![]() PC draws on various blended payment schemes and is generally funded by and accountable to their privately owned practices. Team composition varies and can include physicians, nurse practitioners, registered nurses, pharmacists, occupational therapists, physiotherapists, social workers, respiratory therapists, counsellors and others. Although many fee-for-service practices exist, PC in Canada is increasingly delivered by interprofessional PC teams in group practices/networks. By definition, PC is the first point of entry to a health care system that provides episodic, comprehensive, person-focused care over time, coordinates care by others, and includes health promotion. Internationally primary care (PC) and public health (PH) collaboration has been touted as a strategy to overcome such challenges and is a core feature of the World Health Organization’s vision of primary health care in the twenty-first century ( ). Health systems reforms in Canada are influenced by escalating health care costs, demands of an aging population, increasing prevalence of multiple chronic health and social conditions, and increasing health inequities. Primary care and public health collaborations can strengthen community-based primary health care while addressing the Quadruple Aims with an emphasis on reducing health inequities but requires attention to collaboration barriers and enablers. Cases achieved outcomes addressing the Q-Aims such as improving access to services, addressing population health through outreach to at-risk populations, reducing costs through efficiencies, and improving provider experience through capacity building. Enablers included clear goals, trusting and inclusive relationships, role clarity, strong leadership, strong coordination and communication, and optimal use of resources. Perceived barriers included ineffective communication processes, inadequate time for collaboration, geographic challenges, lack of resources, and varying organizational goals and mandates. Barriers and enablers differed among cases. Common precipitators were having a shared vision and/or community concern. ResultsĪims of collaborations included: provider capacity building, regional vaccine/immunization management, community-based health promotion programming, and, outreach to increase access to care. This provided an opportunity to explore how primary care and public health collaboration could serve in transforming community-based primary health care with the potential to address the Quadruple Aims. Data sources included a survey using the Partnership Self-Assessment Tool, focus groups, and document analysis. ![]() Ten case studies were conducted in three provinces (Nova Scotia, Ontario, and British Columbia) to elucidate experiences of primary care and public health collaboration in different settings, contexts, populations and forms. This study aimed to explore the nature of Canadian primary care - public health collaborations, their aims, motivations, activities, collaboration barriers and enablers, and perceived outcomes. Concurrently, collaboration between primary care and public health has been the focus of current research, looking for integrated community-based primary health care models that best suit the health needs of communities and address health equity. It is at the forefront of Canadian reform debates aimed to improve a complex and often-fragmented health care system. The Quadruple Aim advocates for: improving patient experience, reducing cost, advancing population health and improving the provider experience. Health systems in Canada and elsewhere are at a crossroads of reform in response to rising economic and societal pressures.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |