Regional variation in primary care improvement strategies and policy: case studies that consider qualitative contextual data for performance measurement in three Canadian provinces.

ABSTRACT:

Objective

To explore regional primary care improvement strategies that are potentially determinants of primary care performance.

Design

Multiple comparative embedded case study.

Setting

Three regions in Canada: Fraser East, British Columbia; Eastern Ontario Health Unit, Ontario; Central Zone, Nova Scotia.

Data sources

(1) In-depth interviews with purposively selected key informants (eg, primary care decision-makers, physician leads, regulatory agencies) and focus groups with patients and clinicians (n=68 participants) and (2) published and grey literature (n=205 documents).

Outcome measures

Variations in spread and uptake of primary care improvement strategies across the three study regions. NVivo (V.11) was used to manage data and perform content analys

SUBMITTER: Martin-Misener R 

PROVIDER: S-EPMC6803109 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature