School of Health and Human Sciences, Southern Cross University, Lismore Campus, NSW, Australia.
Faculty of Health Sciences, University of Southampton, Southampton, UK.
Aust Health Rev. 2024 Aug;48(4):364-365. doi: 10.1071/AH24175.
What is known about the topic? The health workforce and health tasks are highly contested and largely controlled by regulation. Since the introduction of medical regulation in the mid-19th century, the practice of surgery has been largely dominated by medically trained surgeons. A small group of Australian podiatrists have defied these historic boundaries by creating their own colleges of training and convincing government and regulators of their safety and efficacy in surgical practice. The Podiatry Board of Australia commissioned an independent review of the regulation and regulatory practices of podiatric surgeons in Australia. What does this paper add? This paper discusses the implications of a regulatory review of the role of podiatric surgeons for professional role boundaries. What are the implications for practitioners? Despite historic role boundaries and definitions, with appropriate training, regulation, and financing, the health workforce can be mobilised in different ways to meet population needs, overcoming a professional monopoly over roles.
关于这个主题已知的情况是什么？卫生人力和卫生任务极具争议性，在很大程度上受到监管的控制。自 19 世纪中叶引入医学监管以来，外科手术的实践主要由受过医学培训的外科医生主导。一小部分澳大利亚足病医生通过创建自己的培训学院，并说服政府和监管机构相信他们在手术实践中的安全性和有效性，打破了这些历史悠久的界限。澳大利亚足病委员会委托对澳大利亚足病外科医生的监管和监管做法进行独立审查。本文增加了什么？本文讨论了对足病外科医生监管角色的审查对专业角色界限的影响。这对从业者有什么影响？尽管存在历史悠久的角色界限和定义，但通过适当的培训、监管和融资，可以以不同的方式调动卫生人力来满足人口需求，克服对角色的专业垄断。
