The introduction of task-shifting policies and decentralization of HIV treatment to primary care provide opportunities for integrating services.
Another reason for the introduction of task reallocation was the growing pressure to improve quality of care.
As noted above, the introduction of task-contingent rewards and perceptions of control and competition are associated with the undermining of IM.
To address this issue, we conducted a review of quarterly clinic performance reports in order to assess whether clinic performance had changed following introduction of task-shifting and quality assurance activities.
While the introduction of task shifting for HIV counselling and testing in Kenya has enabled rapid scale up of services, it was the flexibility around who conducts testing that allowed expansion into non-medical areas, outreach services and non-government facilities.
Although we sought to create a scenario where drivers could freely choose when to perform a secondary task, the introduction of a task deadline could have impacted how drivers approached the task in two important ways.
In an extension with heterogeneous skills, we show that inequality increases during transitions driven both by faster automation and the introduction of new tasks, and characterize the conditions under which inequality stabilizes in the long run.
Although it is likely that these controller support tools may decrease the possibilities of cognitive error, the introduction of new tasks may also introduce new sources of cognitive error.
As regards iii), program dissemination, the introduction of new tasks into PHC appears to be rather more problematic due to a combination of the rigidity of the current health system, which does not allow for many changes, and the usual resistance to change of professionals, who are reluctant to modify their established routine.
Arguing that current approaches are suboptimal in terms of matching tasks and contributors' individual interests and capabilities, this article advocates the introduction of personalized task recommendation mechanisms.
