Finding #20
In settings where a proportion of doctors'revenues came from fee‐for‐service payments, doctors expressed negative reactions towards doctor‐nurse substitution.
Assessment for each CERQual component
Methodological limitations	Minor concerns because 1/2 studies did not report sampling strategy.
Coherence	No to very minor concerns.
Relevance	Serious concerns, as only 1 region was represented.
Adequacy	Moderate concerns, as only 3 studies with relatively few data reported this finding.
Overall CERQual assessment
Low confidence	Due to minor concerns about methodological limitations; moderate concerns about adequacy; and serious concerns about relevance.
Contributing studies/setting
North America (2); Oceania (1) Coulter 2000: USA, managed care organisation/multispeciality group practices Lorch 2015: Australia, chlamydia testing Peterson 2007: Canada, primary care