ArticleInternational journal of integrated care2017
How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand.
Article in International journal of integrated care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Article
- Health reforms across the world: are they heading in the same direction, and how much change can we expect?Research in health services & regions · 2023Article
- Towards a mother-centred maternal health promotion.Health promotion international · 2023Article
- Care in the Community: Opportunities to improve cancer screening uptake for people living with low income.Preventive medicine reports · 2021Article
- New Zealand's Integration-Based Policy for Driving Local Health System Improvement - Which Conditions Underpin More Successful Implementation?International journal of integrated care · 2021Article
- Seniors' campus continuums: local solutions for broad spectrum seniors care.BMC geriatrics · 2021Article
- On redesigning public health in Québec: lessons learned from the pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Comparing International Models of Integrated Care: How Can We Learn Across Borders?International journal of integrated care · 2020Article
- Implementing Integrated Community-Based Primary Healthcare: Applying the iCoach-Approach to Case Selection to Denmark.International journal of integrated care · 2019Article
- "You've got to look after yourself, to be able to look after them" a qualitative study of the unmet needs of caregivers of community based primary health care patients.BMC geriatrics · 2018Article
- Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies.Implementation science : IS · 2018Article
- A Research Program on Implementing Integrated Care for Older Adults with Complex Health Needs (iCOACH): An International Collaboration.International journal of integrated care · 2018Article
- Integrated Care in Aotearoa New Zealand 2008-2020.International journal of integrated careArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Community-based primary health care describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for community-based primary health care have stimulated local initiatives and influenced the design of policy solutions. However, the ways in which these ideas and influences find their way into policy and practice is strongly mediated by policy settings and institutional legacies of particular jurisdictions. This paper seeks to compare the key institutional and policy features of Ontario, Québec and New Zealand that shape the 'space available' for models of community-based primary health care to take root and develop. Our analysis suggests that two key conditions are the integration of relevant health and social sector organisations, and the range of policy levers that are available and used by governments. New Zealand has the most favourable conditions, and Ontario the least favourable. All jurisdictions, however, share a crucial barrier, namely the 'barbed-wire fence' that separates funding of medical and 'non-medical' primary care services, and the clear interests primary care doctors have in maintaining this fence. Moves in the direction of system-wide community-based primary health care require a gradual dismantling of this fence.
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Registered trials
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