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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Partnering for change.

Martha L P MacLeod1, Neil Hanlon2, Trish Reay3

  • 1School of Nursing, University of Northern British Columbia, Prince George, Canada.

Journal of Health Organization and Management
|December 20, 2019
PubMed
Summary
This summary is machine-generated.

Collaborative strategies between health authorities, municipal leaders, and physicians can transform primary healthcare. Focusing on community needs and encouraging innovation drives system-wide change.

Keywords:
IntegrationOrganizational innovationPartneringPrimary careQualitative researchRural health services

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Area of Science:

  • Health Services Research
  • Primary Healthcare Transformation
  • Community-Engaged Healthcare

Background:

  • Strengthening health system and community connections is crucial for primary healthcare improvement.
  • Limited understanding exists on how new collaborations impact primary healthcare service delivery.

Purpose of the Study:

  • To explore the collaborative process between a health authority, municipal leaders, and physicians in transforming primary healthcare.
  • To identify strategies and approaches used in primary healthcare transformation.

Main Methods:

  • A longitudinal qualitative case study design was employed.
  • Data collected over three years through 239 interviews with diverse stakeholders in Northern British Columbia, Canada.
  • Analysis of interviews and contextual documents to understand the transformation process.

Main Results:

  • Four overarching strategies and nine specific approaches were identified.
  • Key strategies included partnering for innovation, community focus, seizing opportunities, and managed experimentation.
  • Transformation was achieved through a clear vision, patient-centeredness, and sustained collaboration.

Conclusions:

  • Primary healthcare transformation through partnerships is complex but feasible.
  • This collaborative approach can establish a foundation for significant, whole-system change in healthcare.