Sharing the Learning: Health Transition Fund: Synthesis Series: Primary Health Care

Prepared by Ann L. Mable and John Marriott
Marriot Mable
For Health Canada
2002
ISBN 0-662-66306-3 (print publication)
Cat. H13-6/2002-3 (print publication)

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(578K)

Table of Contents

Executive Summary

Primary Health Care in Canada

Preface

Unique Nature of the HTF Projects

Acknowledgements
1. Setting the Context

1.1 Background: Expanding Perspectives
1.2 Systemic Influences and Present Priorities

2. Overview of the Health Transition Fund Studies
3. Significant/Relevant Findings

3.1 Models and Elements: Organizational or Operational Reform

3.1.1 Combining the Elements
3.1.2 Patient Choice and Rostering
3.1.3 Citizen Participation
3.1.4 Funding
3.1.5 Information Systems and Technology

3.2 Capacity Building for Primary Health Care

3.2.1 Guidelines and Other Tools
3.2.2 Populations with Chronic Disease
3.2.3 Populations at Risk

3.2.3.1 Families/Mothers/Children
3.2.3.2 Violence
3.2.3.3 Drugs and Seniors
3.2.3.4 Farming Environment
3.2.3.5 Emergency Rooms and Primary Care Services

3.3 Relationship to the HTF Evaluation Framework

3.3.1 Access
3.3.2 Quality
3.3.3 Integration
3.3.4 Health Outcomes
3.3.5 Cost-Effectiveness
3.3.6 Transferability

4. Health Human Resources

4.1 Nurses

4.1.1 Nurses in Different Roles
4.1.2 Expanding Scope of Practice

4.2 Physicians
4.3 Collaborative Practice: Multidisciplinary Teams and Co-operative Care
4.4 Other Providers

5. Population Health and Cross-Sectoral Implications
6. Implications for Policy and Practice

6.1 Pilots or Implementation?
6.2 One Model or Many?
6.3 Guidelines for Implementing Models
6.4 Computers, Information Systems, and Telehealth
6.5 Administrative Simplicity
6.6 Collaborative Practice
6.7 Joint Education of Providers
6.8 Nursing
6.9 Other Providers
6.10 Continuing Education Support
6.11 Clinical Practice Guidelines and Program Development
6.12 Public Education
6.13 Success Stories
6.14 Emergency versus Urgent Services
6.15 Information Links and Data Standards
6.16 Population-Specific Needs and Circumstances

7. Recommendations and Conclusion

7.1 Pilots or Implementation?
7.2 One Model or Many?
7.3 Guidelines and Support for Implementation
7.4 Computers, Information Systems, and Telehealth
7.5 Administrative Simplicity
7.6 Collaborative Practice
7.7 Joint Education of Providers
7.8 Nursing
7.9 Other Providers
7.10 Continuing Education Support
7.11 Clinical Practice Guidelines and Program Development
7.12 Public Education
7.13 Success Stories
7.14 Emergency versus Urgent Services
7.15 Information Links and Data Standards
7.16 Manage the Transition
7.17 Conclusion

References
Appendix A: List of HTF Projects Relevant to Primary Health Care
Table 1: Number and Location of HTF Projects
Table 2: Major Types of HTF Initiatives
Table 3: Determinants of Health