ArticleJournal of health services research & policy2022
Processes supporting effective skill-mix implementation in general practice: A qualitative study.
Article in Journal of health services research & policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physician associates and anaesthetic associates in UK: rapid systematic review of recent UK based research.BMJ (Clinical research ed.) · 2025Pooled it
- Examples of Systemic Solutions for Skill-Mix Issues-An Analysis of International Experiences with a Focus on Rural Areas.Healthcare (Basel, Switzerland) · 2026Review
- Development, integration, retention, and career progression of physician associates/assistants in UK NHS hospitals and clinical teams: a multiple-case qualitative study.BMC medicine · 2026Article
- National pilot of innovative early years skill mix working in five Start for Life sites in England: study protocol.Primary health care research & development · 2026Article
- No Band-Aids for papercuts: understanding and addressing challenges of administrative workload in primary care in Canada.Family practice · 2025Article
- The myth of the emerging themes: why qualitative research needs theory.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Role of receptionists in general practice: under-researched and under-valued.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Additional Roles Reimbursement Scheme uptake, patient satisfaction, and QOF achievement: an ecological study from 2020-2023.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Understanding access to general practice through the lens of candidacy: a critical review of the literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Review
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- Practice-based pharmacists: considerations for general practices.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesHealth policy and funding initiatives have addressed increasing workloads in general practice through the deployment of clinicians from different disciplinary backgrounds. This study examines how general practices in England operate with increasingly diverse groups of practitioners.
methodsFive general practices were selected for maximum variation of the duration and diversity of skill-mix in their workforce. Individual interviews were recorded with management and administrative staff and different types of practitioner. Patient surveys and focus groups gathered patients' perspectives of consulting with different practitioners. Researchers collaborated during coding and thematic analysis of transcripts of audio recordings.
resultsThe introduction of a wide range of practitioners required significant changes in how practices dealt with patients requesting treatment, and these changes were not necessarily straightforward. The matching of patients with practitioners required effective categorization of health care patients' reported problem(s) and an understanding of practitioners' capabilities. We identified individual and organizational responses that could minimize the impact on patients, practitioners and practices of imperfections in the matching process.
conclusionsThe processes underpinning the redistribution of tasks from GPs to non-GP practitioners are complex. As practitioner employment under the Primary Care Network contracts continues to increase, it is not clear how the necessarily fine-grained adjustments will be made for practitioners working across multiple practices.
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Registered trials
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.