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Pages 331-344

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From page 331...
... . socletles Administration on Aging, 277 Administrators, see Health care administrators; Medical record administrators and technicians Aging and aged persons, see Elderly AIDS, 68-70, 102, 124, 262 Allied health occupations alternative financing scenarios general, 90 - 93 by occupation, 103, 113- 114, 126-127, 131-132, 139, 145, 150-151 definitional issues general, 1-3, 15-20, 41-42 occupation-specific, 20-41, 291295 included in study, criteria, 2, 19 metro—nonmetro population, 226 multiple competencies development, 220, 223, 229, 265-266 new fields, 38-41 public awareness of, 15 study approach, 1-4, 44-45, 59, 96, 283-284 supply/demand measurement, 4461, 63-94 by occupation, 96-153 see also specific occupations
From page 332...
... W., 171 Audiologists, see Speech-language pathologists and audiologists Automation, 77, 119, 120, 138 B Begun, J W., 246 Biomedical Sciences Preparation Program, 170 - 171 Blacks, 167, 170, 175, 218, 264 Blue Cross, 100 Blue Shield, 100 Boards, state regulatory, 241-242, 249-251, 255 Bureau of Health Professions, 3-4, 12, 178, 252, 256-257 dental care, 107, 297 lab technicians, 22, 300 needs projections, 53, 61 radiologists, 35 supply/demand data, 45-46, 76, 260-261 Bureau of Labor Statistics, on allied health, 4 projections methodology and data, 54-57, 59-60, 61, 70-71, 73, 96-97, 307-310, 311-318 salaries and wages, 49-50, 212-214 supply/demand and characteristics, 25, 29, 37, 46, 54, 59, 85, 296302 Burnout, 117, 172, 173, 218, 219-220 C California, 271 - 272 California Dental Association, 245 California Dental Association v.
From page 333...
... . and organization, 1-4, 44-45, 59, 96, 283-284 Community colleges, 83 - 84, 103, 109, 173, 176, 188, 198 Compensation, see Salaries and wages Competition among allied health turfs, 36, 126, 243 employer considerations, 206-207 job vacancies and, 48 other professionals and allied health personnel, 78 - 79, 113 salaries, 209-210 see also Supply/demand, general; Supply/demand, specific occupations Comprehensive Employment Training Act, 180 Comprehensive Health Manpower Act of 1973, 168 Computer-based technology, 77, 119, 120, 138 Consumerism, 113, 238, 249-250, 255 Cooperatives, 228 Cost containment, 93 dietitians, 112 physical therapists, 135 Sunrise provisions, 319 - 323 Council of State Governments, 247, 252 Court decisions, 245 Credentials, 235; see also Certification; Licensure; State licensing Cumulative Index of Nursing and
From page 334...
... . classlilcatlon ot instructional programs, 291 - 295 clinical education, 176, 192- 194, 195 college preparation, 171- 172, 173174 cost of education, 194- 195 employer role, 207, 208 enrollment trends, 82-84 faculty development, 188- 192, 277 handicapped, 149, 274 hospital-based, 176, 192- 194 in-service, 220, 228 labor force and, 7-9, 10 liberal education, 197- 198 linkages with employers, 175, 188, 196, 197, 198-202, 227-229, 231 long-term care and, 13, 231, 232-233, 274-277
From page 335...
... . cone ltlons Epidemiology, see Disease patterns Equipment and supplies, 143
From page 336...
... . stats tenure increases, strategies, 216-221 see also Medical records administrators and technicians Health care costs allied health education, 194- 195 dental, 107 hospital operating margins, 216 labor costs, 210, 214, 215 rehabilitation facilities, 271 state regulation and, 243, 246, 247, 248-249, 256-257 Sunrise provisions, 319 - 323 see also Cost containment Health care delivery systems .
From page 337...
... , 8, 168, 171-172, 173174, 175 Health maintenance organizations (HMOs) , 73, 92, 224 lab technicians and, 101 speech-language pathologists, 149, 150 Health planning agencies, statistical responsibilities, 52 Health Professions Training Act of 1985, 168 Health Programs Extension Act of 1973, 168 Health promotion, 113 Health Resources and Services Administration, 51-52, 104, 193 see also Bureau of Health Professions Health Training Improvement Act of 1970, 240 Hearing impairments, see Speechlanguage pathologists and audiologists Highway Safety Act of 1966, 26 Hill Burton Act of 1946, 225 Hispanics, 166, 167, 218 Home care, 91, 274 long-term, 267-270 Medicaid, 268 337 Medicare, 64, 65, 75, 111, 130, 131, 149, 268, 269 occupational therapy, 124- 125, 126 physical therapy, 131, 268 physicians, 269-270 prospective payment, 111 respiratory therapy, 63-65, 142, 143 speech-language pathologists, 149, 150 Hospitals, 5, 91 accreditation standards, 253, 254255 clinical education, 176, 192- 194, 195 dietitians, 110, 111, 297 lab technicians, 98- 100, 104 medical record personnel, 119, 299 multihospital systems, 73 occupational therapists, 123- 124 operating margins, 216 physical therapists, 129- 130, 131, 133 prospective payment system and, 75-76 radiology, 135-138, 139, 141, 301 respiratory therapists, 141 - 142, 143-144, 146, 301 rural, 225-226 salaries of allied workers, 210, 215 speech-language pathologists, 149, 301-302 Hudson Institute, 165, 217-218 Human resources administrators, see Health care administrators I Illinois, 181 Income, personal, effect on allied health demand, 71, 108; see also Salaries and wages Information services, see Medical record administrators and .
From page 338...
... ~ . specific occupations; Unemployment Labor unions, 88 - 89, 220 Language pathologists, see Speechlanguage pathologists and audiologists INDEX Law, see Court decisions; Statutes Librarians, see Medical record administrators and technicians Licensure, 18-19, 235-257 cardiovascular technicians, 40-41 dental hygienists, 23-24, 297-298 dietitians, 25 emergency medical technicians, 27 lab technicians, 22 occupational therapists, 30 perfusionists, 39 physical therapists, 33, 300 radiologists, 35, 139 respiratory therapists, 36 speech-language pathologists and audiologists, 38, 148- 149 supply/demand and, 11- 12 see also State licensing Local governments, 233, 310 - 311 Long-term care, 12- 13, 259-278 administrators, 13, 277-278 definition, 260 dietitians, 111 employer issues, 230-231 occupational therapists, 126 see also Nursing homes Long-Term Care Gerontology Centers, 277 M Make, B
From page 339...
... INDEX education, support for, 180, 192194 emergency medical services, 117 home care, 64, 65, 75, 111, 130, 131, 149,268,269 nursing homes, 264, 266 occupational therapy, 124, 125, 126 physical therapy, 129, 130, 131 respiratory therapy, 143, 145 speech-language pathology, 149 see also Prospective payment system (PPS) Mental health, 230, 294; see also Occupational therapists; Psychiatric services Mental retardation, 262 Minnesota, 247-249, 319-323 Minorities demographics and allied health demand, 67-68 81, 218, 264 educational recruitment and retention, 8, 169 - 175 Minority Access to Research Careers, 174 Minority Biomedical Research Support, 174 Missouri, 182 Model programs, educational, 8, 201, 229, 275-276 Models alternative financing scenarios general, 90-93 by occupation, 103, 113- 114, 126-127, 131-132, 139, 145, 150-151 educational costs, 194- 195 education-services linkage, 201202, 229 nursing home teams, 265 projecting labor supply/demand, 52-54, 55, 91-93 Monthly Labor Review, 310 Mundinger, M., 268 - 269 N National Academy of Sciences, 283284, 317 National Advisory Commission on Health Manpower, 240 National Association for Home Care, 268 339 National Association of Rehabilitation Facilities, 271 National Association of Teachers of Speech, 37 National Certification Agency for Medical Laboratory Personnel, 298-299 National Commission for Health Certifying Agencies, 252, 324328 National Commission on Allied Health Education, 15, 17 National Institute on Aging, 260-261 National Institutes of Health, 174, 191 National Occupational Information Coordinating Committee, 310 National Research Council, 26 National Society for Allied Health, 166 National Society for Promotion of Occupational Therapy, 30 National Task Force on Gerontology and Geriatric Care Education in Allied Health, 261 New England Medical Center, 210 New York State, 181 Nonprofit organizations, see Private foundations Nuclear medicine technologists, 136, 137, 300-301 Nurses and nursing, 190- 191, 193, 231, 264, 268-269, 294 competition with allied health personnel, 80 employment needs assessment, 53, 58 job satisfaction, 218-219, 220-221 linkage with allied health, 274 salaries and supply, 211, 271 Nursing aides, 19, 231, 265-267 education, 274, 275-276 Nursing Home Standards Committee, 266 Nursing homes, 73-74, 91, 230-231, 253, 260, 263-267 dietitians, 110 occupational therapists, 126 physical therapy, 130 quality control, 265-267, 274, 276 Nutrition, see Dietitians
From page 340...
... a. ternatlve ~lnanang scenarios, 131-132 definition, 31-34, 292, 300 education, 33, 133- 135, 160, 161, 176, 189 history, 32 home care, 131, 268 INDEX licensure, 33, 300 salaries, 34, 134, 135, 212, 271, 272-273 supply/demand, 4, 33, 128- 135, 208, 271-272, 273, 300 Physicians ambulance services owned by, 115116 home care, 269-270 lab technicians and, 100- 101 nurses and, 219 supply of, 78-79 Poliomyelitis, 32 - 33 Political issues, educational support, 178, 181, 182 Poverty, see Economically disadvantaged Prediction, see Supply/demand, general; Supply/demand, specific occupations Private foundations, 9, 15, 183, 202 minority recruitment and retention, 169-171, 172 rural health care, 229 Private sector, see Employers; Professional associations and societies; Self-employment Privatization, emergency medical services, 116- 117 Productivity, employer role, 209, 214215, 221-224 Professional associations and societies, 232, 252-253 certifying agencies, federal guidelines, 252, 324-328 definition of allied health general, 17- 18 by occupation, 297-301 educational responsibilities, 8, 183, 194-195 .
From page 341...
... . tec :nn~c~ans 341 Regulatory issues, 2, 18, 102, 235-257 federal role, 251-252 history, 236 labor force characteristics and, 11 12 nursing homes, 266 private sector role, 252 - 253 quality of care, 5 state-level, 236-251 see also Accreditation; Licensure; Standards; State licensing Rehabilitation facilities, 270-274, 295 Report on Allied Health Personnel, 16 Report on Licensure and Related Health Personnel Credentialing, 240 Research academic, 184, 190- 192 on career choice and development, 163 committee study goals, methodology, themes, organization, 1-4, 44-45, 59, 96, 283-284 data limitations, 3-4, 45-46, 50-52, 59-61, 296 dissemination of findings, 10, 232 on effectiveness of specific professions, 224, 232 on employee retention, 219-220 financial support of, 9 minority opportunities, 174 on nursing, 190 - 191 on personnel policies, 231, 232 on regulation, 251 on supply/demand, 305-310, 311 314, 319-320 see also Bureau of Labor Statistics; Statistical programs and activities alternative financing scenarios, 139 Respiratory therapists, 255 definition, 34-35, 292, 300 education, 34-35, 140, 141, 196 history, 34-35 hospital employment, 135- 138, 139, 141, 301 licensure, 35, 139 salaries, 140- 141 supply/demand, 34, 35, 135-141, 271, 300-301 Recordkeeping, see Medical record administrators and technicians alternative financing scenarios, 145 definition, 35-37, 292, 301 education, 36, 146-147, 196 history, 36 home care, 63-65, 75 hospital employment, 141 - 142, 143-144, 146, 301 licensure, 36 salaries, 146 supply/demand, 6, 37, 63-65, 141147, 153, 208, 271, 301
From page 342...
... 342 Retraining, 220 Robert Wood Johnson Foundation, 169, 229 Rural health care facilities, 225-229, 273 S Salaries and wages, 2, 10, 230-232, 274 dental hygienists, 24, 106 employer considerations, 206-207, 209-215, 222 lab technicians, 104 labor shortage indicator, 48 medical record personnel, 121, 163 nurses, 211, 271 nursing aides, 266-267 occupational therapists, 31, 128, 271, 273 perfusionists, 162 physical therapists, 34, 134, 135, 212, 271, 272-273 radiologists, 140- 141 respiratory therapists, 146 social workers, 162 speech-language pathologists and audiologists, 38, 152 Selden, 250-251 Self-employment complex medical settings and, 221 dietitians, 110- 111 physical therapists, 130- 131, 212 social work, 162 speech-language pathologists and audiologists, 150, 301 Sex discrimination, salaries, 212 Shimberg, B., 238 Social work, 162 Societies, see Professional associations and societies; and individual associations and societies Society of Diagnostic Medical Sonographers, 41 Southern Educational Research Board, 197 Southern Illinois University, 229 Specialization, 196, 197; see also specific allied health professions Speech-language pathologists and audiologists INDEX alternative financing scenarios, 150-151 definition, 37-38, 148, 292, 301 education, 38, 148, 150, 151, 152 hospital employment, 149, 301 -302 licensure, 38, 148 - 149 research, 192 salaries, 38, 152 supply/demand, 6, 38, 147-152, 153, 271, 301-302 Standards, 252, 266 state-level, 238-239 see also Accreditation; Licensure State governments boards, regulatory, 241-242, 249251, 253, 255 cost, quality, access, and regulation, 240, 243, 245-247, 248-249, 253, 255 dental hygienists, regulation, 243246 educational financing, 9, 87-88, 174, 180-182, 190 education-service linkages, 201202, 232-233 mandated insurance benefits, 76 minority recruitment and retention, 169, 174 regulatory powers, 236 - 251, 252 Sunrise procedures, 247-249, 255, 319-323 supply/demand data, 310-311 State licensing, 200, 202, 236 - 238 criticisms, 240-249, 253 definition, 237-238 dental hygienists, 23-24, 297-298 dietitians, 25 emergency medical technicians, 27 history, 236, 238 lab technicians, 22 occupational therapists, 30 physical therapists, 33, 300 radiologists, 35, 139 reforms, 247-251, 255 - 257 respiratory therapists, 36 speech-language pathologists and audiologists, 38, 148- 149 statistics, 52 Sunrise procedures, 247-249, 255, 319-323 Statistical programs and activities
From page 343...
... Bill, 35, 307 Health Professions Training Act of 1985, 168 Health Programs Extension Act of 1973, 168 Health Training Improvement Act of 1970, 240 Highway Safety Act of 1966, 26 Hill Burton Act of 1946, 225 lob Partnership Training Act, 180 licensure, 11 - 12, 241 occupational therapy, 125 Omnibus Budget Reconciliation Act of 1987, 101, 149,275 Sunrise procedures, 247-249, 255, 319-323 Structural issues, see Organizational frameworks and structures Student aid, 174, 180 Study Commission on Dietetics, 25 Substance abuse, 102 Sunrise procedures, 247-249, 255, 319-323 343 Supply/demand, general, 44-61, 6394, 152- 153, 296-297 AIDS, 68 - 70, 102, 124, 262 alternative financing scenarios general, 90 - 93 by occupation, 103, 113- 114, 126-127, 131-132, 139, 145, 150-151 current situation, 46-52 data available, 45-46, 50-52, 59-61 demography and, 65-68 economic growth and, 70-72 educational sector, effect on, 7-9, 82-88, 176-202 employers' role, 9- 11, 206-233 estimation methodology, 3-5, 5457, 305-310, 311-314 financing of health care and, 74-76 future general, 5-6, 52-61 by occupation, 96- 153 industry structure and, 72-74 ..
From page 344...
... Torts, malpractice, 89-90, 197, 238 Training, see Education, general; Education, specific occupations U Unemployment, 165, 304 factor in demand for allied health 71 as labor shortage indicator, 48-49, 50 Unions, see Labor unions University of Alabama, 227-228, 229 University of Wisconsin, 229 Unnecessary procedures, 223-224 V Vascular technicians, see Cardiovascular technology Veterans, 35, 180 Veterans Administration, 180, 272274, 277, 307 Volunteer emergency medical technicians, 27, 115, 116-117 W Wages, see Salaries and wages Western Interstate Commission on Higher Education, 53 Women, elderly, 262, 264 Women's career choices, in allied health labor force, 2, 160, 165, 218 American Women's Physical Therapy Association, 32 dietitians, 25 education, 81, 83-86 lab technicians, 22 medical records personnel, 29 radiologists, 35 and salaries in labor force, 212, 215 Working conditions, 218-219, 219, 222, 230-231, 267 burnout, 117, 172, 173, 218, 219221 employers' strategies for increasing, 216-221 supply/demand for labor and, 9, 134 Texas, 181, 182, 196, 208-209 Therapists, see Occupational therapists; Physical therapists; Respiratory therapists Third-party payers clinical education, 8 Workmen's compensation, 131 demand for allied health and, 75 occupational therapists, 30 social work, 162 state certification and eligibility, 12 X X rays, see Radiologic technologists and technicians


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