Integration of health assistants into interdisciplinary teams
Keywords:
Healthcare Assistants, Collaboration, Interdisciplinary Teams, Patient Support, Training and DevelopmentAbstract
The global healthcare landscape is facing significant challenges, including a shortage of primary care physicians alongside a rising demand for services. This has led to the implementation of team-based primary care models, which emphasize collaborative practice among a diverse range of healthcare professionals, such as nurse practitioners, registered nurses, and other clinical staff. The primary aim of this work is to provide an overview of the education, tasks, and remuneration of nurses and other primary care team members. By utilizing a framework of team organization that spans the care continuum, this study seeks to identify and compare the skill mix, education and training, responsibilities, and compensation of health professionals working within primary care. The research emphasizes the transition from ‘task delegation’ to a more collaborative ‘team care’ approach, recognizing the barriers posed by traditional role concepts, legal frameworks, and reimbursement systems. The findings reveal that nurses generally serve as the primary non-physician healthcare professionals collaborating with doctors across most countries assessed. However, the types and roles of nurses and other allied health professionals differ widely. The introduction of more allied health professionals and support workers, such as medical assistants, is becoming more common in primary care settings.
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References
Schwartz MD. The US primary care workforce and graduate medical education policy. JAMA. 2012 Dec 5;308(21):2252-3.
OECD. Health at a glance: Europe 2018 [Internet].
Hofer AN, Abraham JM, Moscovice I. Expansion of coverage under the Patient Protection and Affordable Care Act and primary care utilization. The Milbank Quarterly. 2011 Mar;89(1):69-89.
Petterson SM, Liaw WR, Phillips RL, Rabin DL, Meyers DS, Bazemore AW. Projecting US primary care physician workforce needs: 2010-2025. The Annals of Family Medicine. 2012 Nov 1;10(6):503-9.
Tinetti ME, Fried TR, Boyd CM. Designing health care for the most common chronic condition—multimorbidity. Jama. 2012 Jun 20;307(23):2493-4.
Ghorob AM, Bodenheimer T. Sharing the care to improve access to primary care. N Engl J Med. 2012 May 24;366(21):1955-7.
Green LV, Savin S, Lu Y. Primary care physician shortages could be eliminated through use of teams, nonphysicians, and electronic communication. Health Affairs. 2013 Jan 1;32(1):11-9.
Cummings GG, MacGregor T, Davey M, Lee H, Wong CA, Lo E, Muise M, Stafford E. Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review. International journal of nursing studies. 2010 Mar 1;47(3):363-85.
Contandriopoulos D, Perroux M, Cockenpot A, Duhoux A, Jean E. Analytical typology of multiprofessional primary care models. BMC family practice. 2018 Dec;19:1-1.
Kuhlmann E, Lauxen O, Larsen C. Integrating skill-mix and mobility in regional health workforce monitoring and governance: Ellen Kuhlmann. The European Journal of Public Health. 2016 Nov 1;26(suppl_1):ckw164-071.
Almgren G. Health care politics, policy, and services: a social justice analysis. Springer publishing company; 2017 Dec 28.
Ginsburg J, Taylor T, Barr M. Nurse practitioners in primary care: A policy monograph of the American College of Physicians. American College of Physicians; 2009.
Morgan P, Everett CM, Humeniuk KM, Valentin VL. Physician assistant specialty choice: distribution, salaries, and comparison with physicians. JAAPA. 2016 Jul 1;29(7):46-52.
Macdonnell M, Darzi A. A key to slower health spending growth worldwide will be unlocking innovation to reduce the labor-intensity of care. Health Affairs. 2013 Apr 1;32(4):653-60.
Laurant M, Harmsen M, Wollersheim H, Grol R, Faber M, Sibbald B. The impact of nonphysician clinicians. Medical Care Research and Review. 2009 Dec;66(6_suppl):36S-89S.
Naylor MD, Kurtzman ET. The role of nurse practitioners in reinventing primary care. Health affairs. 2010 May 1;29(5):893-9.
Gensichen J, von Korff M, Peitz M, Muth C, Beyer M, Güthlin C, Torge M, Petersen JJ, Rosemann T, König J, Gerlach FM. Case management for depression by health care assistants in small primary care practices: a cluster randomized trial. Annals of Internal Medicine. 2009 Sep 15;151(6):369-78.
Nelson K, Pitaro M, Tzellas A, Lum A. Transforming the role of medical assistants in chronic disease management. Health Affairs. 2010 May 1;29(5):963-5.
Peters-Klimm F, Campbell S, Hermann K, Kunz CU, Müller-Tasch T, Szecsenyi J, Competence Network Heart Failure. Case management for patients with chronic systolic heart failure in primary care: the HICMan exploratory randomised controlled trial. Trials. 2010 Dec;11:1-4.
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