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Table 1 Summary of categorized arguments about and associations with the supplementary models

From: Which strategies might improve local primary healthcare in Germany? An explorative study from a local government point of view

Trained medical assistant Positive Work-relief for physicians (n = 54) Improve treatment quality and care (n = 17) Support for the provision of home visits (n = 12) Appropriate tasks for delegation (n = 12) Positive experiences with similar concepts (n = 11) Remedy for physician shortage (n = 7)
Negative Lack of acceptance and trust (n = 10) Not an adequate substitute for a doctor (n = 7) No general need (n = 6) Concerns about treatment quality (n = 5)
Patients‘bus Positive Good addition to existing public transport (n = 25) Similar public transport systems available or planned (n = 21) Suitable to ensure mobility and accessibility (n = 19) Suitable supplement for rural and widespread areas (n = 14)
Negative Sufficient mobility offers available (n = 25) High effort and costs (n = 16) Not suitable for the specific community and settlement structure (n = 12) Low demand and utilization projected (n = 6) Not necessary due to good accessibility or short distances to medical practices (n = 6)
Mobile physicians‘office Positive Suitable supplement for rural and widespread areas (n = 16) Sufficient to secure the supply of medical treatment (n = 7)
Negative Lack of acceptance and trust (n = 39) Not necessary due to good accessibility or short distances to medical practices (n = 20 Not suitable for the specific community and settlement structure (n = 20) No general need (n = 15) Concerns about treatment quality (n = 9) Inefficient use of doctors due to travel expenses (n = 9)
Telemedicine Positive Suitable for specific group of persons (n = 10) Forward-looking model with potential (n = 7) Suitable for specific indications (n = 6)
Negative Not suitable for older people (n = 57) Impersonal type of treatment (n = 33) Poor availability of necessary technology (n = 29) Concerns about treatment quality (n = 16) Lack of acceptance and trust (n = 14)