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Effectively engaging physicians in system change.

Colleen Grady1, Han Han1, Lynn Roberts1

  • 1Department of Family Medicine, 4257Queen's University, Kingston, Ontario, Canada.

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This study on healthcare system change in Ontario found that evolving governance and a pandemic impacted clinical leaders and physicians. Despite challenges, a shift towards increased physician engagement and a culture ripe for change was observed.

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Area of Science:

  • Healthcare Management
  • Health Policy
  • Organizational Change

Background:

  • Prospective study aimed to support clinical leaders and inform peer engagement strategies for system change.
  • Initiated in one Local Health Integrated Network (LHIN) in Ontario, Canada.
  • Study duration spanned 14 months, coinciding with significant political and public health events.

Purpose of the Study:

  • To examine the impact of a rapidly evolving political agenda and pandemic on healthcare organizations and outcomes.
  • To understand the experiences of clinical leaders and community physicians during a period of significant healthcare system restructuring.
  • To identify factors influencing peer engagement and culture shift within a healthcare network.

Main Methods:

  • Mixed methods approach incorporating qualitative and quantitative data.
  • Involved clinical leaders and community physicians within a specific Local Health Integrated Network (LHIN).
  • Data collection occurred over a 14-month period during a dynamic political climate.

Main Results:

  • The study was significantly impacted by external factors, including a shifting political agenda and the pandemic.
  • A transition in regional healthcare governance from Local Health Integrated Networks (LHINs) to Ontario Health Teams occurred.
  • An increase in community physician engagement was noted, alongside a perceived culture shift by leaders, indicating potential for driving change.

Conclusions:

  • High-performing healthcare systems require effective physician leadership and engagement.
  • Government acknowledgment and support are crucial for successful healthcare system transformation.
  • The observed culture shift suggests resilience and adaptability within the healthcare sector despite external pressures.