Leslie M, Khayatzadeh-Mahani A, Birdsell J, et al. An implementation history of primary health care transformation: Alberta’s primary care networks and the people, time and culture of change. BMC Fam Pract. 2020;21(1):258. Published 2020 Dec 5. doi:10.1186/s12875-020-01330-7.
Summary of Findings:
This paper provides an implementation history of the Primary Care Networks (PCNs) in Alberta, giving a detailed account of how people, time, and culture have interacted to implement bottom up, incremental change in a predominantly Fee-For-Service (FFS) environment. Generalizable lessons from the implementation history of this emerging policy experiment include: The need for flexibility within a broad commitment to improving quality. The importance of time for individuals and organizations to learn about: quality improvement; one another’s cultures; and how best to support the transformation of a system while delivering care locally.