Navigation Links
UAlberta researcher pinpoints prescription for successful Primary Care Networks

A newly-released study on early adoptees of the Primary Care Network initiative proposes that their success lies with three key elements: strong leadership, a redefined, inclusive workspace and allowance for creative discord.

In a paper published in Health Care Management Review, lead researcher Trish Reay of the Alberta School of Business and colleagues from the U of A, University of Calgary and Florida Atlantic University state that of eight centres that agreed to the government proposal to design and deliver comprehensive family health care, five were able to thrive by engaging in and adopting changes in standard practice.

Reay says that this reorganization of patient care into more comprehensive services reaps positive benefits for all parties the patients, the doctors and other healthcare practitioners involved in the networks, and the healthcare system itself. And with over 2500 doctors now signed on the initiative, it is a system that holds promise for improved healthcare delivery in the province.

"What the doctors I've spoken to find attractive about the PCN model is, that by bringing other professionals and creating a team, it allows the physicians to practice medicine in the way they really want to," she said.

Follow the leader: healthcare managers guide successful integration

Reay noted that healthcare managers who were hired to organize the PCNs were an important catalyst of change. They facilitated group decision-making regarding the re-organization and re-allocation of work, such as counseling diabetes patients on lifestyles, from doctors to other healthcare professionals, such as nurses. The physicians were able to focus on the aspects of the practice for which they were solely qualified. Under this framework, the care and treatment of patients truly became a team approach.

"We found that the managers had to find ways to get the physicians and those around them to actually try these new, multidisciplinary mechanisms," said Reay. "These managers had a positive attitude and they set up a number of different ways that almost made them keep trying it for awhile. As they kept trying it, they made them talk about it and really think through how it was going."

Communication, space key components

Reay says that a re-organization and re-allocation of physical space was critical in developing teamwork and facilitating communication. But, the ability to communicate and to disagree also seemed to make the successful PCNs. Those who had not made successful transition were pleasant, but she said they constantly claimed to be "almost ready" to make the change, a sign that perhaps hid underlying communications issues. Those leaders that had managed the difficult conversations and found the ability to compromise and move forward were models of success.

"(Managers) encouraged people to disagree so that you could have a more full discussion about what was going on and really think through how to manage it," she said.

PCNS provide benefit for all

Reay said the doctors she spoke with are sold on PCNs because they allow them greater freedom to practice medicine the way they want, provide for maintained contact with their patients and offer them great work-life balance. As economic issues mean that healthcare has to do more with less, she says this model permits the PCNs to focus on healthcare needs of their patient community areas such as mental health, diabetes, cardiac care, etc and work preventatively providing counseling and information to people at-risk for chronic diseases.

"Patients actually like this model. They like the fact that they see their physicians still, but they don't have to rely on those quick office visits in order to ask questions and get more information and learn about whatever it may be that they have, said Reay. "In a business world, we'd say that this model is more 'user-friendly.'

"The client has a better and, I think, more effective experience in terms of learning to manage their own life and be healthy."


Contact: Jamie Hanlon
University of Alberta

Related medicine news :

1. New UAlberta research shows commonly prescribed medications could have adverse effects
2. Alternative medicine use high among children with chronic conditions: UAlberta medical research
3. Alternative medicine use high amoung children with chronic conditions: UAlberta medical research
4. UAlberta medical researchers discover new potential chemotherapy
5. UAlberta medical researchers make key discovery in fight against Alzheimers disease
6. UAlberta prostate cancer researcher and team developing homing beacon drugs to target cancer cells
7. Tumor cells engineer acidity to drive cell invasion, Moffitt Cancer Center researchers say
8. Researchers say its time to treat anemia seriously
9. Rush researchers studying stem cell therapy to repair damaged knee cartilage
10. Researchers discover new mutations driving malignant melanoma
11. CDC Researchers Spot Increase in New Stomach Bug Strain
Post Your Comments:
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance that ... insurance companies have a waiver for care if the client has a cognitive impairment ... family pays for care, is often waived, so the benefits from their insurance start ...
(Date:10/13/2017)... ... , ... Talented host, actor Rob Lowe, is introducing a ... episode of "Success Files," which is an award-winning educational program broadcasted on PBS ... in-depth with passion and integrity. , Sciatica occurs when the sciatic nerve in ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San Francisco dentists, ... cutting-edge Oventus O2Vent technology. As many as 18 million Americans are estimated to ... breathing. Oral appliances can offer significant relief to about 75 percent of people ...
(Date:10/12/2017)... ... October 12, 2017 , ... Asante, a nationally recognized health ... expanded their existing home health joint venture through an agreement, effective October 1, ... joint venture home health company with Asante, delivering clinically integrated care, for the ...
(Date:10/12/2017)... ... 2017 , ... On Saturday, October 21, the Health & Wellness Center at ... raise money for the American Heart Association Heart Walk. Teams of up to 10 ... to keep their treadmills moving for 5 hours. Treadmills will start at 7:00 p.m. ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... , Oct. 2, 2017 Diplomat Pharmacy, ... 8th Day Software and Consulting, LLC , and named ... 8th Day Software, based in Tennessee , ... 8th Day expands EnvoyHealth,s service offerings for health care ... "In an interoperable ...
(Date:10/2/2017)... COPENHAGEN, Denmark , Oct. 2, 2017 The ... tool in the struggle to reverse the tide of prescription ... plan for regulating their medicine intake and stepping down their ... is set to launch in December 2017; the first 100,000 ... access. Learn more at ...
(Date:9/27/2017)... Israel and NEW YORK , Sept. 27, ... with mobile health and big data solutions, today announced that its MyDario ... Please check your local TV listings for when The Dr. Oz Show ... ... season this month. ...
Breaking Medicine Technology: