TY - JOUR
AU - N. D. Oelke
AU - A. Rai
AU - P. Hirschkorn
AU - B. Mylaine
AU - C. Donnelly
AU - S. Montesanti
AU - G. Isabelle
AU - K. Maiwald
AU - P. Wankah
A1 - 
AB - Primary health care teams are a key strategy in providing integrated care, particularly for patients with multiple chronic conditions. Despite a strong commitment to improving primary health care through team-based care globally, challenges to its implementation remain. A comparative policy analysis was conducted in four Canadian provinces (British Columbia, Alberta, Ontario, and Quebec) to examine the policies and structures supporting service integration for patients with two or more chronic conditions through primary health care teams. Results are reported on Phase 3 of the project, including a national knowledge translation event to refine recommendations and develop actions for implementing recommendations related to team-based primary health care in policy and practice. Our virtual knowledge translation event took place in June 2022; with 25 participants including policymakers, decision-makers, providers, patients and researchers. Eight key recommendations were discussed and revised with feedback and strategies for implementation developed. Five themes were identified from the discussions: 1) composition of the team and access; 2) communication and electronic health records; 3) remuneration; 4) patient engagement; and performance measurement. Recommendations for policy and practice are outlined and compared to existing Canadian and international literature.
AD - School of Nursing, University of British Columbia, Okanagan, FHSD, 1147 Research Rd, Kelowna, British Columbia, , V1V 1V7, Canada; Rural Coordination Centre of BC, 1665 W Broadway suite 620, Vancouver, British Columbia, V6J 1×1, Canada. Electronic address: nelly.oelke@ubc.ca.; School of Nursing, University of British Columbia, Okanagan, FHSD, 1147 Research Rd, Kelowna, British Columbia, , V1V 1V7, Canada. Electronic address: ashmita.rai@ubc.ca.; Southern Medical Program, Faculty of Medicine, University of British Columbia, RHS, 1088 Discovery Avenue, Kelowna, British Columbia, V1V 1V7, Canada. Electronic address: phirsch@student.ubc.ca.; Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001 12 Ave N, Immeuble X1, Sherbrooke, Quebec, J1H 5N4, Canada. Electronic address: Mylaine.Breton@usherbrooke.ca.; School of Rehabilitation Therapy, Queen's University, Louise D Acton Building, 31 George St, Kingston, Ontario, K7L 3N6, Canada. Electronic address: catherine.donnelly@queensu.ca.; School of Public Health, University of Alberta, 11405 87 Ave NW, Edmonton, Alberta, T6G 1C9, Canada. Electronic address: montesan@ualberta.ca.; Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001 12 Ave N, Immeuble X1, Sherbrooke, Quebec, J1H 5N4, Canada. Electronic address: Isabelle.Gaboury@USherbrooke.ca.; Faculty of Medicine, University of British Columbia, 317 - 2194 Health Sciences Mall, Vancouver, British Columbia, V6T 1Z3, Canada. Electronic address: k.maiwald@ubc.ca.; Faculty of Dental Medicine and Oral Health Sciences, McGill University, 2001 McGill College Ave, Montreal, Quebec, H3A 1G1, Canada. Electronic address: paul.wankahnji@mcgill.ca.
AN - 40645826
BT - Health Policy
C5 - Healthcare Policy; Education & Workforce
DA - Jul 3
DO - 10.1016/j.healthpol.2025.105391
DP - NLM
ET - 20250703
JF - Health Policy
LA - eng
N2 - Primary health care teams are a key strategy in providing integrated care, particularly for patients with multiple chronic conditions. Despite a strong commitment to improving primary health care through team-based care globally, challenges to its implementation remain. A comparative policy analysis was conducted in four Canadian provinces (British Columbia, Alberta, Ontario, and Quebec) to examine the policies and structures supporting service integration for patients with two or more chronic conditions through primary health care teams. Results are reported on Phase 3 of the project, including a national knowledge translation event to refine recommendations and develop actions for implementing recommendations related to team-based primary health care in policy and practice. Our virtual knowledge translation event took place in June 2022; with 25 participants including policymakers, decision-makers, providers, patients and researchers. Eight key recommendations were discussed and revised with feedback and strategies for implementation developed. Five themes were identified from the discussions: 1) composition of the team and access; 2) communication and electronic health records; 3) remuneration; 4) patient engagement; and performance measurement. Recommendations for policy and practice are outlined and compared to existing Canadian and international literature.
PY - 2025
SN - 0168-8510
SP - 105391
ST - Developing recommendations and actions for integrated services delivery through primary health care teams in Canada: a deliberative dialogue approach for a national knowledge translation event
T1 - Developing recommendations and actions for integrated services delivery through primary health care teams in Canada: a deliberative dialogue approach for a national knowledge translation event
T2 - Health Policy
TI - Developing recommendations and actions for integrated services delivery through primary health care teams in Canada: a deliberative dialogue approach for a national knowledge translation event
U1 - Healthcare Policy; Education & Workforce
U3 - 10.1016/j.healthpol.2025.105391
VO - 0168-8510
Y1 - 2025
ER -