Mapping the global landscape of task shifting and sharing: trends, geographic disparities, and terminology from 1970 to 2022.

Introduction: Task shifting and sharing (TS/S) are strategies for redistributing healthcare services among providers, popular in settings facing workforce crunches. A comprehensive mapping of global TS/S research remains lacking despite widespread implementation. Theory: We apply bibliographic techn...

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Publicado en:Critical Public Health Vol. 35; no. 1; pp. 1 - 12
Autores principales: Das, Shukanto, Grant, Liz, Fearon, David
Formato: pictorial research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 35
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      pub: Taylor & Francis Ltd
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        10.1080/09581596.2025.2501495
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        atl: Mapping the global landscape of task shifting and sharing: trends, geographic disparities, and terminology from 1970 to 2022.
      aug:
        au:
          Das, Shukanto
          Grant, Liz
          Fearon, David
        affil: Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
      sug:
        subj:
          Task Shifting Trends
          Geographic Factors Evaluation
          Health Services Administration Trends
          Nomenclature Evaluation
          Human
          Systematic Review
          Workforce
          Bibliography and References
          Medline
          CINAHL Database
          HIV Infections Therapy
          Depression Therapy
          Language
          Implementation Science
          Preventive Health Care
          Policy Making
          Income
          Guideline Adherence
          Diabetes Mellitus Therapy
          Tuberculosis Therapy
          Maternal Health Services
          Low and Middle Income Countries
          Prescribing Patterns
          Health Care Delivery
          Staff Development
          Descriptive Statistics
          Data Analysis Software
      ab: Introduction: Task shifting and sharing (TS/S) are strategies for redistributing healthcare services among providers, popular in settings facing workforce crunches. A comprehensive mapping of global TS/S research remains lacking despite widespread implementation. Theory: We apply bibliographic techniques to map where TS/S has been prioritised, revealing patterns that inform implementation science and future strategies. Methods: We searched five databases, Medline, CINAHL Plus, Elsevier, Global Health, and Google Scholar, in October 2022 to analyse 2,072 articles (found between 1970 and 2022), based on relevance to TS/S and geographical representation. We extracted data on countries where studies were conducted, the terminology describing TS/S, and the study's focus. Results: TS/S research concentrates on African and South Asian countries, led by South Africa (n = 201), India (n = 130), Uganda (n = 109), Kenya (n = 106), and Malawi (n = 86). Publications increased dramatically after 2006–2008, coinciding with key WHO reports. 'Task shifting' was the predominant descriptor (66.0%), followed by 'task sharing' (24.0%), 'task delegation' (6.0%), and 'task shifting and sharing'. HIV (n = 450) and depression (n = 375) were the most studied conditions, while 42.5% of articles focused on broader systems and policy issues rather than specific diseases. Discussion: Geographic disparities, language inconsistencies, and disease-specific applications suggest the need for targeted implementation in underrepresented regions, terminology standardisation, and expanded applications. Addressing these can optimise implementation strategies, enhancing outcomes.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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