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  11. Grassroots Development Of Interprofessional Primary Care Teams: A Qualitative Study In Canadian Family Practices

Grassroots development of interprofessional primary care teams: a qualitative study in Canadian family practices

Asiana Elma1, Aimun Qadeer Shah2, Hila Shnitzer2

  • 1research coordinator, Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada; doctoral student, Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|June 5, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Grassroots development of team-based family practices requires balancing government investment with practice autonomy. This approach fosters provider buy-in and community-responsive innovation, improving healthcare access and efficiency.

Area of Science:

  • Health Services Research
  • Primary Care
  • Team-Based Care

Background:

  • Primary care access is a critical health system concern.
  • Team-based care models promote better access to promotional, preventive, and therapeutic care.
  • Canadian health system investments have not consistently supported team-based primary care, leading to grassroots initiatives.

Purpose of the Study:

  • To explore factors and processes supporting successful grassroots development of team-based family practices.
  • Investigate self-initiated efforts by Canadian family practices to transform into team-based care models.

Main Methods:

  • Qualitative multiple case study design.
  • Analysis of case-relevant documents and interviews with practice leaders.
  • Unconstrained qualitative description guided by social innovation theory.
Keywords:
family practicegroup practicepatient care teamprimary health care

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Main Results:

  • Transformation processes were complex, involving business case development, funding acquisition, multi-stakeholder collaboration, and securing resources.
  • Efforts aligned with local healthcare needs.
  • Positive outcomes reported include improved access, attachment, workflow efficiency, and reduced emergency department visits.

Conclusions:

  • Advocate for a balance between government investment and practice-level autonomy in developing team-based family medicine.
  • This balance supports provider buy-in and enables community-appropriate innovation and responsiveness in care delivery.