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Title: Delegation in general practice : a threat or a panacea? : a history of general practice illustrating its problems by a study of the possibilities for their partial resolution by delegation
Author: Bowling, A. P.
Awarding Body: University College of Swansea
Current Institution: Swansea University
Date of Award: 1980
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This thesis has two related aims. The first is to describe the history of general practice in an attempt to illustrate its main problems. The second is to analyse the extent to which the delegation of medical tasks may be a partial solution to some of these problems. One of the propositions to emerge from the historical analysis is that among the main problems of general practice are lack of a clear role definition based on an independent theoretical body of knowledge, and the consequently lower status held by general practitioners in relation to hospital doctors. Doctors argue that they have insufficient time in which to concentrate upon their skills, or to develop them further, because they see so much 'trivial' illness. One method of organisation which might allow general practitioners more time is delegation. Delegation is defined here as the transfer of a task by a person of a higher rank to a person of subordinate rank. However, the potential for any organisational change depends on the attitudes of affected interest groups towards that change. At present, little is known of the attitudes of health care personnel towards delegation. Thus, the third section of this thesis examines the extent to which general practitioners delegate procedures to nurses and analyses general practitioners' and nurses' attitudes towards further delegation. It is concluded that the main problem for the future of delegation is how to encourage doctors to delegate more procedures regularly in view of their feelings of role and status threat. Further, until nurses have defined their role clearly, it is uncertain to whom doctors could delegate more tasks.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available