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Delegating work in primary care: a false ideal?

Gregory Dobson¹, Edieal J Pinker

¹Simon School of Business, University of Rochester, USA. greg.dobson@simon.rochester.edu

The Journal of Medical Practice Management : MPM

|January 16, 2010

Summary

Delegating tasks to support staff in primary care practices may not increase revenue. Evidence shows dividing work can reduce productivity and profitability, highlighting the need for skilled practice management.

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Area of Science:

Health Services Research
Primary Care Medicine
Healthcare Management

Background:

Primary care physicians often receive advice to delegate tasks to support staff.
This delegation is intended to increase patient panel size, visit volume, and revenue.

Purpose of the Study:

To evaluate the common advice given to primary care physicians regarding task delegation.
To analyze the impact of work division among support staff on practice productivity and profitability.

Main Methods:

The study critically examines the underlying assumptions of delegation advice.
Evidence is presented to counter the prevailing recommendations on task delegation.

Main Results:

The advice to delegate extensively to support staff is based on fallacies.
Dividing work processes among various support staff types demonstrably reduces practice productivity.
Profitability of primary care practices is negatively impacted by this work division.

Conclusions:

Efficient operation of large primary care practices necessitates advanced practice management skills.
Rethinking delegation strategies is crucial for optimizing primary care practice performance.