The Acceptability of Task-Shifting from Doctors to Allied Health Professionals

Jedro, Charline; Holmberg, Christine; Tille, Florian; Widmann, J.; Schneider, Alice; Stumm, Judith; Döpfmer, Susanne; Kuhlmey, Adelheid; Schnitzer, Susanne

doi:10.3238/arztebl.2020.0583

Cited by 13 publications

(17 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, the data were collected by telephone, and only people with a landline were contacted [ 7 , 23 ]. This might have resulted in a higher proportion of older persons being reached [ 46 ]. Older people refused to answer the question about the most important tasks of PNs more often than younger people (in both groups) and lower educated people more often than higher educated people (in the inexperienced group).…”

Section: Discussionmentioning

confidence: 99%

Patient Navigation—Who Needs What? Awareness of Patient Navigators and Ranking of Their Tasks in the General Population in Germany

Schnitzer

Kohl

Fügemann

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

The aim of the present study was to investigate the awareness of patient navigation (PN) in the general population in Germany and to assess which navigator tasks are considered most important. The analysis drew on a 2019 nationwide telephone survey of 6110 adults. We compared rankings of emotional support, administrative support and information among respondents with and without experience of patient navigation. One-fifth of the sample reported having heard of PNs; 13% of this group already had experience with PN. In both groups, the majority (>47%) considered assistance with applications to be most important. This was particularly the case among younger adults and those with a chronic disease. Within the inexperienced group, higher educated people had higher odds of ranking provision of information as most important for them, whereas women and those without a partner had higher odds of ranking emotional support as the most important task. This study shows that the majority of people predominantly expect PN services to offer administrative support, irrespective of their socioeconomic and health status. Whether these expectations are met by the diverse existing PN programs, which often have a strong focus on other tasks (e.g., increasing health literacy), has yet to be evaluated.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient Navigation—Who Needs What? Awareness of Patient Navigators and Ranking of Their Tasks in the General Population in Germany

Schnitzer

Kohl

Fügemann

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…For instance, our confidence in the finding that older people accept delegation is low and other research on this matter is also ambivalent. A recent representative survey in Germany showed that the majority of adults accept the shifting of medical tasks to medical practice assistants, but the acceptance varied depending on the specific task (in favor of minor illnesses), and adults aged 65 and over tended to be more unwilling [ 56 ]. There are also indications that further variables need to be explored to understand older people’s preferences.…”

Section: Discussionmentioning

confidence: 99%

Which features of ambulatory healthcare are preferred by people aged 80 and over? Findings from a systematic review of qualitative studies and appraisal of confidence using GRADE-CERQual

et al. 2022

View full text Add to dashboard Cite

Background Despite healthcare providers’ goal of patient-centeredness, current models for the ambulatory (i.e., outpatient) care of older people have not as yet systematically incorporated their views. Moreover, there is no systematic overview of the preferable features of ambulatory care from the perspective of people aged 80 and over. Therefore, the aim of this study was to summarize their specific wishes and preferences regarding ambulatory care from qualitative studies. Methods The study was based on qualitative studies identified in a prior systematic review. Firstly, the findings of the qualitative studies were meta-summarized, following Sandelowski and Barroso. Secondly, a list of preferred features of care from the perspective of older people was derived from the included studies’ findings through inductive coding. Thirdly, the review findings were appraised using the GRADE-CERQual tool to determine the level of confidence in the qualitative evidence. The appraisal comprised four domains: methodological limitations, coherence, data adequacy, and data relevance. Two reviewers independently evaluated every review finding in each domain. The final appraisals were discussed and ultimately summarized for the respective review finding (high, moderate, low, or very low confidence). Results The 22 qualitative studies included in the systematic review were mainly conducted in Northern and Western Europe (n = 15). In total, the studies comprised a sample of 330 participants (n = 5 to n = 42) with a mean or median age of 80 and over. From the studies’ findings, 23 preferred features of ambulatory care were identified. Eight features concerned care relationships (e.g., “Older people wish to receive personal attention”), and 15 features concerned healthcare structures (e.g., “Older want more time for their care”). The findings emphasized that older people wish to build strong relationships with their care providers. The majority of the review findings reached a moderate or high confidence appraisal. Conclusions While the listed features of healthcare structures are common elements of care models for older people (e.g., Geriatric Care Model), aspects of care relationships are somewhat underrepresented or are not addressed explicitly at all. Future research should further explore the identified preferred features and their impact on patient and care outcomes.

show abstract

“…In Deutschland hingegen ist die Primärversorgung stark ärztlich geprägt. Die Bereitschaft zur Anwendung von Delegationsmodellen hat in den letzten Jahren zugenommen 14 , hängt jedoch auch von den gesetzlichen Bestimmungen ab 15 . Konkrete Ansätze für die Umsetzung von Delegationsmodellen stellen Qualifizierungsmaßnahmen für Medizinische Fachangestellte (MFA) dar 16 .…”

Section: Hintergrundunclassified

Zwischen neuer Verantwortung und Routinetätigkeit: Die Rolle der VERAH in der hausärztlichen Versorgung – Eine qualitative Sekundärdatenanalyse am Beispiel des softwaregestützten Case Management

Forstner,

Mangold,

Litke

et al. 2023

Gesundheitswesen

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Das Konzept der Versorgungsassistentin in der Hausarztpraxis (VERAH) wurde entwickelt, um nicht-ärztliches Personal stärker in die hausärztliche Versorgung einzubinden und somit dem steigenden Versorgungbedarf und der gleichzeitigen Verknappung von ärztlichem Personal zu begegnen. VERAHs werden zunehmend auch im softwaregestützten Case Management eingesetzt und sind somit mit neuen Aufgaben und Verantwortungsgefügen konfrontiert. Das Ziel dieser Studie war es daher, zu explorieren, wie sich die Rolle der VERAH in hausärztlichen Praxen darstellt. Methoden Bei der vorliegenden Studie handelt es sich um eine qualitative Sekundärdatenanalyse im Rahmen der Projekte VESPEERA und TelePraCMan. Es wurden 20 Einzelinterviews und 2 Fokusgruppen mit insgesamt 30 Ärzt:innen, VERAHs und Medizinischen Fachangestellten aus der hausärztlichen Versorgung durchgeführt. Die Analyse der Daten fand qualitativ in Anlehnung an Emerson statt. Kontext- und soziodemographische Daten wurden mit einem begleitenden Fragebogen erhoben. Ergebnisse Die VERAHs aller Hausarztpraxen, aus denen Interviewpartner:innen teilnahmen, nehmen Aufgaben innerhalb des softwaregestützten Case Management wahr. In den Aussagen zur Rolle der VERAH ließen sich drei Themen identifizieren: a) Beschreibung der konkreten Aufgaben der VERAH im softwaregestützten Case Management innerhalb des Praxisteams, b) Stellenwert des softwaregestützten Case Managements innerhalb der Tätigkeiten der VERAHS und c) Beziehung der VERAHs zu den Patient:innen. Schlussfolgerung Die Wahrnehmung von Aufgaben des softwaregestützten Case Managements kann zu einer Stärkung und Erweiterung der Rolle der VERAH beitragen. Künftig sollte verstärkt auf eine klare Beschreibung der neuen Rolle geachtet und die Rahmenbedingungen der Aufgabenerfüllung der VERAH berücksichtigt werden.

show abstract

The Acceptability of Task-Shifting from Doctors to Allied Health Professionals

Cited by 13 publications

References 26 publications

Patient Navigation—Who Needs What? Awareness of Patient Navigators and Ranking of Their Tasks in the General Population in Germany

Patient Navigation—Who Needs What? Awareness of Patient Navigators and Ranking of Their Tasks in the General Population in Germany

Which features of ambulatory healthcare are preferred by people aged 80 and over? Findings from a systematic review of qualitative studies and appraisal of confidence using GRADE-CERQual

Zwischen neuer Verantwortung und Routinetätigkeit: Die Rolle der VERAH in der hausärztlichen Versorgung – Eine qualitative Sekundärdatenanalyse am Beispiel des softwaregestützten Case Management

Contact Info

Product

Resources

About