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Impact of New Health Professional Roles on Practice Outcomes & Costs

This project explores the deployment of new health professionals, skill mix effects on costs and outcomes, and offers recommendations for workforce planning. It delves into high prevalence conditions like heart disease, breast cancer, and type 2 diabetes, using surveys and routine data from various hospitals and general practices. Early findings show changing care pathways, need for service redesign, and patient satisfaction issues. Recommendations include team optimization and a workforce planning tool.

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Impact of New Health Professional Roles on Practice Outcomes & Costs

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  1. iMpact on practice oUtcomes and costs of NewROleSfor health professionals Professor Christine Bond, University of Aberdeen on behalf of MUNROS team • Aim: Describe how new health care professionals are deployed • Explore effect of skill mix on costs and outcomes • Make recommendations for workforce planning

  2. Project overview • high prevalence • significant morbidity and mortality • national guidelines • acute, chronic and surgical condition • Heart disease • (STEMI) • Breast cancer • Type2 diabetes

  3. Project overview • high prevalence • significant morbidity and mortality • national guidelines • acute, chronic and surgical condition • SURVEYS and ROUTINE DATA • -12 hospitals (teaching; large general; other general; city/urban/small town/rural) • -Associated general practices • -Health care professionals/-Health care managers: Demographics, Educational qualifications, Hours worked, Perceptions of integration and specialisation, Drivers and barriers, Factors influencing decisions, What they do! • -Patients: Demographics, health care utilisation, experiences, satisfaction, perceptions • Heart disease • (STEMI) • Breast cancer • Type2 diabetes

  4. Task list: breast cancer example

  5. Early findings • Care pathways and team composition are changing • External drivers are mostly professional influences and need for service redesign • Professionals also highlighted new legal rights • Managers make team composition decisions on staff skills and competences, staff experience and regulation • Budgets and perceptions of patient preferences least important • Patients are satisfied • Experience of care suggests it is not ‘patient centred’ • Care feels integrated but doctor is often still seen as ‘main’ provider • Next steps • Inter and intra country comparison • Cost effectiveness and clinical effectiveness • Recommendations for optimal team • Workforce planning tool

  6. Issues for research • Engaging clinical colleagues • Differences in health systems, definitions, terminology across European countries • Distinguishing exact contribution to health care delivery to quantify substitution • Dynamic workforce context • Generalisability beyond three conditions

  7. Acknowledgements We thank • European Commission for funding this research programme ‘Health Care Reform: The iMpact on practice, oUtcomes and cost of New ROles for health profeSsionals (MUNROS), under the European Community’s Seventh Framework Programme (FP7 HEALTH-2012-INNOVATION-1) grant agreement number HEALTH-F3-2012-305467EC . • All those who supported and guided this work both within the MUNROS research project team and as external associates. • All the MUNROS research and project partners for their continuing collaboration in this research.

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