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Article by Dr. Yoder

February 20, 2005

Cindy Lawrence fractured her leg and foot in a fall last year. Though she received expert care from physicians and nurses during her treatment and rehabilitation, she was also cared for by a broad array of other health professionals who transported her to the emergency room, did the laboratory work required as part of her diagnosis, and provided months of physical and occupational therapy during her long recovery. Allied health professionals, the largest but at times the most invisible group of professionals in the health care field, provided all these and other services.

The Allied Health Professions constitute 60% of all health care providers. Occupational Therapists, Physical Therapists, Radiological Technologists, Respiratory Therapists, Speech-Language Pathologists, Dental Assistants, Physician Assistants, Clinical Laboratory Practitioners, Medical Assistants, Health Information Management and some 98 other professional disciplines perform expert assessment, provide essential services, support physicians, nurses and dentists and profoundly influence the quality of health care provided across North Carolina and the country.

In North Carolina The Council for Allied Health, represents more than 18,500 allied health professionals from 30 professions. The Council was established in 1991 by allied health practitioners, educators and employers who were concerned about chronic allied health workforce shortages in several rehabilitation related professions. To answer the initial workforce concern the Council played an important role in soliciting support from the North Carolina General Assembly to expand educational programs and increase the number of persons prepared and licensed to practice in those professions.

Since its inception, the Council has been successful in achieving goals within its mission to ensure that North Carolinians will have access to a well prepared and well distributed allied health workforce that is representative of the diversity of our state’s communities. As a forum to address policy and planning in allied health workforce development, educational recruitment and retention, and service delivery, the Council’s goals are to:

  • Monitor trends in the demand, supply, distribution of allied health workforce in the state, in cooperation with NC Area Health Education Centers Program (AHEC), the Sheps Center for Health Service Research, and key professional, employer and educational groups.
  • Provide policymakers at the local and state level with accurate information related to allied health workforce and educational needs to make appropriate decisions regarding resources for education and training in the state’s community college system and four-year universities.
  • Provide employers and state agencies with data to assist them in meeting the health care service needs of the state.
  • Monitor and respond to state and federal initiatives that affect the delivery of allied health care services in North Carolina.
  • Serve as a source for public and private university systems, community colleges, and the general public to inform them of workforce imbalances effecting access and costs of service as well as supply and demand issues.
  • Serve as point of coordination, support, information exchange, and crisis intervention for allied health professions, employers, and allied health education programs in the state. The Council is addressing such issues as the ease of movement of students from community colleges to four-year schools: this has a direct and lasting impact on health-care education in North Carolina.
  • Promote the allied health professions as sound occupational pathways for persons who wish to change careers.

The Council’s membership consists of practitioners, employers and educators collaborating to meet the critical health care needs of our state. The only Council of its kind in the United States, its work is cited as a model of effective data collection, provision of accurate information on workforce supply and demand, support for allied health personnel issues, assessment of education capacity of the public and private universities and community colleges and promotion of quality services to the citizens of North Carolina.

In North Carolina, as in other places in the United States, the healthcare environment finds allied health professionals employed in public and private sectors – not only hospitals but also in clinics, laboratories, nursing homes, mental health facilities, private medical practices, research institutions, public health services, pharmaceutical companies and public and private schools. Allied health personnel are also employed in industry, where they administer basic health care and emergency first aid to workers, inspect equipment and assure that safe work practices are followed. Additionally, these professionals act as technical advisors and representatives in the manufacturing and marketing of medical equipment and supplies in the Research Triangle.

The state of North Carolina is one of the nation’s best resources for allied health personnel education and services. Since 1999 the Council has established a survey model database with the Sheps Center for ongoing supply and demand information on the allied health workforce in NC. Information collected on the following allied health professions can be found on the following web sites: www.alliedhealthcouncilNC.org and www.shepscenter.unc.edu/index.html.

  • Physical Therapy, May 2000
  • Speech-Language Pathology, June 2001
  • Health Information Management, October 2002
  • Radiologic Technology, July 2003
  • Clinical Laboratory Science, August 2004
  • Respiratory Therapy, August 2004

The Bureau of Labor Statistics reports that the demand for health professionals, outside of nursing, is high in many of the allied health areas, but especially in Clinical Laboratory Science, Radiologic Technology, Respiratory Therapy, Health Information Management, Physical Therapy, Occupational Therapy and Speech-Language Pathology to mention a few.

Funding to support the work of the Council for the past three years has been through a grant from the Health Care Division of the Duke Endowment. The NC AHEC Program is requesting funding from the General Assembly in 2005 for ongoing support of the Council.
David Yoder may be contacted at dyoder@med.unc.edu or CB# 7335, TR# 46, Chapel Hill, North Carolina, 27599-7335.

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