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Measuring skill mix in primary care: dilemnas of delegation and diversification

Author

Listed:
  • Susan Jenkins-Clarke
  • Roy Carr-Hill

    (Centre for Health Economics, The University of York)

Abstract

The purpose of this Discussion Paper is to examine the constraints upon, and opportunities for, spreading the workload of general practitioners (GPs) more effectively and efficiently among members of the Primary Health Care Tea, (PHCT). Current knowledge of GP activity is outdated and based on self-reporting by GPs and nurses using methods which may be unreliable. The policy background and the research background are briefly outlined before discussing methodologies for examining the activities of the PHCT and assessing whether tasks can be delegated. Attitudes to delegation and examination of outcomes are also addressed. The central concept of the proposed study design described here relates to delegation and the issues arising thereof, thus taking into account of the identification of tasks currently undertaken by one group of professionals which could be carried out by another group. If the study proposed here is able to demonstrate that delegation of at least some tasks is both feasible and acceptable, changes in health care delivery in general practice would be inevitable.

Suggested Citation

  • Susan Jenkins-Clarke & Roy Carr-Hill, 1996. "Measuring skill mix in primary care: dilemnas of delegation and diversification," Working Papers 144chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:144chedp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%20144.pdf
    File Function: First version, 1996
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    References listed on IDEAS

    as
    1. Roy Carr-Hill & Paul Dixon & Ian Gibbs & Mary Griffiths & Moira Higgins & Dorothy McMaughan & Ken Wright, 1992. "Skill mix and the effectiveness of nursing care," Working Papers 015cheop, Centre for Health Economics, University of York.
    2. Gerald Richardson & Alan Maynard, 1995. "Fewer doctors? More nurses? A review of the knowledge base of doctor-nurse substitution," Working Papers 135chedp, Centre for Health Economics, University of York.
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    Cited by:

    1. Christophe Loussouarn & Carine Franc & Yann Videau & Julien Mousquès, 2019. "Coopérer plus pour travailler plus : évaluation de l’expérimentation d’infirmière de pratique avancée Asalée sur l’activité du médecin généraliste," Erudite Working Paper 2019-13, Erudite.

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    Keywords

    PHCT; delegation; skill mix;
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