ReviewJournal of multidisciplinary healthcare2014
Extended roles for allied health professionals: an updated systematic review of the evidence.
Review in Journal of multidisciplinary healthcare, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
59 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- What Advanced Practice Roles Are Dietitians Undertaking? A Mixed Methods Systematic Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Pooled it
- The effectiveness of allied health and nurse practitioner models-of-care in managing musculoskeletal conditions in the emergency department: a systematic review and meta-analysis.BMC emergency medicine · 2024Pooled it
- Experiences of working as early career allied health professionals and doctors in rural and remote environments: a qualitative systematic review.BMC health services research · 2022Pooled it
- Task shifting in primary care to tackle healthcare worker shortages: An umbrella review.The European journal of general practice · 2021Pooled it
- Economic evaluation of advanced practice physiotherapy models of care: a systematic review with meta-analyses.BMC health services research · 2021Pooled it
- Advanced practice physiotherapy for adults with spinal pain: a systematic review with meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Pooled it
- Musculoskeletal care pathways for adults with hip and knee pain referred for specialist opinion: a systematic review.BMJ open · 2019Pooled it
- Pooled it
- Trial
- Development and delivery of an allied health team intervention for older adults in the emergency department: A process evaluation.PloS one · 2022Trial
- Trial
- Patient-specific variables predicting triage outcomes of ear, nose, throat referrals from primary care for dysphonia.BMC primary care · 2026Article
- South African undergraduate students' perceptions of clinical supervision in speech-language therapy.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2026Article
- Editorial: Ensuring public health: the active role of healthcare professionals.Frontiers in public health · 2026Article
- Impact of a Novel Electronic Medical Record-Integrated Electronic Form (Provider Asthma Assessment Form) and Severe Asthma Algorithm in Primary Care: Single-Center, Pre- and Postobservational Study.JMIR formative research · 2025Observational
- Primary health care in Austria: qualitative analysis of requirements and challenges in interprofessional collaboration from the perspective of health care and social professionals.Primary health care research & development · 2025Article
- Poly-skilling and advanced practice roles in perioperative care: protocol for a realist synthesis of evidence.BMJ open · 2025Article
- Audiology-led model provides efficient and effective access to grommet surgery.Journal of the Royal Society of New Zealand · 2025Article
- Predictors of Perceived Organizational Innovation Among Allied Health and Pharmacy Professionals.Journal of healthcare leadership · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternationally, health care services are under increasing pressure to provide high quality, accessible, timely interventions to an ever increasing aging population, with finite resources. Extended scope roles for allied health professionals is one strategy that could be undertaken by health care services to meet this demand. This review builds upon an earlier paper published in 2006 on the evidence relating to the impact extended scope roles have on health care services.
methodsA systematic review of the literature focused on extended scope roles in three allied health professional groups, ie, physiotherapy, occupational therapy, and speech pathology, was conducted. The search strategy mirrored an earlier systematic review methodology and was designed to include articles from 2005 onwards. All peer-reviewed published papers with evidence relating to effects on patients, other professionals, or the health service were included. All papers were critically appraised prior to data extraction.
resultsA total of 1,000 articles were identified by the search strategy; 254 articles were screened for relevance and 21 progressed to data extraction for inclusion in the systematic review.
conclusionLiterature supporting extended scope roles exists; however, despite the earlier review calling for more robust evaluations regarding the impact on patient outcomes, cost-effectiveness, training requirements, niche identification, or sustainability, there appears to be limited research reported on the topic in the last 7 years. The evidence available suggests that extended scope practice allied health practitioners could be a cost-effective and consumer-accepted investment that health services can make to improve patient outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.