{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:09:26Z","timestamp":1789592966246,"version":"build-2803163510"},"reference-count":36,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["zefq-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.zefq.2026.05.009","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:38:03Z","timestamp":1783485483000},"page":"30-37","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Delegation haus\u00e4rztlicher Leistungen an Medizinische Fachangestellte: Perspektiven im zeitlichen Verlauf. Ergebnisse aus Fokusgruppen mit Medizinischen Fachangestellten und Haus\u00e4rzt*innen im Abstand von 12 Jahren"],"prefix":"10.1016","volume":"205","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5879-0664","authenticated-orcid":false,"given":"Konrad","family":"Schmidt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Bergholz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Marx","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Brenk-Franz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Fran\u00e7ois","family":"Chenot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena","family":"Dini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"D\u00f6pfmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Gerlach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doreen","family":"Kuschick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"Rost","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Sauerbrey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solveig","family":"Weise","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jochen","family":"Gensichen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Wolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.zefq.2026.05.009_b0005","series-title":"Pr\u00e4vention und Gesundheitsf\u00f6rderung. Springer Reference Pflege \u2013 Therapie \u2013 Gesundheit","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/978-3-662-62426-5_1","article-title":"Demografischer Wandel, Krankheitspanorama, Multimorbidit\u00e4t und Mortalit\u00e4t in Deutschland","author":"Tiemann","year":"2021"},{"key":"10.1016\/j.zefq.2026.05.009_b0010","unstructured":"Statistisches Bundesamt. Bev\u00f6lkerungsvorausberechnung. Ergebnisse der 15. koordinierten Bev\u00f6lkerungsvorausberechnung. Zugriff am 11.08.2025 unter: https:\/\/www.destatis.de\/DE\/Themen\/Gesellschaft-Umwelt\/Bevoelkerung\/Bevoelkerungsvorausberechnung\/Tabellen\/variante-1-2-3-altersgruppen.html."},{"key":"10.1016\/j.zefq.2026.05.009_b0015","unstructured":"Robert Koch-Institut. Gesundheitsberichterstattung des Bundes (GBE). Chronisches Kranksein \u2013 Funktionseinschr\u00e4nkungen bei chronischen Krankheiten. unter: https:\/\/www.gbe.rki.de\/DE\/Themen\/Gesundheitszustand\/Krankheitsfolgen\/."},{"key":"10.1016\/j.zefq.2026.05.009_b0020","unstructured":"Kassen\u00e4rztliche Bundesvereinigung. Gesundheitsdaten. Niedergelassene \u00c4rztinnen und \u00c4rzte werden immer \u00e4lter. Zugriff am 12.08.2025 unter: https:\/\/gesundheitsdaten.kbv.de\/cms\/html\/16397.php."},{"key":"10.1016\/j.zefq.2026.05.009_b0025","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1093\/eurpub\/ckw098","article-title":"Task shifting from physicians to nurses in primary care in 39 countries: a cross-country comparative study","volume":"26","author":"Maier","year":"2016","journal-title":"Eur J Public Health"},{"key":"10.1016\/j.zefq.2026.05.009_b0030","doi-asserted-by":"crossref","DOI":"10.1186\/s12960-019-0429-6","article-title":"Nurse prescribing of medicines in 13 European countries","volume":"17","author":"Maier","year":"2019","journal-title":"Hum Resour Health"},{"key":"10.1016\/j.zefq.2026.05.009_b0035","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.2147\/PPA.S411902","article-title":"Are nurse-led patient consultations and nurse-led dose adjustments of permanent medication acceptable for patients with diabetes mellitus and hypertension in general practice? \u2013 Results of a focus group study","volume":"17","author":"Weise","year":"2023","journal-title":"Patient Prefer Adherence"},{"key":"10.1016\/j.zefq.2026.05.009_b0040","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1055\/a-2158-8982","article-title":"Einstellungen von Haus\u00e4rzt:innen und Medizinischen Fachangestellten zur Delegation \u00e4rztlicher Leistungen \u2013 Ergebnisse einer Befragung in Berlin, Brandenburg und Th\u00fcringen","volume":"85","author":"Wolf","year":"2023","journal-title":"Gesundheitswesen"},{"key":"10.1016\/j.zefq.2026.05.009_b0045","unstructured":"Kassen\u00e4rztliche Bundesvereinigung und GKV-Spitzenverband. Vereinbarung \u00fcber die Delegation \u00e4rztlicher Leistungen an nicht\u00e4rztliches Personal in der ambulanten vertrags\u00e4rztlichen Versorgung gem\u00e4\u00df \u00a7 28 Abs. 1 S. 3 SGB V. Zugriff am 11.08.2025 unter: https:\/\/www.kbv.de\/documents\/infothek\/rechtsquellen\/bundesmantelvertrag\/anlage-24-delegation\/24_Delegation.pdf."},{"key":"10.1016\/j.zefq.2026.05.009_b0050","unstructured":"Kassen\u00e4rztliche Bundesvereinigung. Vereinbarung \u00fcber die Erbringung \u00e4rztlich angeordneter Hilfeleistungen in der H\u00e4uslichkeit der Patienten, in Alten- oder Pflegeheimen oder in anderen besch\u00fctzenden Einrichtungen gem. \u00a7 28 Abs. 1 Satz 2 SGB V oder in haus\u00e4rztlichen Praxen (Delegations-Vereinbarung). vom 17. M\u00e4rz 2009 in der Fassung vom 17.07.2023. Zugriff am 12.08.2025 unter: https:\/\/www.kbv.de\/documents\/infothek\/rechtsquellen\/bundesmantelvertrag\/anlage-08-delegationsvereinbarung\/08_Delegation.pdf."},{"key":"10.1016\/j.zefq.2026.05.009_b0055","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1055\/a-2579-1715","article-title":"Allrounder \u2013 VERAH, N\u00e4PA und Gesundheitslots*innen","volume":"23","author":"Czernik","year":"2025","journal-title":"Physiopraxis"},{"key":"10.1016\/j.zefq.2026.05.009_b0060","unstructured":"Mangiapane S, Czihal T, Stillfried D von. Delegation \u00e4rztlicher Leistungen in der vertrags\u00e4rztlichen Versorgung. Befragung unter den Kassen\u00e4rztlichen Vereinigungen zum Einsatz besonders qualifizierter nicht\u00e4rztlicher Praxisassistenten (N\u00e4PA). Zugriff am 12.08.2025 unter: https:\/\/www.zi.de\/fileadmin\/Downloads\/Service\/Publikationen\/Zi-Paper_25-2022_NaePA.pdf."},{"key":"10.1016\/j.zefq.2026.05.009_b0065","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1007\/s15006-019-1175-3","article-title":"Von AGnES bis PA \u2014 Arztassistentenberufe in Deutschland: Wer hat noch den \u00dcberblick?","volume":"161","author":"G\u00fcnther","year":"2019","journal-title":"MMW Fortschr Med"},{"key":"10.1016\/j.zefq.2026.05.009_b0070","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.zefq.2020.07.010","article-title":"Haus\u00e4rztliche Delegationskonzepte in Nordrhein-Westfalen Ergebnisse der haus\u00e4rztlichen Befragung zum Einsatz von EVA, VERAH, VERAH Plus zur Delegation definierter T\u00e4tigkeiten","volume":"156\u2013157","author":"Miralles","year":"2020","journal-title":"Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen"},{"key":"10.1016\/j.zefq.2026.05.009_b0075","series-title":"Management von Gesundheitsregionen IV","first-page":"89","article-title":"Umsetzung von Delegationskonzepten \u2013 So klappt es in der Hausarztpraxis","author":"Mergenthal","year":"2018"},{"key":"10.1016\/j.zefq.2026.05.009_b0080","unstructured":"Dini Pou del Castillo, Maria Lorena, Miralles JG, Heintze C. Delegation in der Hausarztpraxis. Ergebnisse einer Befragung von Haus\u00e4rztinnen und Haus\u00e4rzten in Nordrhein-Westfalen. Abschlussbericht. Zugriff am 12.08.2025 unter: https:\/\/www.lzg.nrw.de\/_php\/login\/dl.php?u=\/_media\/pdf\/service\/Pub\/2018_df\/befragung_delegation_hausaerztl_taetigkeiten.pdf."},{"key":"10.1016\/j.zefq.2026.05.009_b0085","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1055\/s-0042-108646","article-title":"Juristische Analyse der Umsetzungsregelungen der Delegation vertrags\u00e4rztlicher Hausbesuche an nicht-\u00e4rztliche Gesundheitsberufe \u2013 ist die Umsetzung in Einklang mit dem Willen des Gesetzgebers?","volume":"78","author":"Ruppel","year":"2016","journal-title":"Gesundheitswesen"},{"key":"10.1016\/j.zefq.2026.05.009_b0090","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.zefq.2017.06.005","article-title":"Psychosocial working conditions of physician assistants: results from a qualitative study on occupational stress, resources, possible approaches to prevention and intervention needs]","volume":"126","author":"Vu-Eickmann","year":"2017","journal-title":"Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen"},{"key":"10.1016\/j.zefq.2026.05.009_b0095","unstructured":"Deutsches \u00c4rzteblatt. Medizinische Fachangestellte beliebtester Ausbildungsberuf bei Frauen unter: https:\/\/www.aerzteblatt.de\/themen\/medizinische-fachangestellte\/medizinische-fachangestellte-beliebtester-ausbildungsberuf-bei-frauen-e73da030-662a-4277-97ff-a07cc930c448."},{"key":"10.1016\/j.zefq.2026.05.009_b0100","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.zefq.2023.07.006","article-title":"Physician Assistants als Zukunftsmodell in der haus\u00e4rztlichen Versorgung \u2013 Erfahrungen, Bedarfe, Potenziale und H\u00fcrden","volume":"182\u2013183","author":"Schillen","year":"2023","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"10.1016\/j.zefq.2026.05.009_b0105","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.zefq.2025.10.006","article-title":"Delegation \u00e4rztlicher Aufgaben an nicht\u00e4rztliche Mitarbeitende: qualitative Analyse von Erfahrungen im Rahmen der DELIVER-CARE Studie","volume":"200","author":"Damm","year":"2026","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"10.1016\/j.zefq.2026.05.009_b0110","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1055\/a-2144-5767","article-title":"Zwischen neuer Verantwortung und Routinet\u00e4tigkeit: Die Rolle der VERAH in der haus\u00e4rztlichen Versorgung \u2013 Eine qualitative Sekund\u00e4rdatenanalyse am Beispiel des softwaregest\u00fctzten Case Management","volume":"85","author":"Forstner","year":"2023","journal-title":"Gesundheitswesen"},{"key":"10.1016\/j.zefq.2026.05.009_b0115","series-title":"Developing focus group research: politics, theory and practice","year":"2001"},{"key":"10.1016\/j.zefq.2026.05.009_b0120","author":"Pelz","year":"2004","journal-title":"Forum Qualitative Sozialforschung"},{"key":"10.1016\/j.zefq.2026.05.009_b0125","series-title":"Handbuch Methoden der Politikwissenschaft. Wiesbaden","first-page":"305","article-title":"Gruppendiskussionen und Fokusgruppeninterviews","author":"Prinzen","year":"2020"},{"key":"10.1016\/j.zefq.2026.05.009_b0130","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1055\/a-1690-6569","article-title":"Aufgaben\u00fcbertragung \u00e4rztlicher T\u00e4tigkeiten in der Versorgung von Menschen mit Demenz auf Pflegefachpersonen in Substitution und Delegation","volume":"84","author":"Henning","year":"2022","journal-title":"Gesundheitswesen"},{"key":"10.1016\/j.zefq.2026.05.009_b0135","unstructured":"Bundes\u00e4rztekammer. Fachwirt\/in f\u00fcr ambulante medizinische Versorgung. Zugriff am 12.11.2025 unter: https:\/\/www.fortbildung-mfa.de\/musterfortbildungscurricula\/fachwirtin-ambulante-versorgung."},{"key":"10.1016\/j.zefq.2026.05.009_b0140","series-title":"Ballweg\u2019s physician assistant: Ballweg\u2019s physician assistant: a guide to clinical practice","author":"Ritsema","year":"2021"},{"key":"10.1016\/j.zefq.2026.05.009_b0145","article-title":"Delegation im Praxisteam: Ein starker Hebel f\u00fcr die Sicherung der Versorgung","author":"Hildebrandt","year":"2026","journal-title":"Bertelsmann Stiftung"},{"key":"10.1016\/j.zefq.2026.05.009_b0150","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s12875-025-03114-3","article-title":"Core values and best practice criteria for interprofessional teams in primary care: a qualitative interview study with general practitioners and other health professionals from Bavaria, Germany","volume":"27","author":"Zeiser","year":"2025","journal-title":"BMC Prim Care"},{"key":"10.1016\/j.zefq.2026.05.009_b0155","doi-asserted-by":"crossref","unstructured":"Nachrichten des Haus\u00e4rzteverbands Baden-W\u00fcrttemberg. Z Allg Med 2025;101:453. https:\/\/doi.org\/10.1007\/s44266-025-00462-2.","DOI":"10.1007\/s44266-025-00462-2"},{"key":"10.1016\/j.zefq.2026.05.009_b0160","unstructured":"AOK-Bundesverband. AOK-Positionen 16.07.2025:Von Anfang an gut versorgt. Eckpunkte f\u00fcr eine Prim\u00e4rversorgung in Deutschland unter: https:\/\/www.aok.de\/pp\/bv\/pm\/ambulante-primaerversorgung\/."},{"key":"10.1016\/j.zefq.2026.05.009_b0165","unstructured":"Reda\u00e8lli M, Stock S, Simic D, Wilm S. Internationales Literaturreview zur \u201eEffektivit\u00e4t und Effizienz von nicht-\u00e4rztlichen Berufen in ambulanten Versorgungskonzepten; 2009."},{"key":"10.1016\/j.zefq.2026.05.009_b0170","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1080\/13814788.2021.1954616","article-title":"Task shifting in primary care to tackle healthcare worker shortages: an umbrella review","volume":"27","author":"Leong","year":"2021","journal-title":"Eur J Gen Pract"},{"key":"10.1016\/j.zefq.2026.05.009_b0175","article-title":"Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis","volume":"2019","author":"Karimi-Shahanjarini","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.zefq.2026.05.009_b0180","article-title":"Mind mapping in qualitative data analysis: Managing interview data in interdisciplinary and multi\u2010sited research projects","volume":"9","author":"Fearnley","year":"2022","journal-title":"Geogr Environ"}],"container-title":["Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1865921726001212?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1865921726001212?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:30:54Z","timestamp":1789590654000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1865921726001212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":36,"alternative-id":["S1865921726001212"],"URL":"https:\/\/doi.org\/10.1016\/j.zefq.2026.05.009","relation":{},"ISSN":["1865-9217"],"issn-type":[{"value":"1865-9217","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Delegation haus\u00e4rztlicher Leistungen an Medizinische Fachangestellte: Perspektiven im zeitlichen Verlauf. Ergebnisse aus Fokusgruppen mit Medizinischen Fachangestellten und Haus\u00e4rzt*innen im Abstand von 12 Jahren","name":"articletitle","label":"Article Title"},{"value":"Zeitschrift f\u00fcr Evidenz, Fortbildung und Qualit\u00e4t im Gesundheitswesen","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.zefq.2026.05.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier GmbH.","name":"copyright","label":"Copyright"}]}}