Task substitution: the view of the Australian Medical Association

Yong, Choong-Siew

doi:10.5694/j.1326-5377.2006.tb00446.x

Cited by 15 publications

(14 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A brief survey of the literature will indicate that doctors are not opposed to delegating to others tasks that were previously only carried out by medical staff 3 . ‐ 6 It is a practice that has been evolving over decades and centuries as skills and knowledge increase, and it will inevitably continue.…”

Section: Task Transfer and Substitutionmentioning

confidence: 99%

See 1 more Smart Citation

Current models of child and adolescent mental health service delivery

Degotardi

2008

Medical Journal of Australia

View full text Add to dashboard Cite

Section: Task Transfer and Substitutionmentioning

confidence: 99%

“…To push the envelope on task substitution is to invite poor resource allocation. It is not a good use of resources to use health professionals in roles for which they are not trained and not expert.” 3 …”

Section: Task Transfer and Substitutionmentioning

confidence: 99%

Current models of child and adolescent mental health service delivery

Degotardi

2008

Medical Journal of Australia

View full text Add to dashboard Cite

“…. it is the doctor who bears the final responsibility, and the doctor who is the natural and appropriate leader of the team.’ 31 (p. 28)…”

Section: Resultsmentioning

confidence: 99%

The social world of Australian practice nurses and the influence of medical dominance: An analysis of the literature

Mills

Hallinan

2009

Int J of Nursing Practice

View full text Add to dashboard Cite

In Australia, the number of practice nurses is growing at a rapid rate. On the nursing landscape, this group of nurses stand out because of their relationship with the Australian Government who both fund them, and concern themselves with their continuing professional development. This paper provides a construction of the social world of Australian practice nurses, identifying stakeholders in the business of practice nursing. Literature produced by the various social world segments is analysed for the influence of medical dominance on the role, image, power and politics of practice nurses.

show abstract

“…[7] Task substitution can be realised with people ( e.g. , a diabetes nurse practitioner substitutes for an internist of the same department), settings ( e.g.…”

Section: Introductionmentioning

confidence: 99%

Why a successful task substitution in glaucoma care could not be transferred from a hospital setting to a primary care setting: a qualitative study

et al. 2013

View full text Add to dashboard Cite

BackgroundHealthcare systems are challenged by a demand that exceeds available resources. One policy to meet this challenge is task substitution-transferring tasks to other professions and settings. Our study aimed to explore stakeholders’ perceived feasibility of transferring hospital-based monitoring of stable glaucoma patients to primary care optometrists.MethodsA case study was undertaken in the Rotterdam Eye Hospital (REH) using semi-structured interviews and document reviews. They were inductively analysed using three implementation related theoretical perspectives: sociological theories on professionalism, management theories, and applied political analysis.ResultsCurrently it is not feasible to use primary care optometrists as substitutes for optometrists and ophthalmic technicians working in a hospital-based glaucoma follow-up unit (GFU). Respondents’ narratives revealed that: the glaucoma specialists’ sense of urgency for task substitution outside the hospital diminished after establishing a GFU that satisfied their professionalization needs; the return on investments were unclear; and reluctant key stakeholders with strong power positions blocked implementation. The window of opportunity that existed for task substitution in person and setting in 1999 closed with the institutionalization of the GFU.ConclusionsTransferring the monitoring of stable glaucoma patients to primary care optometrists in Rotterdam did not seem feasible. The main reasons were the lack of agreement on professional boundaries and work domains, the institutionalization of the GFU in the REH, and the absence of an appropriate reimbursement system. Policy makers considering substituting tasks to other professionals should carefully think about the implementation process, especially in a two-step implementation process (substitution in person and in setting) such as this case. Involving the substituting professionals early on to ensure all stakeholders see the change as a normal step in the professionalization of the substituting professionals is essential, as is implementing the task substitution within the window of opportunity.

show abstract

Task substitution: the view of the Australian Medical Association

Cited by 15 publications

References 5 publications

Current models of child and adolescent mental health service delivery

Current models of child and adolescent mental health service delivery

The social world of Australian practice nurses and the influence of medical dominance: An analysis of the literature

Why a successful task substitution in glaucoma care could not be transferred from a hospital setting to a primary care setting: a qualitative study

Contact Info

Product

Resources

About