“AProfessioncomprisesofagroupofpeoplewhohavespecial
knowledgeandskillsinawidelyrecognizedbodyoflearningderived
fromresearch,educationandtrainingatahighlevelandareguided
byacodeofethics,andwhoarepreparedtoapplythisknowledge
andexercisetheseskillsintheinterestofothers”(AustralianCouncil
ofProfessions,2003).Deprofessionalizationhappenswhenthereisa
changeintheskillsorqualitiesthatareuniqueorspecifictothat
profession.
IntheUnitedStatesthereisashortageofhealthcareproviders,
andwhichhasledtonewrolesforalliedhealthproviders.Nurse
PractitionersandPhysicianassistant(PAs)rolesweredesigned
initiallytoworkalongsidephysicianstocomplementthecare
provided,butwiththeshortageofPhysicianstheseprofessionalsare
givenmoreautonomyand,inmanystates,allowedtopractice
independently.Moreandmorecomplicatedpatientsareassignedto
NursepractitionersandPAsandareallowedtodoprocedureswhich
inthepastwouldonlybedonebyaPhysicianwithextensive
training.Moreandmorenonphysicianprovidersareprovidingcare
beyondtheirexperienceandtraining.Weareseeinga
deprofessionalizationofPhysiciansbyinsurancecompanies,health
careindustryandcorporateentitiesthatwouldliketocutdown
costsbyhiringmoreNpsandPAsthanPhysicians(Balon&Morreale,
2022).
Thereareothermedicalprofessionsalsothatfaceshortageof
qualifiedhealthcareprovidersandmighthavetorelyonless
qualifiedprofessionalstodeliverhealthcareserviceslikeshortageof
RNsandmedicalsocialworkersandmayhavetousemoreLPNs
(licensedpracticalnurses)andinsteadofgraduatesocialworkers,
mayhavetorelyonundergraduatestodeliverservices.
Despitedeprofessionalizationofhealthcare,theoriginalprofession
stillhasitsdignityandvalue.Butthereisaconcernifqualitywillbe
compromisedinthefutureforprofitandcostconcerns.
References
AustralianCouncilofProfessions.(2003).Whatisaprofession?
Retrievedfromhttps://www.professions.org.au/what-is-a-
professional
.
Balon,R.,&Morreala,M.K.(2022).DemiseofaPhysician.Annals of
Clinical Psychiatry. 34(1),1-3.Retrievedfrom
https://www.aacp.com/wp-content/uploads/2022/02/0222-ACP-
Editorial.pdf