Alignment of Canadian Primary Care With the Patient Medical Home Model: A QUALICO-PC Study

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).

Manitoba Centre for Health Policy, Departments of Community Health Sciences and Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada (Katz); Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada (Herpai); The Ottawa Hospital Research Institute, Ottawa, Canada (Smith); Department of Family Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada (Aubrey-Bassler); Département des sciences de la santé communautaire, Université de Sherbrooke, Sherbrooke, Quebec, Canada (Breton); Department of Family Medicine, Université de Montréal Hospital Research Centre, Montreal, Quebec, Canada (Boivin); Bruyere Research Institute, Institute for Clinical Evaluative Sciences, Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (Hogg); Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada (Miedema); Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada (Pang, Wodchis); Institute for Clinical Evaluative Sciences, Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada (Wodchis); Centre for Health Services and Policy Research and School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada (Wong).