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Organisational Intervention: Revision of professional roles - general


Also known as 'professional substitution', specialist role' or 'boundary encroachment', this includes the shifting of roles among health professionals and expansion of role to include new tasks. See also revision of professional roles – nursing and revision of professional roles – pharmacy intervention categories for specified nursing or pharmacy led care.


One high quality review (Little) was identified. This review had an insufficient number of studies to draw any conclusions about the effectiveness of the intervention.

Summary of Overall Findings from Reviews

5 reviews that evaluated the effectiveness of the revision of professional roles (general) were identified. One review was assessed as being of high quality.

Summary of Findings Related to Prescribing

No high quality or key reviews with a sufficient number of studies to draw conclusions about prescribing outcomes were identified.

Reviews listed as "Summary Pending" will be analyzed, summarized and reported at a later date.

The findings will then be incorporated in the overall evidence summaries of the interventions they address.

Reviews Addressing This Intervention Quality Assessment Tool:
AMSTAR Score (of 11 points)
Little EA, Eccles MP. A systematic review of the effectiveness of interventions to improve post-fracture investigation and management of patients at risk of osteoporosis. Implementation Science 2010 5 (1):80-97. 9 (High)
Kuethe MC, Vaessen-Verberne AA, Elbers RG, Van Aalderen WM. Nurse versus physician-led care for the management of asthma. Cochrane Database of Systematic Reviews 2013 2:CD009296. 8
Summary Pending
Comino EJ, Davies GP, Krastev Y, Haas M, Christl B, Furler J, Raymont A, Harris MF. A systematic review of interventions to enhance access to best practice primary health care for chronic disease management, prevention and episodic care. BMC Health Services Research 2012 12:415. 6
Summary Pending
Lim D, Emery J, Lewis J, Sunderland VB. A systematic review of the literature comparing the practices of dispensing and non-dispensing doctors. Health Policy 2009 92 (1):1-9. 6 (Medium)
McDonnell A, Nicholl J, Read SM. Acute pain teams and the management of postoperative pain: a systematic review and meta-analysis. Journal of Advanced Nursing 2003 41 (3):261-73. 5 (Medium)
Peterson MC. A systematic review of outcomes and quality measures in adult patients cared for by hospitalists vs nonhospitalists. Mayo Clinic Proceedings 2009 84 (3):248-54. 5 (Medium)
Schlenk EA, Bernardo LM, Organist LA, Klem ML, Engberg S. Optimizing medication adherence in older patients: a systematic review. Journal of Clinical Outcomes Management 2008 15 (12):595-606. 5 (Medium)
Glenton C, Khanna R, Morgan C, Nilsen ES. The effects, safety and acceptability of compact, pre-filled, autodisable injection devices when delivered by lay health workers. Tropical Medicine & International Health 2013 18 (8):1002-1016. Summary Pending
Mdege ND, Chindove S, Ali S. The effectiveness and cost implications of task-shifting in the delivery of antiretroviral therapy to HIV-infected patients: a systematic review. Health Policy & Planning 2013 28 (3):223-236. Summary Pending