Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen · 2026
[Delegation of GP services to medical assistants: Perspectives over time. Results from focus groups with medical assistants and GPs at 12-year intervals].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Schmidt Konrad, Bergholz Andreas, Marx Gabriella, Brenk-Franz Katja, Chenot Jean-François, Dini Lorena, Döpfmer Susanne, Gerlach Ingrid, Krause Markus, Kuschick Doreen, Rost Liliana, Sauerbrey Ulf, Weise Solveig, Gensichen Jochen, Wolf Florian
Аннотация
INTRODUCTION: In light of the growing workload in general practices, a redistribution of medical tasks between general practitioners (GPs) and medical assistants (MAs) is being discussed.
METHODS: The delegation of medical tasks to MAs and the division of tasks within the practice team were discussed in six focus groups that were held 12 years apart and involved 21 MAs and 19 practicing GPs. The contributions were simultaneously visualized by a co-moderator using knowledge mapping and validated in consultation with the participants. The Focus Group Illustration maps generated in this way were then analysed comparatively.
RESULTS: The delegation of various tasks to MAs was an integral part of everyday practice for general practitioners at both points in time, with high variance in type and scope and a slight tendency to expand over time. By the time of the second data collection, the MAs' self-image and willingness to take on tasks, as well as their openness to delegation by GPs, increased. However, both professional groups rejected a fundamental redistribution of core medical areas such as diagnostic and therapeutic decisions. Both groups would like to hand over administrative tasks to administrative staff and consider standardized, high-quality MA training as necessary.
DISCUSSION: A general transfer of core medical duties was not a consideration for either profession. The desire to delegate administrative activities was increasingly addressed at the second data collection period of the study. At the same time, the job profile of the practice manager became more established. In both professional groups, willingness and acceptance of delegation have increased over time, facilitating a new distribution of tasks in general practice in the future.
CONCLUSION: From the perspective of focus group participants, an expanded and standardised qualification for MAs appear to play a key role: training standards and legal frameworks need to be developed further in order to expand the role of MAs in general practice.
METHODS: The delegation of medical tasks to MAs and the division of tasks within the practice team were discussed in six focus groups that were held 12 years apart and involved 21 MAs and 19 practicing GPs. The contributions were simultaneously visualized by a co-moderator using knowledge mapping and validated in consultation with the participants. The Focus Group Illustration maps generated in this way were then analysed comparatively.
RESULTS: The delegation of various tasks to MAs was an integral part of everyday practice for general practitioners at both points in time, with high variance in type and scope and a slight tendency to expand over time. By the time of the second data collection, the MAs' self-image and willingness to take on tasks, as well as their openness to delegation by GPs, increased. However, both professional groups rejected a fundamental redistribution of core medical areas such as diagnostic and therapeutic decisions. Both groups would like to hand over administrative tasks to administrative staff and consider standardized, high-quality MA training as necessary.
DISCUSSION: A general transfer of core medical duties was not a consideration for either profession. The desire to delegate administrative activities was increasingly addressed at the second data collection period of the study. At the same time, the job profile of the practice manager became more established. In both professional groups, willingness and acceptance of delegation have increased over time, facilitating a new distribution of tasks in general practice in the future.
CONCLUSION: From the perspective of focus group participants, an expanded and standardised qualification for MAs appear to play a key role: training standards and legal frameworks need to be developed further in order to expand the role of MAs in general practice.