Healthcare Quarterly

Healthcare Quarterly 22(3) October 2019 : 40-46.doi:10.12927/hcq.2019.26018
Building Effective Family Health Teams

Implementation of a Physician–Patient Attachment Initiative in Alberta

Lisa L. Cook, Tobias Gelber and Charles M. Cook


Attachment to a primary care physician (PCP) is a foundational component of the Patient's Medical Home. Yet how can attachment exist in a system that does not limit where patients seek care? This article describes a top-down approach with the ideologies of a bottom-up collaborative to address attachment within an Alberta primary care network. The steps taken to reduce the number of patients listed on multiple PCP panels from 27% to 4% will be described. Learnings from this initiative suggest that direct involvement with providers, coupled with engaged physician leadership, can create a local system of information delivery that supports the attachment of patients to their most responsible PCP.



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