ACRA初步培训需求的挑战需要进一步考虑。可能需要大量接受该角色培训的人员以确保可持续性。需要进一步的试验和评估，以便随着时间推移并在不同环境中更全面地研究该角色。
