Primary Care Governance and Financing: Models and Approaches

Internationally and across Canada, governments have explored varied approaches to reforming the governance and financing of primary care with the aim of improving access, efficiency, effectiveness, and patient experiences in the health system. This rapid review prepared for the Institute of Health Economics by the North American Observatory on Health Systems and Policies presents an overview of primary care models and reforms in 11 jurisdictions, with a focus on governance and financing, across a selection of Canadian provinces where there has been some progress toward primary care reform, and comparatively with England, Scotland, the Netherlands, the United States (Kaiser Permanente), Australia, and New Zealand.