ArticleBMC family practice2017
At the dawn of delegation? Experiences and attitudes of general practitioners in Germany - a questionnaire survey.
Article in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed.
- Shaping a positive occupational safety climate in general practice teams-findings of the baseline survey of the cluster randomized IMPROVEFrontiers in public health · 2025Trial
- Are nurse-led patient consultations acceptable for the general practitioners and practice nurses in Germany? Results from a cross-sectional survey in two federal states.Family medicine and community health · 2025Article
- Article
- Evaluation of utilisation and consequences of CRP point-of-care-testing in primary care practices: qualitative interviews with GPs from Germany.BJGP open · 2025Article
- Task shifting to improve practice efficiency: A survey among general practitioners in non-urban Baden-Wuerttemberg, Germany.The European journal of general practice · 2024Article
- [Ensuring primary care in Germany-findings from a quantitative survey of general practitioners].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- [Between New Responsibility and Daily Routines - The Role of the VERAH in GP Care: A Qualitative Secondary Data Case Study of the Introduction of Software-Based Case Management].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- How can primary care be secured in the long term? - a qualitative study from the perspective of general practitioners in Germany.The European journal of general practice · 2023Article
- [Attitudes of general practitioners and medical practice assistants towards the delegation of medical services: Results of a survey in Berlin, Brandenburg and Thuringia].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Patient perspective on task shifting from general practitioners to medical practice assistants - a quantitative survey in Germany.BMC primary care · 2023Article
- Evaluation of Synchronous and Asynchronous Telemedical Applications in Primary Care in Rural Regions of Northern Germany-Results and Lessons Learned from a Pilot Study.International journal of environmental research and public health · 2022Article
- Identifying desired qualifications, tasks, and organizational characteristics of practice managers-a cross-sectional survey among group practice physicians in Germany.BMC health services research · 2022Article
- Acceptability of a task sharing and shifting model between family physicians and physiotherapists in French multidisciplinary primary healthcare centres: a cross-sectional survey.Family medicine and community health · 2022Article
- Work-Related Intervention Needs of Medical Assistants and How to Potentially Address Them according to Supervising General Practitioners: A Qualitative Study.International journal of environmental research and public health · 2022Article
- [Support for General Practitioners in the Care of Patients with Complex Needs: A Questionnaire Survey of General Practitioners in Berlin].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2021Article
- Work-Related Psychosocial Demands and Resources in General Practice Teams in Germany. A Team-Based Ethnography.International journal of environmental research and public health · 2020Article
- The Acceptability of Task-Shifting from Doctors to Allied Health Professionals.Deutsches Arzteblatt international · 2020Article
- Vaccination management for elderly patients in primary care settings - documentation and responsibilities during a vaccination campaign.Patient preference and adherence · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the future, 'delegation' as task shifting from general practitioners (GPs) to non-physicians will be important in primary care. Therefore, the aim of this study was to evaluate the attitudes towards the concept of task shifting and to identify predictors of a positive attitude towards task shifting from the perspective of GPs.
methodsThis cross-sectional questionnaire study analysed attitudes towards the concept of task shifting and delegated tasks from the perspective of GPs who were recruited in the German federal state of Schleswig-Holstein. Descriptive statistics and binary regression analyses were computed to identify potential predictors of a positive attitude towards task shifting.
resultsOut of 1538 questionnaires distributed, 577 GP questionnaires were returned (response rate: 37.5%). A total of 53.2% of the respondents were male, and 37.3% were female. A positive attitude regarding task shifting was shown by 49% of the participating GPs. The highest level of agreement (95.2%) was found for time savings with task shifting, and a lower agreement (39%) was found regarding the lack of clarity concerning the responsibilities and legal aspects with regards to task shifting. The most frequently delegated tasks were recording electrocardiograms and measuring blood glucose levels. A positive attitude towards task shifting was positively associated with higher job satisfaction and a need for qualified staff.
conclusionOur sample of GPs for this study was very open-minded towards the concept of task shifting. Germany is just beginning this delegation, but the implementation of task shifting depends on different aspects, such as legal requirements, adequate payment and qualified staff. Finally, there is a need for continuing professional development in primary care teams, especially for non-clinical practice staff.
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