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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Demographics of the Australian orthotic and prosthetic workforce 2007–12

Emily Ridgewell A B , Michael Dillon B C , Jackie O’Connor A , Sarah Anderson B and Leigh Clarke A D
+ Author Affiliations
- Author Affiliations

A Australian Orthotic Prosthetic Association, PO BOX 1219, Greythorn, Vic. 3104, Australia. Email: emily.ridgewell@aopa.org.au; jackie.oconnor@aopa.org.au

B Department of Rehabilitation, Nutrition and Sport, College of Science, Health and Engineering, La Trobe University, Vic. 3086, Australia. Email: michael.dillon@latrobe.edu.au; sarah.anderson@latrobe.edu.au

C Department of Allied Health, Royal Melbourne Hospital, Vic. 3052, Australia.

D Corresponding author. Email: exec@aopa.org.au

Australian Health Review 40(5) 555-561 https://doi.org/10.1071/AH15147
Submitted: 7 August 2015  Accepted: 9 November 2015   Published: 1 February 2016

Abstract

Objective Health workforce data are vital to inform initiatives to meet the future healthcare needs of our society, but there are currently no data describing the Australian orthotic and prosthetic workforce. The aim of the present study was to describe demographic changes in the Australian orthotic and prosthetic workforce from 2007 to 2012.

Methods In the present retrospective time series study, data from the Australian Orthotic Prosthetic Association member database were analysed for trends from 2007 to 2012. Data describing the absolute number of practitioners, the number of practitioners per 100 000 population, age, gender, state or territory of residence and service location (i.e. metropolitan, regional and remote) were analysed for significant changes over time using linear regression models.

Results Although the number of orthotist/prosthetists in Australia increased (P = 0.013), the number of orthotist/prosthetists per 100 000 population remained unchanged (P = 0.054). The workforce became younger (P = 0.004) and more female (P = 0.005). Only Victoria saw an increase in the proportion of orthotist/prosthetists in regional and remote areas. There was considerable state-to-state variation. Only Victoria (P = 0.01) and Tasmania (P = 0.003) saw an increase in the number of orthotist/prosthetists per 100 000 population.

Conclusions The orthotic and prosthetic workforce has increased proportionately to Australia’s population growth, become younger and more female. The proportion of practitioners in regional and remote areas has remained unchanged. These data can help inform workforce initiatives to increase the number of orthotist/prosthetists relative to the Australian population and make the services of orthotist/prosthetists more accessible to Australians in regional and remote areas.

What is known about the topic? Currently, there are no demographic data describing changes in the Australian orthotic and prosthetic workforce over time. These data are vital to inform initiatives to increase the size of the workforce, locate practitioners where health services are most needed and thereby plan to meet the future health care needs of our society.

What does this paper add? This paper describes changes in the Australian orthotic and prosthetic workforce, where previously these data have not been available as part of federal initiatives to plan for future workforce needs.

What are the implications for practitioners? Demographic data describing changes in the orthotic and prosthetic workforce are needed to inform workforce initiatives that improve access in regional and remote Australia, and retain a younger and more female workforce.


References

[1]  Pruitt SD, Epping-Jordan JE. Preparing the 21st century global healthcare workforce. BMJ 2005; 330 637–9.
Preparing the 21st century global healthcare workforce.Crossref | GoogleScholarGoogle Scholar | 15774994PubMed |

[2]  World Health Organization (WHO). The World Health Report 2006: working together for health. Geneva: World Health Organization; 2006.

[3]  Productivity Commission. Australia’s Health Workforce. Canberra: Australian Government; 2005.

[4]  Australian Health Workforce Advisory Committee (AHWAC). The Australian allied health workforce: an overview of workforce planning issues. Sydney: AHWAC; 2006.

[5]  Solomon D, Graves N, Catherwood J. Allied health growth: what we do not measure we cannot manage. Hum Resour Health 2015; 13 1–6.
Allied health growth: what we do not measure we cannot manage.Crossref | GoogleScholarGoogle Scholar |

[6]  Australian Government Department of Health and Ageing. Report on the audit of health workforce in rural and regional Australia, April 2008. Canberra: Commonwealth of Australia; 2008.

[7]  Hambleton S, Mara P, Humphreys P, Independent Expert Panel. Report on the public consultation and advice to Government on the redesign of the General Practice Rural Incentives Programme. Canberra: Australian Government Department of Health – Rural and Regional Health Australia; 2015.

[8]  Health Workforce Australia. National health workforce dataset, 2010–2013. Available at: https://www.hwa.gov.au/resources/health-workforce-data [verified 8 June 2014].

[9]  Australian Institute of Health and Welfare (AIHW). National health workforce series. Canberra: AIHW; 2012.

[10]  Health Workforce Australia (HWA). Australia’s health workforce series: dietitians in focus. Canberra: HWA; 2014.

[11]  Australian Bureau of Statistics (ABS). 2901.0: census dictionary, 2011. Introduced random error. Canberra: ABS; 2011. Available at: http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/2901.0Chapter38202011 [verified 7 July 2015].

[12]  Australian Bureau of Statistics (ABS). 2011 census of population and housing, customised data report. All persons with occupations 251912 orthotist or prosthetist, by sex, by place of usual residence; and by age group. Canberra: ABS; 2011.

[13]  Schofield DJ, Fletcher SL. The physiotherapy workforce is ageing, becoming more masculinised, and is working longer hours: a demographic study. Aust J Physiother 2007; 53 121–6.
The physiotherapy workforce is ageing, becoming more masculinised, and is working longer hours: a demographic study.Crossref | GoogleScholarGoogle Scholar | 17535148PubMed |

[14]  Schofield D, Page S, Lyle D, Walker T. Ageing of the baby boomer generation: how demographic change will impact on city and rural GP and nursing workforce. Rural Remote Health 2006; 6 1–9.

[15]  Schofield T. Gendered organizational dynamics. The elephant in the room for Australian allied health workforce policy and planning? J Sociol 2009; 45 383–400.
Gendered organizational dynamics. The elephant in the room for Australian allied health workforce policy and planning?Crossref | GoogleScholarGoogle Scholar |

[16]  Hall D, Garnett S, Barnes T, Stevens M. Drivers of professional mobility in the Northern Territory: dental professionals. Rural Remote Health 2007; 7 1–20.

[17]  Smith T, Cooper R, Brown L, Hemmings R, Greaves J. Profile of the rural allied health workforce in Northern New South Wales and comparison with previous studies. Aust J Rural Health 2008; 16 156–63.
Profile of the rural allied health workforce in Northern New South Wales and comparison with previous studies.Crossref | GoogleScholarGoogle Scholar | 18471186PubMed |

[18]  Wilson RD, Lewis SA, Murray PK. Trends in the rehabilitation therapist workforce in underserved areas: 1980–2000. J Rural Health 2009; 25 26–32.
Trends in the rehabilitation therapist workforce in underserved areas: 1980–2000.Crossref | GoogleScholarGoogle Scholar | 19166558PubMed |

[19]  Playford D, Larson A, Wheatland B. Going country: rural student placement factors associated with future rural employment in nursing and allied health. Aust J Rural Health 2006; 14 14–9.
Going country: rural student placement factors associated with future rural employment in nursing and allied health.Crossref | GoogleScholarGoogle Scholar | 16426427PubMed |

[20]  Campbell N, McAllister L, Eley D. The influence of motivation in recruitment and retention of rural and remote allied health professionals: a literature review. Rural Remote Health 2012; 12 1–15.

[21]  Australian Bureau of Statistics (ABS). 3101.0: Australian demographic statistics, June 2007–12. Canberra: ABS; 2012.

[22]  Australian Bureau of Statistics (ABS). 3218.0: regional population growth, Australia, 2007–08, 2009–10, 2011–12. Contract No. 3218.0. Canberra: ABS; 2012.

[23]  Australian Bureau of Statistics (ABS). Statistical geography volume 1: Australian standard geographical classification (ASGC). Canberra: ABS; 2006.

[24]  Pallant J. SPSS survival manual. 4th edn. Sydney: Allen & Unwin; 2011.

[25]  Health Workforce Australia (HWA). Australia’s health workforce series: physiotherapists in focus. Canberra: HWA; 2014.

[26]  Health Workforce Australia (HWA). Australia’s health workforce series: psychologists in focus. Canberra: HWA; 2014.

[27]  Health Workforce Australia (HWA). Australia’s health workforce series: optometrists in focus. Canberra: HWA; 2014.

[28]  Health Workforce Australia (HWA). Australia’s health workforce series: pharmacists in focus. Canberra: HWA; 2014.

[29]  Health Workforce Australia (HWA). Australia’s health workforce series: podiatrists in focus. Canberra: HWA; 2014.

[30]  Corathers C, Janczewski M. The orthotic and prosthetic profession: a workforce demand study. Alexandria, VA: Corathers Health Consulting LLC; 2006.

[31]  Health and Care Professions Council. Registered address by SHA, gender and age for selected profession: register wide. Health and Care Professions Council; 2014.

[32]  Office for National Statistics. UK population estimates 2013. Part of population estimates for UK, England and Wales, Scotland and Northern Ireland, mid-2013: superseded release. Office for National Statistics; 2014. Available at: http://www.ons.gov.uk/ons/rel/pop-estimate/population-estimates-for-uk--england-and-wales--scotland-and- northern-ireland/2013/sty-population-estimates.html [verified 2 February 2015].

[33]  National Health Service Scotland. Scottish orthotic services review. Edinburgh: National Health Service; 2005.

[34]  Neilson CC. Issues affecting the future demand for orthotists and prosthetists: update 2002. Alexandria, VA: National Commission on Orthotic and Prosthetic Education; 2002.

[35]  Australian Institute of Health and Welfare (AIHW). Australia’s health 2012. Canberra: AIHW; 2012.

[36]  Duckett S. The Australian health workforce: facts and futures. Aust Health Rev 2000; 23 60–77.
The Australian health workforce: facts and futures.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M3gs1ygtw%3D%3D&md5=1a6256af33bf64154c77b97b318680f5CAS | 11256272PubMed |

[37]  Australian Institute of Health and Welfare (AIHW). Rural, regional and remote health: indicators of health status and determinants of health. Canberra: AIHW; 2008.

[38]  Australian Institute of Health and Welfare (AIHW). Diabetes indicators in Australia. Canberra: AIHW; 2013.

[39]  Hedden L, Barer ML, Cardiff K, McGrail KM, Law MR, Bourgeault IL. The implications of the feminization of the primary care physician workforce on service supply: a systematic review. Hum Resour Health 2014; 12 32
The implications of the feminization of the primary care physician workforce on service supply: a systematic review.Crossref | GoogleScholarGoogle Scholar | 24898264PubMed |