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Conceptual framework for task shifting and task sharing: an international Delphi study.

Aaron M Orkin1,2,3, Sampreeth Rao4, Jeyasakthi Venugopal5

  • 1Department of Family and Community Medicine, University of Toronto, Toronto, Canada. aorkin@gmail.com.

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Summary
This summary is machine-generated.

A new framework, COATS, defines task shifting and sharing (TS/S) and outlines conditions for successful implementation. This advances global health workforce strategies and service access.

Keywords:
Community health workersConceptual frameworkDelphi processGlobal healthHealth human resourcesTask sharingTask shifting

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Area of Science:

  • Health Services Research
  • Global Health
  • Health Workforce Development

Background:

  • Task shifting and sharing (TS/S) is crucial for addressing global health worker shortages and improving service access.
  • A lack of a comprehensive conceptual framework hinders the effective implementation and understanding of TS/S.
  • Existing strategies require a structured approach to guide policy and practice.

Purpose of the Study:

  • To develop a conceptual framework for task shifting and sharing (TS/S).
  • To refine the definition and purpose of TS/S.
  • To identify key factors influencing the success of TS/S programs.

Main Methods:

  • An online Delphi process was employed with international scholars experienced in knowledge synthesis.
  • A series of questionnaires explored the purpose and contextual factors of TS/S.
  • Iterative analysis and integration of panelist responses led to consensus.

Main Results:

  • Consensus was reached on framework elements after three Delphi rounds with 15 panelists.
  • The COATS Framework (Concepts and Opportunities to Advance Task Shifting and Task Sharing) was developed.
  • COATS provides a refined definition, purpose statement, and enumerates eight necessary conditions for TS/S implementation.

Conclusions:

  • The COATS Framework offers a comprehensive and adaptable conceptual model for TS/S programs.
  • This framework can guide policy, program development, evaluation, and research globally.
  • It aims to improve the effectiveness and impact of TS/S initiatives worldwide.