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How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand Cover

How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand

Open Access
|Jun 2017

References

  1. World Health Organization The world health report 2008 – Primary health care (now more than ever) 2008 Geneva WHO [cited 2016 July 14]. Available from: http://www.who.int/whr/2008/en/
  2. Coleman K Austin B Brach C Wagner E Evidence on the Chronic Care Model in the new millennium Health Affairs 2009 28 1 75 85 10.1377/hlthaff.28.1.75
  3. Kodner DL Whole-system approaches to health and social care partnerships for the frail elderly: an exploration of North American models and lessons Health & Social Care in the Community 2006 Sep 14 5 384 90 10.1111/j.1365-2524.2006.00655.x
  4. Blakely T Tobias M Robson B Ajwani S Bonne M Woodward A Widening ethnic mortality disparities in New Zealand 1981–99 Social Science & Medicine 2005 61 2233 51 10.1016/j.socscimed.2005.02.011
  5. Smith LT Decolonizing Methodologies: research and indigenous peoples 2012 New Zealand Otago University Press, Dunedin
  6. Kingi KR The Treaty of Waitangi and Māori Health 2006 Wellington, New Zealand Massey University [cited 2016 July 14]. Available from: http://www.massey.ac.nz/massey/fms/Te%20Mata%20O%20Te%20Tau/Publications%20-%20Te%20Kani/T%20Kingi%20Treaty_of_Waitangi_Māori_Health1.pdf?95BAA6D4A43BA51CFFB9589A7660869D
  7. Statistics Canada Aboriginal Peoples in Canada: First Nations People, Métis and Inuit: Highlights 2005 Ottawa Statistics Canada [cited 2016 July 14]. Available from: https://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-011-x/99-011-x2011001-eng.cfm
  8. The Organisation for Economic Co-operation and Development Health Statistics 2015 [webpage on the internet]. [cited 2016 July 14]. Available from: http://www.oecd.org/els/health-systems/health-statistics.htm
  9. Marchildon GP Canada: Health system review Health Systems in Transition 2013 15 1 1 179 [cited 2016 July 14]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0011/181955/e96759.pdf
  10. New Zealand Ministry of Health Briefing to the Incoming Minister 2014 Wellington, New Zealand New Zealand Ministry of Health [cited 2016 July 14]. Available from: http://www.health.govt.nz/publication/briefing-incoming-minister-health-2014
  11. Taylor M Health Insurance and Canadian Public Policy: The Seven Decisions That Created the Health Insurance System and Their Outcomes 2009 2nd edition McGill-Queens University Press April 1
  12. Blank R Burau V Comparative Health Policy 2014 4th edition Basingstoke and New York Palgrave Macmillan 10.1007/978-1-137-02358-2
  13. Ashton T Tenbensel T Okma KGH Crivelli L Reform and Re-reform of the New Zealand system Six countries, six reform models – the healthcare reform experiences of Israel, the Netherlands, New Zealand, Singapore, Switzerland and Taiwan 2010 Singapore World Scientific Publishing 83 110
  14. Gauld R Questions about New Zealand’s health system in 2013, its 75th anniversary year New Zealand Medical Journal 2013 126 1380 68 74
  15. Hay I The Caring Commodity: the provision of health care in New Zealand 1989 Auckland Oxford University Press
  16. Cumming J McDonald J Barr C Martin G Gerring Z Daubé J New Zealand Health System Review Health Systems in Transition 2014 4 2 [cited 2016 July 14]. Available from: http://www.wpro.who.int/asia_pacific_observatory/hits/series/Nez_Health_Systems_Review.pdf
  17. New Zealand Ministry of Health Health Expenditure Trends in New Zealand 2000–2010 2012 Wellington New Zealand Ministry of Health [cited 2016 July 14]. Available from: http://www.health.govt.nz/publication/health-expenditure-trends-new-zealand-2000-2010
  18. Ontario Ministry of Health and Long-Term Care (MoHLTC) Legislation: Local Health System Integration Act, 2006 2015 Toronto MoHLTC [cited 2016 June 13]. Available from: http://www.health.gov.on.ca/en/common/legislation/lhins/hu_regulation.aspx
  19. Hutchison B Reforming Canadian primary care – don’t stop half-way Healthcare Policy 2013 August 9 1 12 25 [cited 2016 July 14]. Available from: http://www.longwoods.com/content/23481
  20. Baranek PM Deber RB Williams AP Almost home: reforming home and community care in Ontario 2004 Toronto University of Toronto Press 10.3138/9781442670754
  21. Ontario Ministry of Health and Long-Term Care (MoHLTC) Patients First: A Roadmap to Strengthen Home and Community Care 2015 Toronto MoHLTC [cited 2016 June 15]. Available from: http://www.health.gov.on.ca/en/public/programs/ccac/roadmap.pdf
  22. Ontario Ministry of Health and Long-Term Care (MoHLTC) Health Links: Archived Backgrounder: About Health Links 2012 Toronto MoHLTC [cited 2016 June 8]. Available from: http://news.ontario.ca/mohltc/en/2012/12/about-health-links.html
  23. Sutherland JM Repin N Crump RT Reviewing the Potential Roles of Financial Incentives for Funding Healthcare in Canada 2012 Ottawa Canadian Foundation for Healthcare Improvement
  24. Couturier Y Bonin L Belzile L L’intégration des services en santé: une approche populationnelle. [The Integration of Health Services: A Population Approach] 2016 Canada The University of Montreal Press 272 [in French]
  25. Breton M Lévesque J Pineault R Lamothe L Denis J-L Integrating public health into local healthcare governance in Québec: challenges in combining population and organizational perspectives Healthcare Policy 2009 4 3 [cited 2016 July 14]. Available from: http://www.getoss.enap.ca/GETOSS/Publications/Lists/Publications/Attachments/81/Integrating%20Public%20Health%20into%20Local%20health%20care.pdf
  26. Denis J-L Lamothe L Langley A Breton M Gervais J Trottier L-H The reciprocal dynamics of organizing and sense-making in the implementation of major public-sector reforms Can Public Adm 2009 52 2 225 48 10.1111/j.1754-7121.2009.00073.x
  27. Starfield B Primary care: Balancing Health Needs, Services and Technology 1998 New York Oxford University Press
  28. Breton M Pineault R Lévesque JF Roberge D Borgès Da Silva R Prud’home A Reforming healthcare systems on a locally integrated basis: is there a potential for increasing collaborations in primary healthcare? BMC Health Services Research 2013 13 1 262 [cited 2016 July 14]. Available from: https://www.researchgate.net/publication/247771085_Reforming_healthcare_systems_on_a_locally_integrated_basis_Is_there_a_potential_for_increasing_collaborations_in_primary_healthcare
  29. Breton M Lévesque J Pineault R Hogg W Primary care reform: can Québec’s family medicine group model benefit from the experience of Ontario’s family health teams? Healthcare Policy 2011 October 7 2 [cited 2016 July 14]. Available from: http://www.longwoods.com/content/22618
  30. Bourgueuil Y Marek A Mousquès J Médecine de groupe en soins primaires dans six pays européens, en Ontario et au Québec: état des lieux et perspectives [Primary Care Group Practice in Six European Countries, in Ontario and Québec: state of the art and perspectives] 2007 IRDES [in French]. [cited 2016 July 14]. Available from: http://www.irdes.fr/Publications/Rapports2007/rap1675.pdf
  31. Pomey MP Martin E Forest P Québec’s Family Medicine Groups: Innovation and compromise in the Reform of Front-line Care Canadian Political Science Review 2009 3 4 31 46
  32. Pinault R Borgès Da Silva R Provost S Breton M Tousignant P Fournier M Prud’homme A Levesque J Impacts of Québec Primary Healthcare Reforms on Patients’ Experience of Care, Unmet Needs, and Use of Services International Journal of Family Medicine 2016 10.1155/2016/8938420 [cited 2016 July 14]. Available from
  33. Contandriopoulos D Brousselle A Breton M Sangster-Gormley E Kilpatrick K Dubois C Nurse practitioners, canaries in the mine of primary care reform Health Policy 2016 120 6 682 9 [cited 2016 July 14]. Available from: http://www.healthpolicyjrnl.com/article/S0168-8510(16)30077-X/pdf
  34. Bodenheimer T Ghorob A Willard-Grace R Grumbach K The 10 Building Blocks of High-Performing Primary Care Annals of Family Medicine 2014 12 2 166 71 [cited 2016 July 14]. Available from: https://cchs.ua.edu/wp-content/blogs.dir/24/files/2014/06/The-10-Building-Blocks-of-High-Performing-Primary-Care.pdf
  35. Laugesen M Gauld R Democratic governance and health: hospitals, politics and health policy in New Zealand 2012 Dunedin Otago University Press
  36. Tenbensel T Cumming J Ashton T Barnett P Where there’s a will, is there a way?: Is New Zealand’s publicly funded health sector able to steer towards population health? Social Science and Medicine 2008 67 7 1143 52 10.1016/j.socscimed.2008.06.008
  37. New Zealand Ministry of Health About primary health organisations 2016 Wellington New Zealand Ministry of Health [cited 2016 June 28]. Available from: http://www.health.govt.nz/our-work/primary-health-care/about-primary-health-organisations
  38. New Zealand Ministry of Health Capitation 2016 Wellington New Zealand Ministry of Health [cited 2016 December 16] Available from: http://www.health.govt.nz/our-work/primary-health-care/primary-health-care-subsidies-and-services/capitation-rates
  39. Royal New Zealand College of General Practitioners 2015 Workforce Survey 2015 New Zealand [cited 2016 July 19]. Available from: https://www.rnzcgp.org.nz/RNZCGP/Publications/The_GP_workforce/RNZCGP/Publications/GP%20workforce.aspx?hkey=a7341975-3f92-4d84-98ec-8c72f7c8e151
  40. Primary Care Working Group Sustainability of General Practice: Consultation Forum Background Material – September 2015 2015 New Zealand September 4 [cited 2016 July 14]. Available from: http://gpnz.org.nz/wp-content/uploads/Background-Paper-Final.pdf
  41. Hider P Lay-Yee R Davis P Practitioners, patients, and their visits: a description of accident and medical (A&M) clinics in New Zealand, 2001/2 New Zealand Medical Journal 2007 120 1254 [cited 2016 July 14]. Available from: https://www.researchgate.net/publication/6316555_Practitioners_patients_and_their_visits_A_description_of_accident_and_medical_A_M_clinics_in_New_Zealand_20012
  42. Tenbensel T Edlin R Wilkinson-Meyers L Field A Walton L Appleton S Evaluation of A&M, HML Telephone Triage, and St John Transport Initiatives 2014 Auckland The University of Auckland and Synergia Limited [cited 2016 July 14]. Available from https://www.fmhs.auckland.ac.nz/assets/fmhs/reports/BSMC-HRC-12-940-FINAL-REPORT-16-May-2014.pdf
  43. Ryan B Ryan B Gill D The Signs are Everywhere: ‘Community’ Approaches to Public Management Future State 2011 Wellington Victoria University Press 85 122
  44. Tenbensel T Mays N Cumming J A successful mix of hierarchy and collaboration? Interpreting the 2001 reform of the governance of the New Zealand public health system Policy and Politics 2011 39 2 239 255 10.1332/030557310X519678
  45. PHO Services Agreement Amendment Protocol [cited 2016 December 16]. Available from: http://psaap.org.nz/contract-documents/pho-services-agreement/
  46. Crampton P Davis P Lay-Yee R Primary care teams: New Zealand’s experience with community-governed non-profit primary care Health Policy 2005 72 2 233 43 10.1016/j.healthpol.2004.08.003
  47. Hefford M Crampton P Foley J Reducing health disparities through primary care reform: the New Zealand experiment Health Policy 2005 72 1 9 23 10.1016/j.healthpol.2004.06.005
  48. Harvey C Paps E Roberts J Obstacles that prevent nurse practitioners in New Zealand fulfilling their roles Primary Health Care 2015 25 5 24 29 10.7748/phc.25.5.24.e935
  49. Gauld R The Unintended Consequences of New Zealand’s Primary Health Care Reforms Journal of Health Politics Policy and Law 2008 33 1 93 115 10.1215/03616878-2007-048
  50. Verstappen A The state of third sector primary care in New Zealand. [Masters of Public Health thesis] 2013 Auckland University of Auckland [cited 2016 July 14]. Available from: https://researchspace.auckland.ac.nz/handle/2292/20043
  51. Dalziel L New Zealand Disability Strategy: Making a world of difference Whakanui Oranga 2001 Wellington New Zealand Ministry of Health [cited 2016 July 19]. Available from: http://www.odi.govt.nz/documents/publications/nz-disability-strategy.pdf
  52. New Zealand Ministry of Health Health of Older Peoples Strategy 2002 Wellington New Zealand Ministry of Health [cited 2016 July 14]. Available from: http://www.health.govt.nz/system/files/documents/publications/olderplebb.pdf
  53. Ashton T Measuring health system performance: A new approach to accountability and quality improvement in New Zealand Health Policy 2015 119 8 999 1004 10.1016/j.healthpol.2015.04.012
  54. Boulton A Tamehana J Brannelly T Whānau-centred health and social service delivery in New Zealand Mai Journal 2013 2 1 18 31
  55. Tenbensel T How do governments steer health policy? A comparison of Canadian and New Zealand approaches to cost-control and primary health care reform Journal of Comparative Policy Analysis 2008 10 4 347 63 10.1080/13876980802468774
  56. Hutchison B Glazier R Ontario’s primary care reforms have transformed the local care landscape, but a plan is needed for ongoing improvement Health Affairs 2013 32 4 695 703 10.1377/hlthaff.2012.1087
  57. Neuwelt P “Assessing and developing community participation in primary health care in Aotearoa New Zealand: A national study” New Zealand Medical Journal 2005 118 1218
  58. Cumming JM Integrated Care in New Zealand International Journal of Integrated Care 2011 11 5 10.5334/ijic.678 [cited 2016 July 14]. Available from
  59. Marchildon GP Hutchison B Primary care in Ontario, Canada: New proposals after 15 years of reform Health Policy 2016 120 7 732 8 [cited 2016 July 14]. Available from: http://dx.doi.org/10.1016/j.healthpol.2016.04.010
DOI: https://doi.org/10.5334/ijic.2514 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jul 31, 2016
Accepted on: Apr 24, 2017
Published on: Jun 27, 2017
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Tim Tenbensel, Fiona Miller, Mylaine Breton, Yves Couturier, Frances Morton-Chang, Toni Ashton, Nicolette Sheridan, Alexandra Peckham, A Paul Williams, Tim Kenealy, Walter Wodchis, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.