Table 3.
Implementation status and future direction of task shifting (%).
| 1. Substitute input | Transferred | To be mostly transferred | To be partially transferred | Not to be transferred | Neither | Total |
|---|---|---|---|---|---|---|
| Initial interview (initial consultation) | 20% | 26% | 34% | 17% | 4% | 100% |
| Order of test, prescription, treatment, etc | 5% | 24% | 42% | 26% | 3% | 100% |
| Reservation for hospitalization and surgery | 8% | 48% | 28% | 11% | 5% | 100% |
| Creation of medical certificate and referral form | 12% | 33% | 34% | 18% | 3% | 100% |
| Creation of discharge summary | 4% | 32% | 34% | 26% | 3% | 100% |
| Filling out electronic medical record | 2% | 22% | 44% | 28% | 4% | 100% |
| Filling out school life management table | 3% | 40% | 33% | 18% | 5% | 100% |
| Case enrollment (cancer enrollment, etc) | 7% | 54% | 20% | 9% | 10% | 100% |
| 2. Explanation and instruction to patients and patient transfer | ||||||
| Transferred | To be mostly transferred | To be partially transferred | Not to be transferred | Neither | Total | |
| Responding to telephone inquiries from patients and their families | 20% | 30% | 34% | 13% | 4% | 100% |
| Request for medical care for children | 3% | 24% | 40% | 23% | 11% | 100% |
| Explanation of examination and treatment procedure | 6% | 34% | 37% | 20% | 3% | 100% |
| Patient transfer (from laboratory to ward) | 41% | 35% | 16% | 5% | 3% | 100% |
| Patient transfer (transportation between hospitals by ambulance) | 5% | 23% | 39% | 27% | 6% | 100% |
| Meal order and nutritional guidance | 29% | 46% | 16% | 6% | 3% | 100% |
| Medication instructions | 52% | 32% | 9% | 4% | 3% | 100% |
| 3. Procedures | ||||||
| Transferred | To be mostly transferred | T + E26o be partially transferred | Not to be transferred | Neither | Total | |
| Venous blood sampling (newborn/infant) | 7% | 19% | 43% | 28% | 3% | 100% |
| Venous blood sampling (non-newborn/infant) | 24% | 35% | 28% | 11% | 2% | 100% |
| Securing venous route (newborn/infant) | 5% | 17% | 43% | 32% | 3% | 100% |
| Securing venous route (non-newborn/infant) | 17% | 35% | 33% | 12% | 2% | 100% |
| Securing contrast agent line | 13% | 32% | 34% | 18% | 3% | 100% |
| Intravenous injection of antibiotics, etc | 51% | 27% | 14% | 6% | 1% | 100% |
| Vaccine inoculation (BCG) | 3% | 30% | 29% | 33% | 5% | 100% |
| Vaccine inoculation (subdermal) | 6% | 37% | 29% | 24% | 4% | 100% |
| Vaccine inoculation (intramuscular) | 4% | 34% | 30% | 27% | 4% | 100% |
| Vaccine inoculation (oral) | 16% | 44% | 23% | 14% | 3% | 100% |
| Sample collection (stool, pharynx, posterior nasal cavity, sputum, urine pack) | 32% | 40% | 20% | 6% | 2% | 100% |
| Sample collection (blood culture) | 12% | 29% | 32% | 23% | 3% | 100% |
| Sample collection (newborn mass screening) | 27% | 39% | 19% | 9% | 5% | 100% |
| Gastric fistula replacement | 4% | 30% | 36% | 22% | 9% | 100% |
| Tracheal cannula replacement | 3% | 26% | 38% | 26% | 8% | 100% |
| Urinary catheterization, indwelling bladder catheter replacement | 6% | 33% | 36% | 18% | 7% | 100% |
| Ventilator configuration change (NICU) | 1% | 15% | 41% | 35% | 7% | 100% |
Table 3 shows the implementation status of task shifting related to individual tasks and the pros and cons of implementing tasks when not yet implemented. The only items that the majority of pediatricians marked as “transferred” were “medication instructions” and “intravenous injection of antibiotics, and so on.”