Evidence map›Paper›PMID 40473428›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2025

Grassroots development of interprofessional primary care teams: a qualitative study in Canadian family practices.

Asiana Elma, Aimun Qadeer Shah, Hila Shnitzer, Laurie Yang, Augustine Okoh, Michelle Howard, Jose Francois, Alan Katz, David Price, Lawrence Grierson

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Asiana Elmaresearch coordinator, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada; doctoral student, Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Aimun Qadeer ShahDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Hila ShnitzerDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Laurie YangDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Augustine OkohDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Michelle HowardDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Jose FrancoisDepartment of Family Medicine Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
Alan KatzDepartment of Family Medicine Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada.
David PriceDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada; founding dean, SFU School of Medicine, Simon Fraser University, Surrey, Canada.
Lawrence GriersonDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada griersle@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary care access is universally a critical health system concern. Decades of research shows that continuous, comprehensive, team-based care promotes greater access to promotional, preventive, and therapeutic care. In Canada, health system investments in team-based primary care models have not yet supported consistent implementation and uptake across the country. As a result, some family practices have taken a grassroots approach to realising team-based care.

aimTo explore the factors and processes that support the successful grassroots development of team-based family practices. DESIGN AND

settingUsing a qualitative multiple case study design, we investigated the experiences of Canadian family practices that engaged in self-initiated efforts to develop or transform into a team-based care model in Canada.

methodCase-relevant documents and interviews with practice leaders were analysed using an unconstrained approach to qualitative description. Data collection and analyses were guided by the theory of social innovation.

resultsTransformation processes were complex and multifaceted. Common activities across all cases were: developing business cases; obtaining funding; collaborating with provincial or regional governments, health authorities, and community members; ensuring buy-in from practice members; and securing space and human resources. These efforts supported alignment with local healthcare needs. Practice leaders uniformly declared that the change fostered positive outcomes, including improved access and attachment, more efficient workflows, and reduced emergency department visits.

conclusionThose interested in promoting team-based family medicine should advocate for a balance of government investment and practice-level autonomy over development, which supports provider buy-in and community-appropriate innovation and responsiveness in care delivery.

Indexed as

Family PracticePatient Care TeamPrimary Health CareCanadaCooperative BehaviorHealth Services AccessibilityHumansInterprofessional RelationsQualitative Researchfamily practicegroup practicepatient care teamprimary health care

Identifiers

PMID40473428
PMCPMC12754657

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.