Primary care engagement in health system change: a scoping review of common barriers and effective strategies
Abstract Background The complexity of health systems necessitates coordination between a multitude of stakeholders to enact meaningful change. Primary care physicians are a crucial partner to engage, as their investment and participation are critical to the success of any system-level initiative. Th...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Primary Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-023-02117-2 |
| _version_ | 1797451998197448704 |
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| author | Michael Sergio Taglione Judith Belle Brown |
| author_facet | Michael Sergio Taglione Judith Belle Brown |
| author_sort | Michael Sergio Taglione |
| collection | DOAJ |
| description | Abstract Background The complexity of health systems necessitates coordination between a multitude of stakeholders to enact meaningful change. Primary care physicians are a crucial partner to engage, as their investment and participation are critical to the success of any system-level initiative. The aim of this scoping review is to identify common barriers and effective strategies when engaging primary care physicians in designing and implementing health system change. Methods A scoping review was performed. A literature search was performed in March 2020 using five databases. 668 unique articles were identified and underwent a title and abstract review. 23 articles met criteria for full text review and 10 met final inclusion criteria. A backward citation analysis identified two articles. 12 articles underwent data extraction and thematic analysis. Results Several barriers to engagement were identified including a lack of trust between primary care physicians and decision-makers, strong professional physician identity, clinically irrelevant and complex proposals, and a lack of capacity and supports. Described strategies to overcome these barriers included building trust and relationships, contextual engagement strategies, working with physician leadership, enabling open and intentional communication channels, designing clinically relevant and straightforward initiatives, and considering financial incentives. Conclusions Barriers to primary care engagement should be addressed with contextually designed strategies and a focus on relationship building, collaborative efforts, and implementing relevant and feasible initiatives. Further research should explore how to best develop relationships with primary care, working with collective voices of primary care physicians, and to better understanding the impact of financial incentives on engagement. |
| first_indexed | 2024-03-09T15:02:29Z |
| format | Article |
| id | doaj.art-ec058494738c4d3dbe20663392781d8b |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-03-09T15:02:29Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-ec058494738c4d3dbe20663392781d8b2023-11-26T13:53:18ZengBMCBMC Primary Care2731-45532023-08-0124111310.1186/s12875-023-02117-2Primary care engagement in health system change: a scoping review of common barriers and effective strategiesMichael Sergio Taglione0Judith Belle Brown1Department of Family and Community Medicine, University of TorontoDepartment of Family Medicine, Western UniversityAbstract Background The complexity of health systems necessitates coordination between a multitude of stakeholders to enact meaningful change. Primary care physicians are a crucial partner to engage, as their investment and participation are critical to the success of any system-level initiative. The aim of this scoping review is to identify common barriers and effective strategies when engaging primary care physicians in designing and implementing health system change. Methods A scoping review was performed. A literature search was performed in March 2020 using five databases. 668 unique articles were identified and underwent a title and abstract review. 23 articles met criteria for full text review and 10 met final inclusion criteria. A backward citation analysis identified two articles. 12 articles underwent data extraction and thematic analysis. Results Several barriers to engagement were identified including a lack of trust between primary care physicians and decision-makers, strong professional physician identity, clinically irrelevant and complex proposals, and a lack of capacity and supports. Described strategies to overcome these barriers included building trust and relationships, contextual engagement strategies, working with physician leadership, enabling open and intentional communication channels, designing clinically relevant and straightforward initiatives, and considering financial incentives. Conclusions Barriers to primary care engagement should be addressed with contextually designed strategies and a focus on relationship building, collaborative efforts, and implementing relevant and feasible initiatives. Further research should explore how to best develop relationships with primary care, working with collective voices of primary care physicians, and to better understanding the impact of financial incentives on engagement.https://doi.org/10.1186/s12875-023-02117-2Primary health careFamily medicineStakeholder engagementHealth system changeHealth systems researchScoping review |
| spellingShingle | Michael Sergio Taglione Judith Belle Brown Primary care engagement in health system change: a scoping review of common barriers and effective strategies BMC Primary Care Primary health care Family medicine Stakeholder engagement Health system change Health systems research Scoping review |
| title | Primary care engagement in health system change: a scoping review of common barriers and effective strategies |
| title_full | Primary care engagement in health system change: a scoping review of common barriers and effective strategies |
| title_fullStr | Primary care engagement in health system change: a scoping review of common barriers and effective strategies |
| title_full_unstemmed | Primary care engagement in health system change: a scoping review of common barriers and effective strategies |
| title_short | Primary care engagement in health system change: a scoping review of common barriers and effective strategies |
| title_sort | primary care engagement in health system change a scoping review of common barriers and effective strategies |
| topic | Primary health care Family medicine Stakeholder engagement Health system change Health systems research Scoping review |
| url | https://doi.org/10.1186/s12875-023-02117-2 |
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