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Legitimizing new practices in primary health care
Trish Reay1, Elizabeth Goodrick, Ann Casebeer
1University of Alberta, Edmonton, Canada. Trish.reay@ualberta.ca
Health Care Management Review
|January 25, 2012
Summary
Successful adoption of new primary health care practices requires managers to engage teams, encourage trying new methods, foster constructive disagreement, and maintain focus on overarching goals for effective team-based care.
Area of Science:
- Health Services Research
- Organizational Change Management
- Primary Health Care Innovation
Background:
- Primary health care reform is essential, shifting from physician-centric models to interdisciplinary teams.
- Despite agreement on the benefits of interdisciplinary primary health care, widespread adoption remains a challenge.
Purpose of the Study:
- To investigate the process by which new interdisciplinary practices become legitimized and accepted as working standards.
- To identify factors influencing the successful adoption of interdisciplinary team-based primary health care models.
Main Methods:
- A qualitative, longitudinal comparative case study design was employed.
- Researchers analyzed 8 primary health care innovation sites over 3 years, conducting 150 interviews with professionals and managers.
Main Results:
- New interdisciplinary practices were adopted in 5 of the 8 sites within 3 years.
- Successful adoption was linked to strategies including full engagement, encouraging trial of new practices, structured disagreement, and goal focus.
Conclusions:
- Managerial strategies are crucial for successful health care change initiatives.
- Key strategies include securing professional buy-in, facilitating rapid trial of new practices, encouraging managed disagreement, and maintaining focus on long-term objectives.
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