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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

Author

Listed:
  • Oelke, Nelly D.
  • Rai, Ashmita
  • Hirschkorn, Peter
  • Mylaine, Breton
  • Donnelly, Catherine
  • Montesanti, Stephanie
  • Isabelle, Gaboury
  • Maiwald, Karin
  • Wankah, Paul

Abstract

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.

Suggested Citation

  • Oelke, Nelly D. & Rai, Ashmita & Hirschkorn, Peter & Mylaine, Breton & Donnelly, Catherine & Montesanti, Stephanie & Isabelle, Gaboury & Maiwald, Karin & Wankah, Paul, 2025. "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," Health Policy, Elsevier, vol. 160(C).
    • Handle: RePEc:eee:hepoli:v:160:y:2025:i:c:s0168851025001460
    DOI: 10.1016/j.healthpol.2025.105391
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    References listed on IDEAS

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    1. ., 2023. "The 2007- crisis, common patterns and new thinking," Chapters, in: Financial Crises and Recession in the Global Economy, chapter 4, pages 107-135, Edward Elgar Publishing.
    2. repec:bcp:journl:v:7:y:2023:i:5:p:108-119 is not listed on IDEAS
    3. ., 2023. "The EU Common Agricultural Policy," Chapters, in: Animal Welfare Governance in EU Agriculture, chapter 4, pages 108-138, Edward Elgar Publishing.
    4. Pascucci, Domenico & Sassano, Michele & Nurchis, Mario Cesare & Cicconi, Michela & Acampora, Anna & Park, Daejun & Morano, Carmen & Damiani, Gianfranco, 2021. "Impact of interprofessional collaboration on chronic disease management: Findings from a systematic review of clinical trial and meta-analysis," Health Policy, Elsevier, vol. 125(2), pages 191-202.
    5. Sagiru Mati & Irfan Civcir & Huseyin Ozdeser, 2023. "ECOWAS Common Currency, a Mirage or Possibility?," Panoeconomicus, Savez ekonomista Vojvodine, Novi Sad, Serbia, vol. 70(2), pages 239-260.
    6. Luke Slawomirski & Luca Lindner & Katherine de Bienassis & Philip Haywood & Tiago Cravo Oliveira Hashiguchi & Melanie Steentjes & Jillian Oderkirk, 2023. "Progress on implementing and using electronic health record systems: Developments in OECD countries as of 2021," OECD Health Working Papers 160, OECD Publishing.
    7. Miao, Ke & Phillips, Peter C.B. & Su, Liangjun, 2023. "High-dimensional VARs with common factors," Journal of Econometrics, Elsevier, vol. 233(1), pages 155-183.
    8. ., 2023. "Common provisions - Articles 27-35," Chapters, in: The Brussels I-bis Regulation, chapter 6, pages 343-394, Edward Elgar Publishing.
    Full references (including those not matched with items on IDEAS)

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