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Table 4 Proposition testing

From: Implementing large-scale workforce change: learning from 55 pilot sites of allied health workforce redesign in Queensland, Australia

Proposition Proposition supported( Y/ N)
1. Better sustainability of the model of care (MoC) is associated with:  
1.1. Full engagement of all key stakeholders first Yes
1.2. Bottom-up drivers (rather than top-down) Yes
1.3. Top-down support - Legislative support to drive, underpin, and sustain the new MoC created Yes
1.4. Legislative scaffolding to reinforce the new MoC, such as award and pay structures, that are supported in industrial agreements and ratified at the highest possible levels of government to avoid undermining by professional boundary arguments Yes
1.5. Codification of the processes, practices and training used to implement the role Yes
1.6. Having powerful allies to drive the role forward Yes
1.7. Implementing new MoC that are appropriate for the context (including local, geographic, population, clinical, professional, regulatory contexts) Yes
2. More/less efficient use of the role is associated with:  
2.1. Clearly defined roles within the MoC Yes
2.2. Clearly defined and understood, unambiguous delegatory or allocatory MoC Yes
2.3. Delegating practitioners having confidence in delegation, which comes from understanding the roles, training, and competencies of the practitioners to whom they are delegating Yes
2.4. Trust, derived from time and exposure to the new model of care, is important for establishing appropriate delegation/collaboration/referring practices Yes
3. Greater staff satisfaction is associated with:  
3.1 Better career development opportunities Yes
3.2 Role clarity No
3.3 Appreciating value in/impact of the role Yes
3.4 Appropriate support for the development and implementation of the MoC Yes
4. Better patient outcomes are associated with:  
4.1. Greater engagement of patients in the decision making associated with their care delivery Yes
4.2. Putting the patient at the centre of the MoC, rather than the practitioner Yes
4.3. Providing any care or service where the alternative is no service, or a long waiting list Yes