Evidence map›Paper›PMID 33161942›Full record

ArticleDeutsches Arzteblatt international2020

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

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

Open access · greenAbstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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  14. Unanswered Questions.Deutsches Arzteblatt international · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Charline JedroInstitute of Medical Sociology and Rehabilitation Science, Charité-Universitätsmedizin Berlin; Institute of Social Medicine and Epidemiology, Brandenburg- Universitätsmedizin Theodor Fontane, Brandenburg an der Havel; National Association of Statutory Health Insurance Physicians (KBV), Berlin; Molecular Epidemiology Research Lab, Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin; Institute of Biometry, Charité-Universitätsmedizin Berlin; Institute of General Medicine, Charité-Universitätsmedizin Berlin.
Christine Holmberg
Florian Tille
Jonas Widmann
Alice Schneider
Judith Stumm
Susanne Döpfmer
Adelheid Kuhlmey
Susanne Schnitzer
Berlin Institute of Health at Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe shifting of medical tasks (MT) to Qualified Medical Practice Assistants (MPA) is an option that can be pursued to ensure adequate health care in Germany despite the increasing scarcity of physicians. The goal of this study was to determine the acceptability of medical task-shifting to MPA among the general population.

methodsIn a nationwide, representative telephone survey, 6105 persons aged 18 or older were asked whether they would be willing to receive care from a specially trained MPA at a physician's office. Their responses were tested for correlations with sociodemographic characteristics by means of bivariate (chi-squared test, Mann-Whitney U test) and multivariable statistics (logistic regression).

resultsOf the respondents, 67.2% expressed willingness to accept the shifting of MT to an MPA for the treatment of a minor illness, and 51.8% for a chronic illness. Rejection of task-shifting was associated with old age, residence in western Germany, and citizenship of a country other than Germany. For example, non-Germans rejected task-shifting more commonly than Germans, for both minor illnesses (odds ratio [OR] 2.96; 95% confidence interval [2.28; 3.85]) and chronic illnesses (OR 1.61; [1.24; 2.10]).

conclusionFurther studies are needed to investigate the motives for rejection of medical task-shifting to MPA in order to assess the likelihood of successful nationwide introduction of a uniform delegation model.

Indexed as

PhysiciansAdolescentAllied Health PersonnelDelivery of Health CareGermanyHumans

Identifiers

PMID33161942
PMCPMC7779856
OpenAlexW3106007588

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.