ArticleCanadian family physician Medecin de famille canadien2026
Impact of grassroots development of interprofessional team-based practices: Retrospective matched cohort study using ICES data.
Article in Canadian family physician Medecin de famille canadien, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo evaluate the impact of self-initiated and community-driven "grassroots" interprofessional teams relative to formally designated family health teams (FHTs) supported by government transition programs and non-team practices in Ontario.
designRetrospective matched cohort study.
settingHealth administrative data spanning 2016 to 2021 from ICES in Ontario.
participantsGrassroots practices were matched to FHTs and non-team physician practices in the health administrative data set.
main outcome measuresPatient attachment, visits, continuity, and preventive care metrics were compared using descriptive and inferential statistics.
resultsGrassroots clinics had significantly more attached patients per physician (n=1371) than FHTs (n=1227;
conclusionGrassroots team-based care in Ontario is associated with positive impacts on primary care access and delivery of preventive services, inspiring confidence in these developments. Initiatives that encourage family practices to pursue their own conceptualization of effective team-based care may be beneficial, although there is a need for further research to assess the broader effects and scalability of such models.
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