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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)