Grant: Team Grant: Community-Based Primary Healthcare - LOI

Health systems around the world are dealing with similar challenges of an aging population and an increasing burden of chronic disease. While decision-makers wish to provide more patient and caregiver-centered models of care to address and manage these challenges, differences in health system context, among other factors, have given rise to different models of Community-Based Primary Healthcare (CBPHC). Although some models have been successful, understanding the features that make these CBPHC programs successful and then developing strategies for scaling them up is lacking. A program of research that is needed to understand how and why some models are more successful at improving effectiveness, patient, caregiver and population outcomes, and containing costs. Most importantly though, we need to know how to spread successful models to ensure a sustainable and high performing primary health care delivery system. Our international team of researchers, decision-makers and clinicians are collaborating to develop an exciting program of research that seeks to understand the policy, organization, provider, patient and caregiver perspectives on how to scale-up innovative models of caring for older adults with complex needs. This research program will use innovative research approaches to understand how to scale-up CBPHC models through 3 phases of research. Phase 1 - identify and describe innovative models of CBPHC in Canada, New Zealand and internationally to identify the best examples of successful models. Phase 2 - conduct in-depth studies of exemplar models that allows us to create a framework describing the models and conditions that lead to their successful implementation. Phase 3 - evaluate the implementation of innovative CBPHC models. The key outcomes of this research program will be new knowledge, performance measures and strategies for wide-spread implementation of CBPHC within and across jurisdictions.