References

Vari M Drennan; Mary Halter; Sally Brearley; Wilfred Carneiro; Jonathan Gabe; Heather Gage; Robert Grant; Louise Joly; Simon de Lusignan

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Drennan VM, Halter M, Brearley S, et al. Investigating the contribution of physician assistants to primary care in England: a mixed-methods study. Southampton (UK): NIHR Journals Library; 2014 May. (Health Services and Delivery Research, No. 2.16.)

Investigating the contribution of physician assistants to primary care in England: a mixed-methods study.

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References

1.: World Health Organization. World Health Report 2008: Primary Health Care - Now More than Ever. Geneva: World Health Organization; 2008.
2.: Department of Health. White Paper. Promoting Better Health Care: The Government’s Programme for Improving Primary Health Care. Cm 249. London: HMSO; 1987.
3.: Department of Health. White Paper. Choice and Opportunity. Primary Care: The future. Cm. 3390. London: HMSO; 1996.
4.: Department of Health, Social Services and Public Safety for Northern Ireland (DHSSPSNI). Caring for People Beyond Tomorrow: A Strategic Framework for the Development of Primary Health and Social Care. Belfast: DHSSPSNI; 2005.
5.: Department of Health. White Paper. Our Health, Our Care, Our Say: A New Direction for Community Services. Cm 6737. London: The Stationery Office; 2006. [PubMed: 16878806]
6.: Department of Health. White Paper. Equity and Excellence: Liberating the NHS. Cm 7881. London: The Stationery Office; 2010.
7.: Scottish Government. Delivering Quality in Primary Care National Action Plan. Edinburgh: The Scottish Government; 2010.
8.: Welsh Assembly Government. Setting the Direction: Primary and Community Services Strategic Delivery Plan. Cardiff: The Welsh Assembly Government; 2010.
9.: Royal College of General Practice (RCGP). The Future Direction of General Practice: A Road Map. London: RCGP; 2007.
10.: World Health Organization. The World Health Report 2006: Working Together for Health. Geneva: World Health Organization; 2006. [PubMed: 17178522]
11.: World Health Organization. Task Shifting: Rational Redistribution of Tasks Among Health Workforce Teams – Global Recommendations and Guidelines. Geneva: World Health Organization; 2008.
12.: Buchan J, Dal Poz MR. Skill mix in the health care workforce: reviewing the evidence. Bull World Health Organ 2002;80:575–80. [PMC free article: PMC2567564] [PubMed: 12163922]
13.: Dubois CA, Singh D. From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management. Human Res Health 2009;7:87. 10.1186/1478-4491-7-87. [PMC free article: PMC2813845] [PubMed: 20021682] [CrossRef]
14.: Laurant M, Harmsen M, Faber M, Wollersheim H, Sibbald B, Grol R. Revision of Professional Roles and Quality Improvement: A Review of the Evidence. London: The Health Foundation; 2010.
15.: Watson P, Hendey N, Dingwall R, Spencer E, Wilson P. The Mid-level Practitioner: A Review of the Literature on Nurse Practitioner and Physician Assistant Programmes. Sheffield: Sheffield University, Trent Institute Discussion Papers; 1996.
16.: Chong YS, Tan EK. Midlevel health-care providers key to MDG 5. Lancet 2011;377:1127–8. 10.1016/S0140-6736(11)60166-9. [PubMed: 21458059] [CrossRef]
17.: Huntingdon J. From invention to innovation. In Meads G, editor. Future Options for General Practice. Oxford: Radcliffe Medical Press; 1996. pp. 211–20.
18.: Meads G, Riley AJ, Harding G, Carter YH. Personal medical services: local organizational developments. Prim Health Care Res Dev 2004;5:193–201. 10.1191/1463423604pc213oa. [CrossRef]
19.: Jones R, Rosen R, Tomlin Z, Cavanagh MR, Oxley D. General practitioners with special interests: evolution and evaluation. J Health Serv Res Policy 2006;11:106–9. 10.1258/135581906776318929. [PubMed: 16608586] [CrossRef]
20.: Iliffe S. From General Practice to Primary Care: The Industrialization of Family Medicine. Oxford: Oxford University Press; 2008.
21.: Department of Health. Investing in Primary Care Scheme. London: Department of Health; 2002. URL http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/eg/Healthcare/Primarycare/Investinginprimarycare/DH_4000560 (accessed 12 February 2014).
22.: Exworthy M, Wilkinson EK, McColl A, Moore M, Roderick P, Smith H, et al. The role of performance indicators in changing the autonomy of the general practice profession in the UK. Soc Sci Med 2003;56:1493–504. 10.1016/S0277-9536(02)00151-X. [PubMed: 12614700] [CrossRef]
23.: Department of Health. Investing in General Practice: The New General Medical Services Contract. London: Department of Health; 2003. URL: www.nhsemployers.org/SiteCollectionDocuments/gms_contract_cd_130209.pdf (accessed 25 January 2013).
24.: Great Britain. The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2004. London: The Stationery Office; 2004. URL: www.legislation.gov.uk/uksi/2004/2694/regulation/1/made (accessed January 25 2013).
25.: Great Britain. National Health Service Act 1977 Alternative Provider Medical Services (No.2) Directions. London: The Stationery Office; 2005. URL: http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsLegislation/DH_4124711 (accessed 25 January 2013).
26.: Department of Health. HR in the NHS Plan: More Staff Working Differently. London: Department of Health; 2002. URL: www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4055866.pdf (accessed 25 January 2013).
27.: The Health and Social Care Information Centre – Workforce Directorate. General and Personal Medical Services England 2001–2011. London: The NHS Health and Social Care Information Centre; 2012.
28.: Royal College of General Practitioners. A Profile of UK General Practitioners. RCGP Information Sheet. London: Royal College of General Practitioners; 2006.
29.: Information Services Division Scotland. General Practice – GP Workforce and Practice Population Statistics to 2012. Edinburgh: Information Services Division Scotland; 2012. URL: www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#929 (accessed 30 January 2013).
30.: StatsWales. General Practitioners Workforce Headcounts and Whole Time Equivalents by Local Health Board, Gender and Year 2006–2012. URL: https://statswales.wales.gov.uk/Catalogue/Health-and-Social-Care/General-Medical-Services (accessed 31 January 2013).
31.: Royal College of General Practitioners. General Practitioners with Special Interests. RCGP Information Sheet. London: Royal College of General Practitioners; 2006.
32.: NHS Information Centre. NHS Staff, General Practice 2001–2011 Tables. 2012. URL: www.hscic.gov.uk/catalogue/PUB05214 (accessed 30 April 2014).
33.: Loudon I, Horder J, Webster C. General Practice Under the National Health Service 1948–1997. Oxford: Oxford University Press; 1998.
34.: Gerada C, Mathers N, Thomas M. Patients, Doctors and the NHS in 2022: A Compendium of Evidence. London: Royal College of General Practitioners; 2012.
35.: Information Services Division Scotland. Practice Team Information Annual Update 2011/12. Edinburgh: Information Services Division cotland; 2012. URL: www.isdscotland.org/Health-Topics/General-Practice/Publications/index.asp#929 (accessed 30 January 2013).
36.: Wanless D, HM Treasury. Securing Good Health for the Whole Population: Final Report – February 2004. London: HM Treasury; 2004.
37.: Laurant M, Reeves D, Hermens R, Braspenning J, Grol R, Sibbald B. Substitution of doctors by nurses in primary care. Cochrane Database Syst Rev 2004;4:CD001271. 10.1002/14651858.CD001271. [PubMed: 15846614] [CrossRef]
38.: Brown SA, Grimes DE. A meta-analysis of nurse practitioners and nurse midwives in primary care. Nurs Res 1995;44:332–9. 10.1097/00006199-199511000-00003. [PubMed: 7501486] [CrossRef]
39.: Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 2002;324:819–23. 10.1136/bmj.324.7341.819. [PMC free article: PMC100791] [PubMed: 11934775] [CrossRef]
40.: Department of Health. Annual Report 2002. London: Department of Health; 2002.
41.: Hooker R, Cawley J. Physician Assistants in American Medicine. St Louis, MO: Churchill Livingstone; 2003.
42.: American Academy of Physician Assistants. What is a PA? URL: www.aapa.org/the_pa_profession/what_is_a_pa.aspx (accessed 31 January 2013).
43.: Mittman DE, Cawley JF, Fenn WH. Physician assistants in the United States. BMJ 2002;325:485–7. 10.1136/bmj.325.7362.485. [PMC free article: PMC1124003] [PubMed: 12202333] [CrossRef]
44.: National Centre for Health Statistics. Health, United States 2008. Washington, DC: Department of Health and Human Sciences; 2009.
45.: American Academy of Physician Assistants. 2008 AAPA Physician Assistant Census Report. 2009. URL: www.aapa.org (accessed 25 February 2013).
46.: Health Resources and Service Administration. The Registered Nurse Population: Findings from the 2004 National Sample Survey of Registered Nurses. Washington, DC: US Department of Health and Human Services; 2006. URL: http://bhpr.hrsa.gov/healthworkforce/rnsurveys/rnsurvey2004.pdf (accessed 25 February 2013).
47.: Ruby EB, Davidson LJ, Daly B, Clochesy JM, Sereika S, Baldisseri M, et al. Care activities and outcomes of patients cared for by acute care nurse practitioners, physician assistants, and resident physicians: a comparison. Am J Crit Care 1998;7:267–81. [PubMed: 9656041]
48.: Cawley JF, Rohrs FC, Hooker RS. Physician assistants and malpractice risk: findings from the national practitioner data bank. Fed Bull 1999;85:242–6.
49.: Gryzbicki DM, Sullivan PJ, Oppy JM, Bethke A-M, Raab SS. The economic benefit for family/general medicine practices employing physician assistants. Am J Manag Care 2002;8:613–20. [PubMed: 12125801]
50.: Larson E, Hart LG, Ballweg R. National estimates of physician assistant productivity. J Allied Health 2001;30:146–52. [PubMed: 11582977]
51.: Roblin DW, Howard DH, Becker ER, Adams EK, Roberts MH. Use of midlevel practitioners to achieve labor cost savings in the primary care practice of an MCO. Health Serv Res 2004;39:607–25. 10.1111/j.1475-6773.2004.00247.x. [PMC free article: PMC1361027] [PubMed: 15149481] [CrossRef]
52.: Hooker RS, Hogan K, Leeker E. The globalization of the physician assistant profession. J Physician Assist Educ 2007;18:76–85.
53.: Miller M, Siggins I, Fowler G. The Potential Role of Physician Assistants in the Australian Context Volume 2: Literature Review. Adelaide, SA: Health Workforce Australia; 2011.
54.: Health Workforce Australia 2012: The Potential Role of Physician Assistants in the Australian Context – Final Report. Adelaide, SA: Health Workforce Australia; 2011.
55.: Health Workforce New Zealand. Physician Assistant Role in New Zealand. URL: www.healthworkforce.govt.nz/new-roles-and-scopes/physician-assistant-role-in-new-zealand (accessed 31 January 2013).
56.: The International Association of Physician Associate Educators. PA Programs Around the World. URL: www.iapae.org/pa_programs (accessed 31 January 2013).
57.: Reedy BL, Stewart TI, Quick JB. Attachment of a physician’s assistant to an English general practice. Br Med J 1980;281:664–6. 10.1136/bmj.281.6241.664. [PMC free article: PMC1714080] [PubMed: 6108150] [CrossRef]
58.: Abbott S, Stubbs K, Forbes-Burford J. Local pilot, new profession: developing medical care practitioners in primary care. Primary Care Res Dev 2006;7:188–93.
59.: The Association of Anaesthetists of Great Britain and Ireland. Physicians’ Assistants (Anaesthesia) Review 2011. URL: www.rcoa.ac.uk/document-store/physicians-assistant-anaesthesia-review-2011 (accessed 31 January 2013).
60.: Woodin J, McLeod H, McManus R, Jelphs K. Evaluation of US-trained Physician Assistants Working in the NHS in England. Final Report. Birmingham: University of Birmingham; 2005.
61.: Farmer J, Currie M, West C, Hyman J, Arnott N. Evaluation of the Physician Assistant Pilot Study in Scotland: Final Report. Inverness: University of the Highlands and Islands Millennium Institute; 2009.
62.: Parle JV, Ross NM, Doe WF. The medical care practitioner: developing a physician assistant equivalent for the United Kingdom. Med J Aust 2006;185:13–17. [PubMed: 16813540]
63.: Farmer J, Currie M, Hyman J, West C, Arnott N. Evaluation of physician assistants in National Health Service Scotland. Scott Med J 2011; 56:130–4. 10.1258/smj.2011.011109. [PubMed: 21873716] [CrossRef]
64.: Department of Health. The Competence and Curriculum Framework for the Physician Assistant. London: Department of Health; 2006.
65.: Association of Physicians’ Assistants (Anaesthesia). General Information. URL: http://anaesthesiateam.com/index.php/general-information (accessed 31 January 2013).
66.: UK Association of Physicians‘ Assistants. About UKAPA. URL: www.ukapa.co.uk (accessed 31 January 2013).
67.: UK Association of Physician Assistants. The Physician Assistant Managed Voluntary Register (PA MVR). URL: www.paregister.sgul.ac.uk (accessed 31 January 2013).
68.: Physician Assistant Managed Voluntary Register. The Revised Competence and Curriculum Framework for the Physician Assistant Register. London: Physician Assistant Managed Register; 2012. URL: www.paregister.sgul.ac.uk (accessed 31 January 2013).
69.: Castledine G. Do we need physician assistants in the UK? Br J Nurs 1996;5:124. [PubMed: 8680246]
70.: Hutchinson L, Marks T, Pittilo M. The physician assistant: would the US model meet the needs of the NHS? BMJ 2001;323:1244–7. 10.1136/bmj.323.7323.1244. [PMC free article: PMC1121704] [PubMed: 11719419] [CrossRef]
71.: Gavin M. Physician assistants. Many general practitioners would welcome having physician assistants. BMJ 2002;324:735–6. [PMC free article: PMC1122653] [PubMed: 11909796]
72.: Drennan V, Halter M, Levenson R, Tye C. Physician assistants in English general practice: a qualitative study of the employers’ viewpoint. J Health Serv Res Policy 2011;16:75–80. 10.1258/jhsrp.2010.010061. [PubMed: 21389060] [CrossRef]
73.: Maxwell R. Dimensions of quality revisited: from thought to action. Qual Health Care 1992;1:171–7. 10.1136/qshc.1.3.171. [PMC free article: PMC1055007] [PubMed: 10136859] [CrossRef]
74.: Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005;8:19–32. 10.1080/1364557032000119616. [CrossRef]
75.: Yin RK. Case Study Research. Thousand Oaks, CA: Sage Publications Inc.; 1994.
76.: Royal P, Milne R. Literature searching for randomized controlled trials used in Cochrane reviews: rapid versus exhaustive searches. Int J Technol Assess Health Care 2003, 19:591–603. [PubMed: 15095765]
77.: Dixon-Woods M, Bonas S, Booth A, Jones DR, Miller T, Sutton AJ, et al. How can systematic reviews incorporate qualitative research? A critical perspective. Qual Res 2006;6:27–44. 10.1177/1468794106058867. [CrossRef]
78.: Centre for Reviews and Dissemination. Systematic Reviews: CRDs Guidance for Undertaking Reviews in Healthcare. York: Centre for Reviews and Dissemination, University of York; 2009.
79.: WONCA Europe. European Definition of General Practice/Family Medicine Short Version. URL: www.woncaeurope.org/gp-definitions (accessed 25 February 2013).
80.: Donabedian A. The quality of care. How can it be assessed? JAMA 1988;260:1743–8. 10.1001/jama.1988.03410120089033. [PubMed: 3045356] [CrossRef]
81.: Critical Appraisal Skills Programme (CASP). Critical Appraisal Checklists. URL: www.casp-uk.net/find-appraise-act/appraising-the-evidence (accessed 25 February 2013).
82.: British Medical Journal. Guidance for Peer Reviewers. 2011. URL: www.bmj.com/about-bmj/resources-reviewers/guidance-peer-reviewers (accessed 25 February 2013).
83.: Silverman D. Interpreting Qualitative Data. 4th edn. London: Sage Publications; 2011.
84.: Anderson S, Allen P, Peckham S, Goodwin N. Asking the right questions: scoping studies in the commissioning of research on the organisation and delivery of health services. Health Res Policy Syst 2008;6:7. 10.1186/1478-4505-6-7. [PMC free article: PMC2500008] [PubMed: 18613961] [CrossRef]
85.: Kuhlmann E, Batenburg R, Groenewegen PP, Larsen C. Bringing a European perspective to the health human resources debate: a scoping study. Health Policy 2013;110:6–13. 10.1016/j.healthpol.2012.11.002. [PubMed: 23200603] [CrossRef]
86.: Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2nd edn. Thousand Oaks, CA: Sage Publications Ltd; 1998.
87.: Creswell JW, Clark VL. Designing and Conducting Mixed Methods Research. Thousand Oaks, CA: Sage Publications Ltd; 2007.
88.: Boyatzis RE. Transforming Qualitative Information: Thematic Analysis and Code Development. London: Sage Publications Ltd; 1998.
89.: Bower P, Mead N, Roland M. What dimensions underlie patient responses to the General Practice Assessment Survey? A factor analytic study. Fam Pract 2002;19:489–95. 10.1093/fampra/19.5.489. [PubMed: 12356700] [CrossRef]
90.: Shum C, Humphreys A, Wheeler D, Cochrane MA, Skoda S, Clement S. Nurse management of patients with minor illnesses in general practice: multicentre randomised controlled trial. BMJ 2000;320:1038–43. 10.1136/bmj.320.7241.1038. [PMC free article: PMC27346] [PubMed: 10764365] [CrossRef]
91.: Venning P, Durie A, Roland M, Roberts C, Leese B. Randomised controlled trial comparing cost effectiveness of general practitioners and nurse practitioners in primary care. BMJ 2000;320:1048–53. 10.1136/bmj.320.7241.1048. [PMC free article: PMC27348] [PubMed: 10764367] [CrossRef]
92.: Kinnersley P, Anderson E, Parry K, Clement J, Archard L, Turton P, et al. Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting ‘same day’ consultations in primary care. BMJ 2000;320:1043–8. 10.1136/bmj.320.7241.1043. [PMC free article: PMC27347] [PubMed: 10764366] [CrossRef]
93.: NHS Employers. Quality and Outcomes Framework for 2012/13. URL: www.nhsemployers.org/Aboutus/Publications/Documents/QOF_2012-13.pdf (accessed 3 January 2013).
94.: Noble M, McLennan D, Wilkinson K, Whitworth A, Barnes H, Dibben C. The English Indices of Deprivation 2007. London: Communities and Local Government; 2008.
95.: UK Terminology Centre. Read Codes. www.connectingforhealth.nhs.uk/systemsandservices/data/uktc/readcodes (accessed January 10 2013).
96.: De Jong J, Visser MR, Wieringa-de Waard M. Exploring differences in patient mix in a cohort of GP trainees and their trainers. BMJ Open 2011;1:e000318. 10.1136/bmjopen-2011-000318. [PMC free article: PMC3221294] [PubMed: 22102644] [CrossRef]
97.: Snijders TAB, Bosker RA. Multilevel Analysis. 2nd edn. London: Sage Publications Ltd; 2011.
98.: Curtis P, Skinner B, Bentz E, Purvis A. Inside the chart review. J Med Educ 1982;57:841–7. 10.1097/00001888-198211000-00004. [PubMed: 7131505] [CrossRef]
99.: Goulet F, Jacques A, Gagnon R, Bourbeau D, Laberge D, Melanson J, et al. Performance assessment. Family physicians in Montreal meet the mark! Can Fam Physician 2002;48:1337–44. [PMC free article: PMC2214090] [PubMed: 12228963]
100.: Tam KW, Kwok KH, Fan YM, Tsui KB, Ng KK, Ho KY, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care 2008;3:192–9. 10.1093/intqhc/mzn002. [PubMed: 18339667] [CrossRef]
101.: Weed LL. Medical records that guide and teach. N Engl J Med 1968;278:593–600. 10.1056/NEJM196803142781105. [PubMed: 5637758] [CrossRef]
102.: Weed LL. Medical records that guide and teach N Engl J Med 1968;278:652–7. 10.1056/NEJM196803212781204. [PubMed: 5637250] [CrossRef]
103.: Fleiss JL. Measuring nominal scale agreement among many raters. Psychol Bull 1971;5:378–82. 10.1037/h0031619. [CrossRef]
104.: Altman D. Practical Statistics for Medical Research. London: Chapman & Hall; 1991.
105.: Fraser RC, McKinley RK, Mulholland H. Consultation competence in general practice: testing the reliability of the Leicester assessment package. Br J Gen Pract 1994;44:293–6. [PMC free article: PMC1238924] [PubMed: 8068374]
106.: Coleman T. Using video-recorded consultations for research in primary care: advantages and limitations. Fam Pract 2000;17:422–7. 10.1093/fampra/17.5.422. [PubMed: 11021903] [CrossRef]
107.: de Lusignan S, Kumarapeli P, Chan T, Pflug B, van Vlymen J, Jones B, et al. The ALFA (Activity Log Files Aggregation) toolkit: a method for precise observation of the consultation. J Med Internet Res 2008;10:e27. 10.2196/jmir.1080. [PMC free article: PMC2629369] [PubMed: 18812313] [CrossRef]
108.: Fraser RC, McKinley RK, Mulholland H. Consultation competence in general practice: establishing the face validity of prioritized criteria in the Leicester assessment package. Br J Gen Pract 1994;44:109–13. [PMC free article: PMC1238811] [PubMed: 8204317]
109.: Allen J, Rashid A. What determines competence within a general practice consultation? Assessment of consultation skills using simulated surgeries. Br J Gen Pract 1998;48:1259–62. [PMC free article: PMC1410161] [PubMed: 9692289]
110.: Jiwa M, McKinley R, O'Shea C, Arnet H, Spilsbury K, Smith M. Investigating the impact of extraneous distractions on consultations in general practice: lessons learned. BMC Med Res Methodol 2009;9:8. 10.1186/1471-2288-9-8. [PMC free article: PMC2645434] [PubMed: 19193246] [CrossRef]
111.: Braunholtz D. Leicester assessment package. Br J Gen Pract 1995;45:51–2. [PMC free article: PMC1239117] [PubMed: 7779480]
112.: Halkett GK, Jiwa M, O'Shea C, Smith M, Leong E, Jackson M, et al. Management of cases that might benefit from radiotherapy: a standardised patient study in primary care. Eur J Cancer Care 2012;21:259–65. 10.1111/j.1365-2354.2011.01314.x. [PubMed: 22146103] [CrossRef]
113.: Jiwa M, Mitchell G, Sibbrit D, Girgis A, Burridge L. Addressing the needs of caregivers of cancer patients in general practice: a complex intervention. Qual Prim Care 2010;18:9–16. [PubMed: 20359408]
114.: Jiwa M, O’Shea C, Merriman G, Halkett G, Spilsbury K. Psychosexual problems in general practice: measuring consultation competence using two different measures. Qual Prim Care 2010;18:243–50. [PubMed: 20836940]
115.: Fraser RC, Sarkhou ME, McKinley RK, Van der Vleuten C. Regulatory end-point assessment of the consultation competence of family practice trainees in Kuwait. Eur J Gen Pract 2006;12:100–7. 10.1080/13814780600898353. [PubMed: 17002957] [CrossRef]
116.: Redsell SA, Hastings AM, Cheater FM, Fraser RC. Devising and establishing the face and content validity of explicit criteria of consultation competence in UK primary care nurses. Nurse Educ Today 2003;23:299–306. 10.1016/S0260-6917(03)00013-3. [PubMed: 12727097] [CrossRef]
117.: McKinley RK, Fraser RC, van der Vleuten C, Hastings AM. Formative assessment of the consultation performance of medical students in the setting of general practice using a modified version of the Leicester assessment package. Med Educ 2000;34:573–9. 10.1046/j.1365-2923.2000.00490.x. [PubMed: 10886641] [CrossRef]
118.: The NHS Information Centre. GP Workload Survey Results. 2007. URL: www.ic.nhs.uk/pubs/gpworkload (accessed 3 January 2013).
119.: Curtis L. Unit Costs of Health and Social Care 2011. Canterbury: PSSRU, University of Kent; 2011. URL: www.pssru.ac.uk (accessed 3 January 2013).
120.: Department of Health. NHS Commissioning Board. URL: www.wp.dh.gov.uk/commissioningboard/files/....ccg-practice-list.xls (accessed 13 December 2012).
121.: Health and Social Care Information Centre GP Practice Indicators: Deprivation. URL: https://indicators.ic.nhs.uk/webview/ (accessed 5 March 2013).
122.: Ramsay Brown and Partners. Real Cost of Salaried GPs vs Partner. 2009. URL: www.ramsaybrown.co.uk/RealcostofsalariedGPvsPartner.htm (accessed 2 March 2013).
123.: Torjesen I. Salaried GPs versus Partners. BMJ Careers; 2010. URL: http://careers.bmj.com/careers/advice/view-article.html?id=20001005 (accessed 9 March 2013).
124.: Jacques H. GP Partners Could be More Cost-effective than Salaried GPs. BMJ Careers; 2011. URL: http://careers.bmj.com/careers/advice/view-article.html?id=20002602 (accessed 10 March 2013).
125.: NHS Information Centre. General Practice 2002–2012. URL: www.dh.gov.uk/health/tag/nhs-information-centre (accessed 5 March 2013).
126.: Office for National Statistics. Rural/Urban Local Authority (LA) Classification (England) (2009). URL: www.ons.gov.uk/ons/guide-method/geography/products/area-classifications/rural-urban-definition-and-la/rural-urban-local-authority--la--classification--england-/index.html (accessed 25 January 2013).
127.: Scheffler RM, Gillings DB. Survey approach to estimating demand for physician assistants. Soc Sci Med 1982;16:1039–47. 10.1016/0277-9536(82)90176-9. [PubMed: 6126009] [CrossRef]
128.: Oliver DR, Laube DW, Gerstbrein JJ, Wombacher N. Distribution of primary care physicians assistants in state of Iowa. J Iowa Med Soc 1977;67:320–3. [PubMed: 19544]
129.: Larson EH, Hart LG, Hummell J. Rural physician assistants: a survey of graduates of MEDEX Northwest. Public Health Rep 1994;109:266–74. [PMC free article: PMC1403485] [PubMed: 7908746]
130.: Hooker RS, Freeborn DK. Use of physician assistants in a managed health care system. Public Health Rep 1991;106:90–4. [PMC free article: PMC1580190] [PubMed: 1671718]
131.: Perry HB. Physician assistants: an overview of an emerging health profession. Med Care 1977;15:982–90. 10.1097/00005650-197712000-00002. [PubMed: 22795] [CrossRef]
132.: Perry HB, Fisher DW. The physician’s assistant profession: results of a 1978 survey of graduates. J Med Educ 1981;56:839–45. 10.1097/00001888-198110000-00006. [PubMed: 6116807] [CrossRef]
133.: Muus KJ, Geller JM, Ludtke RL, Pan S, Kassab C, Luloff AE, et al. Implications for recruitment: comparing urban and rural primary care PAs. JAAPA 1996;9:49.
134.: Pan S, Geller JM, Gullicks JN, Muus KJ, Larson AC. A comparative analysis of primary care nurse practitioners and physician assistants. Nurse Pract 1997;22:14, 16–17. [PubMed: 9004309]
135.: Duryea WR, Hooker RS. ‘Elder’ physician assistants and their practices. JAAPA 2000;13:67–71. [PubMed: 11503386]
136.: Larson EH, Hart LG, Ballweg R. National estimates of physician assistant productivity. J Allied Health 2001;30:146–52. [PubMed: 11582977]
137.: Hooker RS, Berlin LE. Trends in the supply of physician assistants and nurse practitioners in the United States. Health Aff 2002;21:174–81. 10.1377/hlthaff.21.5.174. [PubMed: 12224880] [CrossRef]
138.: Oliveria SA, Altman JF, Christos PJ, Halpern AC. Use of nonphysician health care providers for skin cancer screening in the primary care setting. Prev Med 2002;34:374–9. 10.1006/pmed.2001.0995. [PubMed: 11902855] [CrossRef]
139.: Larson EH, Hart L. Growth and change in the physician assistant workforce in the United States, 1967–2000. J Allied Health 2007;36:121–30. [PubMed: 17941405]
140.: Duttera MJ, Harlan WR. Evaluation of physician assistants in rural primary care. Arch Intern Med 1978;138:224–8. 10.1001/archinte.138.2.224. [PubMed: 24428] [CrossRef]
141.: Henry LR, Hooker RS. Retention of physician assistants in rural health clinics. J Rural Health 2007;23:207–14. 10.1111/j.1748-0361.2007.00092.x. [PubMed: 17565520] [CrossRef]
142.: Joiner CL. Attitudes of primary care physicians in the state of Alabama toward physician assistants: a preliminary report. Ala J Med Sci 1974;11:363–5. [PubMed: 4156626]
143.: Oliver D, Preston D. What Iowa family physicians, residents and medical students think about physician’s assistants. J Iowa Med Soc 1980;70:466–70. [PubMed: 6108345]
144.: Ford VH, Kish CP. What’s happening. Family physician perceptions of nurse practitioners and physician assistants in a family practice setting. J Am Acad Nurse Pract 1998;10:167–71. [PubMed: 9801550]
145.: Engel GV, Roy A, Martin LR, Matheny SC. Projections for the viability of the physician assistant occupation based on the intended hiring practices of family medicine physicians. Fam Pract Res J 1984;4:122–4.
146.: Isberner FR, Lloyd L, Simon B, Craven JM. Utilization of physician assistants: incentives and constraints for rural physicians. Perspective Physician Assist Educ 2003;14:69–73.
147.: Sells CJ, Herdener RS. Medex: a time motion study. Pediatrics 1975;56:255–61. [PubMed: 240149]
148.: Drass KA. Discourse and occupational perspective – a comparison of nurse practitioners and physician assistants. Discourse Process 1988;11:163–81. 10.1080/01638538809544697. [CrossRef]
149.: Dehn RW, Asprey DP. A study of PA perceptions: impediments to the practice of medicine in Iowa. JAAPA 1995;8:49–58.
150.: Golladay FL, Miller M, Smith KR. Allied health manpower strategies: estimates of the potential gains from efficient task delegation. Med Care 1973;B:457–69. [PubMed: 4149131]
151.: Miles DL, Rushing WA. A study of physicians’ assistants in a rural setting. Med Care 1976;B:987–95. 10.1097/00005650-197612000-00002. [PubMed: 12424] [CrossRef]
152.: Rushing WA, Miles DL. Physicians, physicians’ assistants, and the social characteristics of patients in Southern Appalachia. Med Care 1977;B:1004–13. 10.1097/00005650-197712000-00004. [PubMed: 22793] [CrossRef]
153.: Nelson EC, Johnson KG, Jacobs AR. Impact of Medex on physician activities: redistribution of physician time after incorporating a Medex into the practice. J Fam Pract 1977;5:607–12. [PubMed: 21222]
154.: Frame PS, Wetterau NW, Parey B. A model for the use of physician’s assistants in primary care. J Fam Pract 1978;7:1195–201. [PubMed: 34667]
155.: Hill RF, Greenwood JG, Wert FS. An evaluation of a remote, rural clinic manned by a physician’s assistant. Public Health Rep 1979;94:60–6. [PMC free article: PMC1431820] [PubMed: 33414]
156.: Fethke C, Ekwo E, Daniels M. Management practices: task allocation between physicians and physician assistants. J Ambul Care Manag 1979;2:31–45. 10.1097/00004479-197905000-00006. [PubMed: 10314473] [CrossRef]
157.: Larsen KM, Kirkwood CR. Procedures performed by family physicians, internists, and a Medex in a small group practice. J Fam Pract 1982;15:285–92. [PubMed: 6124579]
158.: Martin E, Sophocles AM Jr. Analysis of a rural family-practice-based evening clinic staffed by a PA. Physician Assist 1984;8:16–19. [PubMed: 10314588]
159.: Willis JB, Cyr B, Schafft G, Steinbrueck SP. 1985 physician assistant role delineation study: ten years later. Physician Assist 1986;10:33–8. [PubMed: 10314642]
160.: Mainous IAG, Bertolino JG, Harrell PL. Physician extenders: who is using them? Fam Med 1992;24:201–4. [PubMed: 1349540]
161.: Dehn RW, Hooker RS. Implications for practice and education. Clinical activities of Iowa family practice PAs. JAAPA 1999;12:63–77. [PubMed: 10728083]
162.: Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLOS Med 2009;6:e1000097. [PMC free article: PMC2707599] [PubMed: 19621072]
163.: Hooker RS, Harrison K, Pashen D. Are Australians willing to be treated by a physician assistant? AMJ 2010;3:407–13. 10.4066/AMJ.2010.325. [CrossRef]
164.: Simkens ABM, van Baar ME, van Balen FAM, Verheij RA, van den Hoogen HJM, Schrijvers AJP. The physician assistant in general practice in the Netherlands. J Physician Assist Educ 2009;20:30–8.
165.: Ekwo EE, Dusdieker LB, Bean JA, Daniels MA. How lengths of office visits vary when primary care practices employ physician assistants. Inquiry 1980;17:145–54. [PubMed: 6106633]
166.: Henry RA. Use of physician’s assistants in Gilchrist County, Florida. Health Serv Rep 1972;87:687–92. 10.2307/4594632. [PMC free article: PMC1615957] [PubMed: 4404705] [CrossRef]
167.: Wright DD, Kane RL, Snell GF, Woolley FR. Costs and outcomes for different primary care providers. JAMA 1977;238:46–50. 10.1001/jama.238.1.46. [PubMed: 17020] [CrossRef]
168.: Kane RL, Gardner J, Wright DD, Woolley FR, Snell GF, Sundwall DN, et al. Differences in the outcomes of acute episodes of care provided by various types of family practitioners. J Fam Pract 1978;6:133–8. [PubMed: 23405]
169.: Henry RA. Evaluation of physician’s assistants in Gilchrist County, Florida. Public Health Rep 1974;89:429–32. [PMC free article: PMC1434676] [PubMed: 4153351]
170.: Hooker RS, Cipher DJ, Sekscenski E. Patient satisfaction with physician assistant, nurse practitioner, and physician care: a national survey of Medicare beneficiaries. J Clin Outcomes Manag 2005;12:88–92.
171.: Cipher DJ, Hooker RS, Sekscenski E. Are older patients satisfied with physician assistants and nurse practitioners? JAAPA 2006;19:36–9. 10.1097/01720610-200601000-00007. [PubMed: 16433221] [CrossRef]
172.: Litman TJ. Public perceptions of the physicians’ assistant – a survey of the attitudes and opinions of rural Iowa and Minnesota residents. Am J Public Health 1972;62:343–6. 10.2105/AJPH.62.3.343. [PMC free article: PMC1530068] [PubMed: 4400962] [CrossRef]
173.: Smith Jr CW. Patient attitudes toward physicians’ assistants. J Fam Pract 1981;13:201–4. [PubMed: 6114126]
174.: Department of Health. The NHS Quality, Innovation, Productivity and Prevention Challenge: An Introduction for Clinicians. London: Department of Health; 2010. URL: www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_113809 (accessed 13 January 2013).
175.: Ohman-Strickland PA, Orzano AJ, Hudson SV, Solberg LI, DiCiccio-Bloom B, O’Malley D, et al. Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician’s assistants. Ann Fam Med 2008;6:14–22. 10.1370/afm.758. [PMC free article: PMC2203407] [PubMed: 18195310] [CrossRef]
176.: Halter M, Drennan V, Chattopadhyay K, Carneiro W, Yiallouros J, de Lusignan S, et al. The contribution of physician assistants in primary care: a systematic review. BMC Health Serv Res 2013;13:223. 10.1186/1472-6963-13-223. [PMC free article: PMC3698179] [PubMed: 23773235] [CrossRef]
177.: Teasdale C. We have deeper issues than the US to consider. BMJ Rapid Response, 2001. URL: www.bmj.com/rapid-response/2011/10/28/we-have-deeper-issues-us-consider (accessed 23 January 2013).
178.: Teasdale C. True equality means dropping all the barriers. BMJ Rapid Response, 2002. URL: www.bmj.com/rapid-response/2011/10/29/true-equality-means-dropping-all-barriers (accessed 23 January 2013).
179.: Moghal N. Exploring the US physician assistant model: a Contribution to QIPP. HSJ, 2011. URL: www.hsj.co.uk/resource-centre/best-practice/exploring-the-us-physician-assistant-workforce-model-a-contribution-to-qipp/5026533.article (accessed 23 January 2013).
180.: Elegbe O. GP commissioning consortia: is there a role for physician assistants in routine care? Br J Gen Prac 2010;60:704–5. URL: www.ncbi.nlm.nih.gov/pmc/articles/PMC2930240 (accessed 23 January 2013). 10.3399/bjgp10X515601. [PMC free article: PMC2930240] [PubMed: 20849712] [CrossRef]
181.: House of Commons Health Committee. Education, Training and Workforce Planning: First Report of Session 2012–13. London: The Stationery Office; 2012.
182.: University Hospitals of Leicester NHS Trust. Annual Operational Plan 2011–2012. Leicester: University Hospitals of Leicester NHS Trust; 2011.
183.: Rural Health Implementation Group. Delivering Rural Health Care Services. Cardiff: Welsh Government; 2011.
184.: NHS Scotland Efficiency and Productivity Programme. Progress Report – 2009/10. Appendix 3: Potential Areas for Efficiency Savings. Edinburgh: NHS Scotland; 2010.
185.: Nicoll P, MacVicar R. NES Supporting Scottish Remote and Rural Healthcare. Edinburgh: NHS Education for Scotland; 2012.
186.: Royal College of Physicians of Edinburgh. Student and Foundation Membership. URL: www.rcpe.ac.uk/about/join/safm.php (accessed 28 February 2013).
187.: Goddard A. EWTD: RCP Addresses NHS Employers Annual Conference. URL: www.rcplondon.ac.uk/update/ewtd-rcp-addresses-nhs-employers-annual-conference (accessed 31 January 2013).
188.: European Parliament and the Council of the European Union. Directive 2003/88/EC of the European Parliament and of the Council of 4 November 2003 Concerning Certain Aspects of the Organisation of Working Time. URL: http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=CELEX:32003L0088:EN:HTML (accessed 31 January 2013).
189.: Department of Health. Proposed Change to the NHS Summary Report from NHS Future Forum (Chairman Professor Field). London: Department of Health; 2011. URL: www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_127443 (accessed 13 January 2013).
190.: Great Britain. The Health and Social Care Act 2012. London: The Stationery Office; 2012.
191.: Department of Health. Enabling Excellence: Autonomy and Accountability for Health and Social Care Staff. London: The Stationery Office; 2011.
192.: Drennan VM, Chattopadhyay K, Halter M, Brearley S, de Lusignan S, Gabe J, et al. Physician assistants in English primary care teams: a survey. J Interprof Care 2012;26:416–18. 10.3109/13561820.2012.686538. [PubMed: 22574762] [CrossRef]
193.: Morgan PA, Abbott DH, McNeil RB, Fisher DA. Characteristics of primary care office visits to nurse practitioners, physician assistants and physicians in United States Veterans Health Administration facilities, 2005 to 2010: a retrospective cross-sectional analysis. Hum Resour Health 2012;10:42. 10.1186/1478-4491-10-42. [PMC free article: PMC3541159] [PubMed: 23148792] [CrossRef]
194.: Hooker RS, Cawley JF, Asprey DP. Physician Assistants Policy and Practice. 3rd edn. Philadelphia, PA: F.A. Davis Company; 2009.
195.: Health and Social Care Information Centre. GP Workload Survey Results (Appendix A Table 6). 2007. URL: http://www.ic.nhs.uk/pubs/gpworkload (accessed 23 February 2013).
196.: Marsh GN, Dawes ML. Establishing a minor illness nurse in a busy general practice. BMJ 1995;310:778–80. 10.1136/bmj.310.6982.778. [PMC free article: PMC2549167] [PubMed: 7711584] [CrossRef]
197.: Department of Health. The GP Patients Survey Results 2012. URL: www.gp-patient.co.uk/results (accessed 14 February 2014).
198.: Gerard K, Salisbury C, Street D, Pope C, Baxter H. Is fast access to general practice all that should matter? A discrete choice experiment of patients' preferences. J Health Serv Res Policy 2008;13(Suppl. 2):3–10. 10.1258/jhsrp.2007.007087. [PubMed: 18416923] [CrossRef]
199.: Freeman GK. Progress with relationship continuity 2012, a British perspective. Int J Integr Care 2012;12:e128. [PMC free article: PMC3440251] [PubMed: 22977425]
200.: Redsell S, Stokes T, Jackson C, Hastings A, Baker R. Patients’ accounts of the differences in nurses’ and general practitioners’ roles in primary care. J Adv Nurs 2007;57:172–80. [PubMed: 17214753]
201.: Cooper RJ, Bissell P, Ward P, Murphy E, Anderson C, Avery T, et al. Further challenges to medical dominance? The case of nurse and pharmacist supplementary prescribing. Health 2012;16:115–33. 10.1177/1363459310364159. [PubMed: 21233163] [CrossRef]
202.: Doan Q, Hooker RS, Wong H, Singer J, Sheps S, Kissoon N, et al. Canadians’ willingness to receive care from physician assistants. Can Fam Physician 2012;58:e459–64. [PMC free article: PMC3419003] [PubMed: 22893348]
203.: Kuilman L, Nieweg RM, van der Schans CP, Strijbos JH, Hooker RS. Are Dutch patients willing to be seen by a physician assistant instead of a medical doctor? Hum Resour Health 2012;10:28. 10.1186/1478-4491-10-28. [PMC free article: PMC3462730] [PubMed: 22947130] [CrossRef]
204.: Health and Social Care Information Centre. GP Workload Survey Results (Appendix A Table 5b). 2007. URL: http://www.ic.nhs.uk/pubs/gpworkload (accessed 23 February 2013).
205.: Ellis RP, Ash A. Refinements to the diagnostic cost group (DCG) model. Inquiry 1995–6;32:418–29. [PubMed: 8567079]
206.: Thiru K, Hassey A, Sullivan F. Systematic review of scope and quality of electronic patient record data in primary care. BMJ 2003;326:1070–2. 10.1136/bmj.326.7398.1070. [PMC free article: PMC155692] [PubMed: 12750210] [CrossRef]
207.: Price A, Clark J. A quantitative study of the management of acute urinary symptoms by nurse practitioners and general practitioners in a general practice setting. Prim Health Care Res Dev 2002;3:194–204.
208.: Seale C, Anderson E, Kinnersley P. Comparison of GP and nurse practitioner consultations: an observational study. Br J Gen Pract 2005;55:938–43. [PMC free article: PMC1570503] [PubMed: 16378563]
209.: Urbis Social Planning and Social Research. Evaluation of the Queensland Physician’s Assistant Pilot: Final Report. Brisbane, QLD: Urbis Pty Ltd; 2010.
210.: Hollinghurst S, Horrocks S, Anderson E, Salisbury C. Comparing the cost of nurse practitioners and GPs in primary care. Br J Gen Prac 2006;56:530–5. [PMC free article: PMC1872064] [PubMed: 16834880]
211.: Dierick-van Daele ATM, Metsemakers JFM, Derckx EW, Spreeuwenberg C, Vrijhoef HJM. Nurse practitioners substituting for General Practitioners in the care of patients with common complaints: a randomised controlled trial. J Adv Nurs 2009;65:391–401. [PubMed: 19191937]
212.: Dierick-van Daele ATM, Steuten LMG, Metsemakers JFM, Derckx EWCC, Spreeuwenberg C, Vrijhoef HJM. Economic evaluation of nurse practitioners versus GPs in treating common conditions. Br J Gen Prac 2010;60:e28–35. 10.3399/bjgp10X482077. [PMC free article: PMC2801803] [PubMed: 20040165] [CrossRef]
213.: Fleuren M, Wiefferink K, Paulussen T. Determinants of innovation within health care organizations: literature review and Delphi study. Int J Qual Health Care 2004;16:107–23. 10.1093/intqhc/mzh030. [PubMed: 15051705] [CrossRef]
214.: Boerma WGW, Dubois CA. Mapping primary care across Europe. In Saltman RB, Rico A, Boerma WGW, editors. Primary Care in the Driver’s Seat? Organisational Reform in European Primary Care. Maidenhead: Open University Press; 2006. pp. 22–49.
215.: Gemmell I, Campbell S, Hann M, Sibbald B. Assessing workload in general practice in England before and after the introduction of the pay-for performance contract. J Adv Nurs 2009;65:509–15. 10.1111/j.1365-2648.2008.04902.x. [PubMed: 19222648] [CrossRef]
216.: Charles-Jones C, Latimer J, May C. Transforming general practice: the redistribution of medical work in primary care. Sociol Health Illness 2003;25:71–92. 10.1111/1467-9566.t01-1-00325. [PubMed: 14498945] [CrossRef]
217.: Jones L, Green J. Shifting discourses of professionalism: a case study of general practitioners in the United Kingdom. Sociol Health Illness 2006;28:927–50. [PubMed: 17163860]
218.: Checkland K, Harrison S, McDonald R, Grant S, Campbell S, Guthrie B. Biomedicine, holism and general medical practice: responses to the 2004 general practitioner contract. Sociol Health Illness 2008;30:788–803. 10.1111/j.1467-9566.2008.01081.x. [PubMed: 18444956] [CrossRef]
219.: Taylor F. Scientific Management. New York, NY; Prism Key Press; 2011. (first published 1911). URL: www.prismkeypress.com.
220.: Centre for Workforce Intelligence. GP In-depth Review Interim Report. 2013. www.cfwi.org.uk/publications (accessed 3 March 2013).
221.: Deloitte UK Centre for Health Solutions. Primary Care: Today and Tomorrow – Improving General Practice by Working Differently. 2012. URL: www.deloitte.com/view/en_GB/uk/research-and-intelligence/deloitte-research-uk/deloitte-uk-centre-for-health-solutions/bb6e38f609817310VgnVCM3000001c56f00aRCRD.htm (accessed 3 March 2013).
222.: Abbott A. The System of Professions: An Essay on the Division of Expert Labor. Chicago, IL: University of Chicago Press; 1988.
223.: Calnan M, Gabe J. The restratification of primary care in England? A sociological analysis. In Gabe J, Calnan M, editors. The New Sociology of the Health Service. Oxon: Routledge; 2009. pp. 56–78.
224.: Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004;82:581–629. 10.1111/j.0887-378X.2004.00325.x. [PMC free article: PMC2690184] [PubMed: 15595944] [CrossRef]
225.: Rimmer A. GP Shortages Increase List Sizes as Too Many Specialists are Trained. 2012. URL: www.gponline.com/News/article/1110536/GP-shortages-increase-list-sizes-specialists-trained (accessed 3 March 2013).
226.: Bullock A, Morris Z, Atwell C. A Formative Evaluation of the Service Delivery and Organisation (SDO) Management Fellowships 2012. URL: www.netscc.ac.uk/hsdr/projdetails.php?ref=09-1003-01 (last accessed February 2013).
227.: Stoll L, Foster-Turner J, Glenn M. Mind Shift: An Evaluation of the NHS London ‘Darzi’ Fellowships in Clinical Leadership Programme. 2010. URL: www.ioe.ac.uk/IoE_fellowship_evaluation_report_final_July_2010_Executive_Summary_final.pdf (last accessed February 2013).

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Drennan VM, Halter M, Brearley S, et al. Investigating the contribution of physician assistants to primary care in England: a mixed-methods study. Southampton (UK): NIHR Journals Library; 2014 May. (Health Services and Delivery Research, No. 2.16.) References.
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