Primary care network development: the regulator’s perspective

Using appreciative inquiry to understand the integration of interprofessional teams within primary care

“…Universally, primary care is intended to be the first point of contact for the client within a health services region, and a place where services are provided by primary care providers (Graber-Naidich, Carter & Verter, 2015). It is distinguished from primary health care, which involves client care in relation to public system functions (Muldoon et al, 2006).…”

“…It is distinguished from primary health care, which involves client care in relation to public system functions (Muldoon et al, 2006). Primary care is gaining worldwide attention due to recognition based on efficiency, effectiveness, and timely delivery of care related to achieving positive outcomes for large population groups (Graber-Naidich, Carter & Verter, 2015). Many nations, worldwide, have implemented such population health models in the organization and delivery of primary care (Starfield & Simpson, 1993;Wilton & Smith, 1998;Hefford et al 2005;Starfield et al, 2005;and Hutchinson et al, 2011).…”

“…Canada's healthcare is under provincial jurisdiction, which is why there are so many differences from province to province, which contribute to the differences in remuneration of primary care networks, as well as where and how they have been imbedded across the country (Graber-Naidich, Carter & Verter, 2015). Canada, for instance, practices universal healthcare, which allows the primary care networks to use either a fee for service model if they are privately funded, capitation where the annual payment is based on patient characteristics, or salary (Graber-Naidich, Carter & Verter, 2015). Ontario, Quebec, and Alberta have implemented primary care networks, while British Columbia has just recently started (Graber-Naidich, Carter & Verter, 2015.…”

“…Canada, for instance, practices universal healthcare, which allows the primary care networks to use either a fee for service model if they are privately funded, capitation where the annual payment is based on patient characteristics, or salary (Graber-Naidich, Carter & Verter, 2015). Ontario, Quebec, and Alberta have implemented primary care networks, while British Columbia has just recently started (Graber-Naidich, Carter & Verter, 2015. This shift occurred in British Columbia due to a current health system faced with increased demands and needs from an aging population, along with an increased prevalence of chronic diseases, disability and frailty (Ministry of Health, 2015).…”

“…Primary care should be the first point of contact within the system of health services; and a place where clients receive care for their everyday healthcare needs (Graber-Naidich, Carter & Verter, 2015). Primary care is gaining worldwide attention, with recognition based on efficiency, effectiveness, and timely delivery related to the implementation of population health (Graber-Naidich, Carter & Verter, 2015). With the focus shifting from acute care to primary care, the hope is that there will exist intervention as early as possible, in order to limit acute care visits later.…”