Evidence map›Paper›PMID 39466891›Full record

ArticleThe European journal of general practice2024

Task shifting to improve practice efficiency: A survey among general practitioners in non-urban Baden-Wuerttemberg, Germany.

Heiner Averbeck, Jasmin Raedler, Raenhha Dhami, Simon Schwill, Joachim E Fischer

Abstract read
In one paragraph

Article in The European journal of general practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

5 authors.

Heiner AverbeckCenter for Preventive Medicine and Digital Health (CPD), Division of General Medicine, Heidelberg University Medical Faculty Mannheim, Mannheim, Germany.ORCID 0000-0001-5925-7837
Jasmin RaedlerCenter for Preventive Medicine and Digital Health (CPD), Division of General Medicine, Heidelberg University Medical Faculty Mannheim, Mannheim, Germany.
Raenhha DhamiDivision of Prevention of Cardiovascular and Metabolic diseases, Heidelberg University Medical Faculty Mannheim, Center for Preventive Medicine and Digital Health (CPD), Mannheim, Germany.
Simon SchwillDepartment for General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-0954-2194
Joachim E FischerCenter for Preventive Medicine and Digital Health (CPD), Division of General Medicine, Heidelberg University Medical Faculty Mannheim, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGermany is challenged by an increasing shortage in general practice services, especially in non-urban areas. Task shifting from general practitioners (GPs) to other health professionals may improve practice efficiency to address this mismatch.

objectivesExploring GPs' motives and beliefs towards task shifting in non-urban Germany and identifying potential factors influencing these.

methodsThe cross-sectional survey was disseminated by mail in three waves between July 2021 and August 2022 among all GPs in non-urban Baden-Wuerttemberg, Germany. It included items on demographics and practice characteristics as well as 15 Likert-scale items addressing motives and beliefs towards task shifting, based on the Theoretical Domain Framework. Likert-scale items were analysed descriptively, influencing factors on motives and beliefs were identified using multiple linear regression.

resultsResponse rate was 24.2% (281/1162), with respondents comparable in age and gender to all GPs in Baden-Wuerttemberg. GPs' motives and beliefs towards task shifting are positive overall. The majority expects task shifting to reduce their workload (87.9%) and increase practice efficiency (74.7%). They are open to shift additional tasks to other professionals (69.1%), even in the currently prohibited form of substitution (51.2%). Motives and beliefs were significantly more positive among younger GPs and those participating in the GP-centred care programme.

conclusionThis study describes GPs' motives and beliefs towards task shifting in non-urban Germany. Identifying younger GPs and those participating in the GP-centred care programme as particularly endorsing may help design future interventions aiming to improve efficiency in general practice in non-urban Germany.

Indexed as

Attitude of Health PersonnelGeneral PractitionersWorkloadAdultCross-Sectional StudiesFemaleGeneral PracticeGermanyHumansMaleMiddle AgedMotivationSurveys and QuestionnairesTask Shiftingdelegationdelivery of health careGeneral practiceprimary health caretask shifting

Identifiers

PMID39466891
PMCPMC11520091

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.