Healthcare Quarterly

Healthcare Quarterly 23(2) July 2020 : 50-57.doi:10.12927/hcq.2020.26274
Effective Primary Care

Team Processes in Canadian Primary HealthCare: A Realist Review

Maura MacPhee, Geoffrey Wong, Ruth Abrams and Katelyn Merrett


To provide effective, comprehensive care to increasingly complex patients in Canadian communities, healthcare providers are shifting from solo providers of primary care to interprofessional, team-based primary healthcare services. Team-based care is considered one of the most effective means of caring for complex patients, including frail elders and individuals with chronic illness, mental health issues and addictions. Team-based care relies on effective team processes, the social or relational processes that enhance team collaboration and decision making. This realist review will highlight the team processes associated with high-performing teams and provide team development and sustainment strategies for providers and healthcare decision makers.



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