The Acceptability of Task-Shifting from Doctors to Allied Health Professionals.
Dtsch Arztebl Int
; 117(35-36): 583-590, 2020 Aug 31.
Article
em En
| MEDLINE
| ID: mdl-33161942
ABSTRACT
BACKGROUND:
The 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.METHODS:
In 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).RESULTS:
Of 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]).CONCLUSION:
Further 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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Médicos
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Dtsch Arztebl Int
Assunto da revista:
MEDICINA
/
SAUDE PUBLICA
Ano de publicação:
2020
Tipo de documento:
Article