Primary Care Governance and Financing: Models and approaches

Tan, S., Farmer, J., Roerig, M., Allin, S.

Primary Care Governance and Financing: Models and approaches Rapid Review Primary care governance and financing: Models and approaches Prepared for the Institute of Health Economics Tan S., Farmer J., Roerig M., & Allin S. [...] 2 Primary care governance and financing: models and approaches Methods We conducted a rapid jurisdictional review (October to December 2022) of primary care systems and reforms across five Canadian provinces (BC, Alberta, Manitoba, Ontario, and Nova Scotia) and six international comparators (Australia, Netherlands, New Zealand, the UK (England and Scotland), and the US (Kaiser Permanente). [...] This limits our capacity to understand and assess the impacts of these different policy decisions and primary care reforms, and reflects a major weakness in governance in these jurisdictions: ongoing monitoring and evaluation of system change is a critical component of effective governance. [...] Adequate resources for GPs/primary care practices are needed to compensate GPs for the additional workload related to task-shifting (or the 8 Primary care governance and financing: models and approaches re-allocation of tasks among a health workforce team) from secondary to primary care and additional staff (e.g., nurses and allied health professionals, such as physiotherapists and mental health c. [...] Devolved primary care integration (England) England has now spent a decade pursuing integrated care models to deliver better coordinated care for the population between the National Health Service (NHS; hospitals, primary care and community and mental health services) and social care services (e.g., long-term care homes or care after hospital discharge).