Funding and remuneration of interdisciplinary primary care teams in Canada: a conceptual framework and application

BMC Health Services Research
W Dominika WranikIan Bower

Abstract

Reliance on interdisciplinary teams in the delivery of primary care is on the rise. Funding bodies strive to design financial environments that support collaboration between providers. At present, the design of financial arrangements has been fragmented and not based on evidence. The root of the problem is a lack of systematic evidence demonstrating the superiority of any particular financial arrangement, or a solid understanding of options. In this study we develop a framework for the conceptualization and analysis of financial arrangements in interdisciplinary primary care teams. We use qualitative data from three sources: (i) interviews with 19 primary care decision makers representing 215 clinics in three Canadian provinces, (ii) a research roundtable with 14 primary care decision makers and/or researchers, and (iii) policy documents. Transcripts from interviews and the roundtable were coded thematically and a framework synthesis approach was applied. Our conceptual framework differentiates between team level funding and provider level remuneration, and characterizes the interplay and consonance between them. Particularly the notions of hierarchy, segregation, and dependence of provider incomes, and the link between funding...Continue Reading

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Citations

Dec 30, 2017·BMC Family Practice·Brandi LeachChristine Everett
Aug 8, 2020·Health Economics, Policy, and Law·Susan UsherÉlizabeth Côté-Boileau
Aug 15, 2018·Human Resources for Health·Wiesława Dominika Wranik, Susan Marie Haydt
Nov 27, 2021·International Journal of Integrated Care·Alexandra LukeyNelly D Oelke

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