Abstract
BackgroundPrevious Australian workforce analyses revealed a small orthotist/prosthetist workforce with a low number of practitioners per 100,000 Australians. In recent years, initiatives were implemented to increase relative workforce size, including a government-led change in immigration policy to facilitate entry of experienced internationally trained orthotist/prosthetists into the Australian workforce. Given these changes, this project aimed to compare demographics of the orthotist/prosthetist workforce in Australia and each state/territory between 2007, 2012 and 2019.MethodsThis quasi-experiment analysed data from the Australian Orthotic Prosthetic Association (AOPA) database of certified orthotist/prosthetists, to compare changes in the absolute number of practitioners and the number of practitioners per 100,000 population, as well as practitioner age, gender and service location (i.e., metropolitan, regional/remote) across three time points, with a breakdown by each Australian state and territory.ResultsBetween 2007 and 2019, the number of orthotist/prosthetists per 100,000 population increased 90%. Average age reduced significantly between 2007 (41.5 years) and 2019 (35 years) (p = 0.001). While the proportion of female practitioners increased significantly between 2007 (30%) and 2019 (49%), and between 2012 (38%) and 2019 (49%) (p < 0.05); only 22% of the female workforce is over 40 years of age. The proportion of practitioners servicing a regional/remote location did not change over time (range 13–14%).ConclusionsBetween 2007 and 2019, the national orthotist/prosthetist workforce increased at a rate that exceeded Australia’s population growth, became younger, and more female. However, the number of practitioners per 100,000 population remains below international recommendations; particularly in states outside of Victoria and Tasmania, and in regional/remote areas. In addition, low numbers of mid-late career female practitioners suggest challenges to retention of this particular cohort. These data can help inform workforce initiatives to retain a younger and more female workforce, and improve access to orthotic/prosthetic services.
Highlights
Previous Australian workforce analyses revealed a small orthotist/prosthetist workforce with a low number of practitioners per 100,000 Australians
Full list of author information is available at the end of the article
Orthotist/prosthetists are one of several allied health professions omitted from federal workforce data sets [7, 8] partly due to the professions small size and the absence of federal regulation by the Australian Health Practitioner Regulation Agency (AHPRA)
Summary
Previous Australian workforce analyses revealed a small orthotist/prosthetist workforce with a low number of practitioners per 100,000 Australians. Initiatives were implemented to increase relative workforce size, including a government-led change in immigration policy to facilitate entry of experienced internationally trained orthotist/prosthetists into the Australian workforce. Given these changes, this project aimed to compare demographics of the orthotist/prosthetist workforce in Australia and each state/territory between 2007, 2012 and 2019. Orthotist/prosthetists are one of several allied health professions omitted from federal workforce data sets [7, 8] partly due to the professions small size and the absence of federal regulation by the Australian Health Practitioner Regulation Agency (AHPRA). While the Australian census offers an alternative source of workforce data, census data falls rapidly out-of-date, includes data restrictions to ensure anonymity [9], and is likely affected by misclassification of related professionals who provide facial or breast prostheses, or who technicians who manufacture orthoses and prostheses
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