Research Reveals the Evolution of Primary Care Networks in Ontario
Prinicipal Investigator: Dr. Judith Belle Brown
Unique to this qualitative research was the opportunity to learn from fifty-four primary care leaders across Ontario as they described their experiences in forming their primary care networks over the last six years. Primary care networks (PCN) originally began as a gathering place for family physicians to share their day-to-day challenges or pain points and together seek solutions. The number of primary care networks has expanded and their structure and membership has evolved over time. Study data were collected during eighty-three semi-structured interviews. Findings indicate that there was variability in terms of PCN membership composition (inclusive or exclusive), suggesting that each PCN needs to be understood within their own context. One recent development in membership engagement strategies was the increased use of social media. Remaining constant over the study period was the ongoing need for trust and relationship building. An important component of the structure of PCNs were aspects of leadership including composition, recruitment and succession planning, formal leadership training, remuneration and leadership styles. Governance and leadership were inextricably linked. Governance structure progression of PCNs remains variable. Some PCNs have incorporated; others had no interest in incorporating. Participants relayed the important role of an administrator in operationalizing the vision and related responsibilities of their PCNs. These findings provide useful information for new and evolving PCNs, and align with the goals and objectives of primary care reform in Ontario.
