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[Psychosocial Working Conditions and Quality of Care: Results of a Qualitative Study Among Physician Assistants (MFAs)].

Background Working conditions may not only impair the health of health care staff, but also the quality of delivered patient care. Evidence for this in relation to physician assistants remains limited despite the fact that they represent the largest professional group in German primary care and perform occupational tasks that are highly relevant to the quality of patient care. This study aimed to gain insights into the potential relationship of working conditions with the quality of care. Methods Participants were recruited from a randomized sample of medical practices in and around the city of Düsseldorf (Germany) and with support from the medical health care staff association (VMF e.V.). In total, 26 qualitative in-depth interviews were conducted (11/2015-02/2016), transcribed and content-analyzed using MaxQDA. Results The majority of participants expressed the view that working conditions impact on the quality of care. In particular, the quality of social interactions with patients and minor mistakes were alluded to in this regard. Conclusions Working conditions of physician assistants are characterized by high demands. Their potential impact on the quality of social interactions with patients and the rate of minor mistakes highlights the relevance of preventive actions. Our findings may represent the starting point for further research into preventive measures.

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