Policy Points Considerable investments have been made to build high‐performing primary
care systems in Canada. However, little is known about the extent to which change has …

Context: During the 1980s and 1990s, innovations in the organization, funding, and delivery
of primary health care in Canada were at the periphery of the system rather than at its core …

Background Primary care reform has been on the political agenda in Canada and many
industrialized countries for several decades; it is widely seen as the foundation for broader …

Following decades of stagnation, potentially transformative changes in primary healthcare
are proceeding in several Canadian provinces. These changes-primarily collaborative and …

In response to the national objectives set out in federal-provincial-territorial health accords in
2000, 2003 and 2004, Canadian jurisdictions began to develop a variety of new approaches …

Governments and health care stakeholders have been talking about reorganizing the way
Canadians receive primary care services for a very long time (1). Yet it is hard to discern real …

Strong primary care is a fundamental underpinning of high-performing health systems.
Sadly, primary care infrastructure and performance in Canada lag behind many of our …

Introduction: In the last decade, Canadian provincial and territorial health systems have
taken diverse approaches to strengthening primary care delivery. Although the Canadian …

Objective To explore regional primary care improvement strategies that are potentially
determinants of primary care performance. Design Multiple comparative embedded case …

Purpose Conceptual frameworks for primary care have evolved over the last 40 years, yet
little attention has been paid to the environmental, structural and organizational factors that …