Based on a framework of team organization across the care continuum, six national experts compare skill-mix, education and training, tasks and
remuneration of health professionals within primary care teams in the United States, Canada, Australia, England, Germany and the Netherlands.
Nurses are the main non-physician health professional working along with doctors in most countries although types and roles in primary care vary
considerably between countries. However, the number of allied health professionals and support workers, such as medical assistants, working in
primary care is increasing. Shifting from ‘task delegation’ to ‘team care’ is a global trend but limited by traditional role concepts, legal frameworks
and reimbursement schemes. In general, remuneration follows the complexity of medical tasks taken over by each profession.
Clear definitions of each team-member’s role may facilitate optimally shared responsibility for patient care within primary care teams. Skill mix
changes in primary care may help to maintain access to primary care and quality of care delivery. Learning from experiences in other countries may
inspire policy makers and researchers to work on efficient and effective teams care models worldwide
Based on a framework of team organization across the care continuum, six national experts compare skill-mix, education and training, tasks andremuneration of health professionals within primary care teams in the United States, Canada, Australia, England, Germany and the Netherlands.Nurses are the main non-physician health professional working along with doctors in most countries although types and roles in primary care varyconsiderably between countries. However, the number of allied health professionals and support workers, such as medical assistants, working inprimary care is increasing. Shifting from ‘task delegation’ to ‘team care’ is a global trend but limited by traditional role concepts, legal frameworksand reimbursement schemes. In general, remuneration follows the complexity of medical tasks taken over by each profession.Clear definitions of each team-member’s role may facilitate optimally shared responsibility for patient care within primary care teams. Skill mixchanges in primary care may help to maintain access to primary care and quality of care delivery. Learning from experiences in other countries mayinspire policy makers and researchers to work on efficient and effective teams care models worldwide
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