Advancing team-based primary health care: a comparative analysis of policies in western Canada
| dc.contributor.author | Suter, Esther | |
| dc.contributor.author | Mallinson, Sara | |
| dc.contributor.author | Misfeldt, Renee | |
| dc.contributor.author | Boakye, Omenaa | |
| dc.contributor.author | Nasmith, Louise | |
| dc.contributor.author | Wong, Sabrina T | |
| dc.date.accessioned | 2018-09-26T12:10:53Z | |
| dc.date.available | 2018-09-26T12:10:53Z | |
| dc.date.issued | 2017-07-17 | |
| dc.date.updated | 2018-09-26T12:10:53Z | |
| dc.description.abstract | Abstract Background We analyzed and compared primary health care (PHC) policies in British Columbia, Alberta and Saskatchewan to understand how they inform the design and implementation of team-based primary health care service delivery. The goal was to develop policy imperatives that can advance team-based PHC in Canada. Methods We conducted comparative case studies (n = 3). The policy analysis included: Context review: We reviewed relevant information (2007 to 2014) from databases and websites. Policy review and comparative analysis: We compared and contrasted publically available PHC policies. Key informant interviews: Key informants (n = 30) validated narratives prepared from the comparative analysis by offering contextual information on potential policy imperatives. Advisory group and roundtable: An expert advisory group guided this work and a key stakeholder roundtable event guided prioritization of policy imperatives. Results The concept of team-based PHC varies widely across and within the three provinces. We noted policy gaps related to team configuration, leadership, scope of practice, role clarity and financing of team-based care; few policies speak explicitly to monitoring and evaluation of team-based PHC. We prioritized four policy imperatives: (1) alignment of goals and policies at different system levels; (2) investment of resources for system change; (3) compensation models for all members of the team; and (4) accountability through collaborative practice metrics. Conclusions Policies supporting team-based PHC have been slow to emerge, lacking a systematic and coordinated approach. Greater alignment with specific consideration of financing, reimbursement, implementation mechanisms and performance monitoring could accelerate systemic transformation by removing some well-known barriers to team-based care. | |
| dc.identifier.citation | BMC Health Services Research. 2017 Jul 17;17(1):493 | |
| dc.identifier.doi | https://doi.org/10.1186/s12913-017-2439-1 | |
| dc.identifier.uri | http://hdl.handle.net/1880/108032 | |
| dc.identifier.uri | https://doi.org/10.11575/PRISM/44387 | |
| dc.language.rfc3066 | en | |
| dc.rights.holder | The Author(s). | |
| dc.title | Advancing team-based primary health care: a comparative analysis of policies in western Canada | |
| dc.type | Journal Article |