Interprofessional teamwork innovations for primary health care practices and practitioners: Evidence from a comparison of reform in three countries

Abstract

Context: A key aim of reforms to primary health care (PHC) in many countries has been to enhance interprofessional teamwork. However, the impact of these changes on practitioners has not been well understood. Objective: To assess the impact of reform policies and interventions that have aimed to create or enhance teamwork on professional communication relationships, roles, and work satisfaction in PHC practices. Design: Collaborative synthesis of 12 mixed methods studies. Setting: Primary care practices undergoing transformational change in three countries: Australia, Canada, and the USA, including three Canadian provinces (Alberta, Ontario, and Quebec). Methods: We conducted a synthesis and..