Featured Review: Barriers and facilitators to the implementation of doctor ‐nurse substitution strategies in primary care

What factors influence implementation of doctor-nurse substitution strategies in primary care?Nurses as substitutes for doctors in primary care: evidence from 66 qualitative studiesPatients may accept the use of nurses to deliver services that are usually delivered by doctorImplementation prompts have been developed to help programme managers who are considering implementing task-shifting strategies Many people do not get the healthcare they need because of a lack of healthcare workers where they live. Governments across the world are trying different solutions to address this problem. One possible solution is to move tasks from more-specialised to less-specialised health workers, for instanc e, moving certain tasks from doctors to nurses.Inthis Cochrane Review of qualitative studies, the review authors working with the Cochrane EPOC (Effective Practice and Organisation of Care) Group explored peoples ' views and experiences of moving tasks from doctors to nurses in primary healthcare, it includes 66 studies (69 papers).This qualitative evidence synthesis links to anotherCochrane Review published in 2018 that assesses the effectiveness of moving tasks from doctors to nurses in primary care.Doctor-nurse substitution is a complex intervention. The Cochrane intervention review on doctor-nurse substitution concluded that the effectiveness of doctor-nurse substitution initiatives was promising. However, the level of organisation and support used in these trials may have been high...
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