Evidence map›Paper›PMID 34824561›Full record

ArticleInternational journal of integrated care

Facilitating Integration Through Team-Based Primary Healthcare: A Cross-Case Policy Analysis of Four Canadian Provinces.

Alexandra Lukey, Sharon Johnston, Stephanie Montesanti, Catherine Donnelly, Paul Wankah, Mylaine Breton, Isabelle Gaboury, Simone Parniak, Caille Pritchard, Shannon Berg and 4 more

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  17. Patient, family member and caregiver engagement in shaping policy for primary health care teams in three Canadian Provinces.Health expectations : an international journal of public participation in health care and health policy · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Alexandra LukeySchool of Nursing, University of British Columbia, Okanagan, CA.ORCID https://orcid.org/0000-0001-9661-7790
Sharon JohnstonDepartment of Family Medicine, University of Ottawa, Institut du Savoir Montfort, CA.ORCID https://orcid.org/0000-0001-8382-0378
Stephanie MontesantiSchool of Public Health, University of Alberta, CA.ORCID https://orcid.org/0000-0002-3284-5767
Catherine DonnellySchool of Rehabilitation Therapy, Queen's University, CA.ORCID https://orcid.org/0000-0002-0809-3059
Paul WankahDepartment of Community Health, Université de Sherbrooke, CA.ORCID https://orcid.org/0000-0002-2779-9209
Mylaine BretonDepartment of Community Health, Université de Sherbrooke, CA.ORCID https://orcid.org/0000-0001-5713-9618
Isabelle GabouryDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, CA.ORCID https://orcid.org/0000-0002-2881-4714
Simone ParniakSchool of Rehabilitation Therapy, Queen's University, CA.ORCID https://orcid.org/0000-0003-0506-4292
Caille PritchardSchool of Public Health, University of Alberta, CA.ORCID https://orcid.org/0000-0002-8950-9190
Shannon BergOccupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta; Associate, Centre for Clinical Epidemiology and Evaluation (C2E2), Vancouver Coastal Health Research Institute.
Karin MaiwaldResearch Department, Interior Health; Adjunct Professor, Faculty of Medicine, University of British Columbia, CA.ORCID https://orcid.org/0000-0002-0458-466X
Sara MallinsonHealth Systems Evaluation and Evidence, Alberta Health Services.ORCID https://orcid.org/0000-0002-6786-9814
Lee A GreenDepartment of Family Medicine, University of Alberta, CA.ORCID https://orcid.org/0000-0002-1789-7366
Nelly D OelkeSchool of Nursing, University of British Columbia, Okanagan, CA.ORCID https://orcid.org/0000-0002-1666-5360

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTeam-based care can improve integrated health services by increasing comprehensiveness and continuity of care in primary healthcare (PHC) settings. Collaborative models involving providers from different professions can help to achieve coordinated, high-quality person-centred care. In Canada, there has been variation in both the timing/pace of adoption and approach to interprofessional PHC (IPHC) policy. Provinces are at different stages in the development, implementation, and evaluation of team-based PHC models. This paper describes how different policies, contexts, and innovations across four Canadian provinces (British Columbia, Alberta, Ontario, Quebec) facilitate or limit integrated health services through IPHC teams.

methodsSystematic searches identified 100 policy documents across the four provinces. Analysis was informed by Walt and Gilson's Policy Triangle (2008) and Suter et al.'s (2009) health system integration principles. Provincial policy case studies were constructed and used to complete a cross-case comparison.

resultsEach province implemented variations of an IPHC based model. Five key components were found that influenced IPHC and integrated health services: patient-centred care; team structures; information systems; financial management; and performance measurement.

conclusionHeterogeneity of the implementation of PHC teams across Canadian provinces provides an opportunity to learn and improve interprofessional care and integrated health services across jurisdictions.

Indexed as

Integrated health servicesIntegrationInterprofessional teamsPrimary carePrimary healthcareTeam-based care

Identifiers

PMID34824561
PMCPMC8588891

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.