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Non‐ medical prescribing in Australasia and the UK: the case of podiatry

Journal of foot and ankle research, 2010-01, Vol.3 (1), p.1-n/a [Peer Reviewed Journal]

2010 The Authors ;COPYRIGHT 2010 BioMed Central Ltd. ;COPYRIGHT 2010 BioMed Central Ltd. ;2010 Borthwick et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ;Copyright ©2010 Borthwick et al; licensee BioMed Central Ltd. 2010 Borthwick et al; licensee BioMed Central Ltd. ;ISSN: 1757-1146 ;EISSN: 1757-1146 ;DOI: 10.1186/1757-1146-3-1 ;PMID: 20051138

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  • Title:
    Non‐ medical prescribing in Australasia and the UK: the case of podiatry
  • Author: Borthwick, Alan M ; Short, Anthony J ; Nancarrow, Susan A ; Boyce, Rosalie
  • Subjects: Ally Health Profession ; Colleges & universities ; Drug stores ; Governmental reform ; Health care policy ; Health Policy Reform ; Health sciences ; Health services ; Healthcare Product Regulatory Agency ; Historical analysis ; Hospitals ; Laws, regulations and rules ; Medical policy ; Medicine ; Pharmaceutical Benefit Scheme ; Physicians ; Podiatry ; Practice ; Prescription writing ; Professions ; Role Boundary
  • Is Part Of: Journal of foot and ankle research, 2010-01, Vol.3 (1), p.1-n/a
  • Description: Background The last decade has witnessed a rapid transformation in the role boundaries of the allied health professions, enabled through the creation of new roles and the expansion of existing, traditional roles. A strategy of health care ‘modernisation’ has encompassed calls for the redrawing of professional boundaries and identities, linked with demands for greater workforce flexibility. Several tasks and roles previously within the exclusive domain of medicine have been delegated to, or assumed by, allied health professionals, as the workforce is reshaped to meet the challenges posed by changing demographic, social and political contexts. The prescribing of medicines by non‐medically qualified healthcare professionals, and in particular the podiatry profession, reflects these changes. Methods Using a range of key primary documentary sources derived from published material in the public domain and unpublished material in private possession, this paper traces the development of contemporary UK and Australasian podiatric prescribing, access, supply and administration of medicines. Documentary sources include material from legislative, health policy, regulatory and professional bodies (including both State and Federal sources in Australia). Results Tracing a chronological, comparative, socio‐historical account of the emergence and development of ‘prescribing’ in podiatry in both Australasia and the UK enables an analysis of the impact of health policy reforms on the use of, and access to, medicines by podiatrists. The advent of neo‐liberal healthcare policies, coupled with demands for workforce flexibility and role transfer within a climate of demographic, economic and social change has enabled allied health professionals to undertake an expanding number of tasks involving the sale, supply, administration and prescription of medicines. Conclusion As a challenge to medical dominance, these changes, although driven by wider healthcare policy, have met with resistance. As anticipated in the theory of medical dominance, inter‐professional jurisdictional disputes centred on the right to access, administer, supply and prescribe medicines act as obstacles to workforce change. Nevertheless, the broader policy agenda continues to ensure workforce redesign in which podiatry has assumed wider roles and responsibilities in prescribing.
  • Publisher: London: BioMed Central
  • Language: English
  • Identifier: ISSN: 1757-1146
    EISSN: 1757-1146
    DOI: 10.1186/1757-1146-3-1
    PMID: 20051138
  • Source: GFMER Free Medical Journals
    PubMed Central
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
    Springer Nature OA Free Journals
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