Improving equity through primary care: Proceedings of the 2019 Toronto international conference on quality in primary care

Braden O’Neill, Robert Ferrer, Patricia O’Brien, Graham Watt, Laura Gottlieb, Andrew Pinto, Sara Willems, Jody Currie, Dawnmarie Harriott, Jonathan Leitch, Alexander Zsager, Michael Kidd, Tara Kiran

    Research output: Contribution to journalArticlepeer-review

    2 Citations (Scopus)

    Abstract

    Health equity allows people to reach their full health potential and receive highquality care that is appropriate for them and their needs, no matter where they live, what they have, or who they are. It is a core element of quality in health care. Around the world, there are many efforts to improve equity through primary care. In order to advance these efforts, it is important to share successes and challenges. Building on our work with international stakeholders to identify key primary care research priorities, we organized the Toronto International Conference on Quality in Primary Care that was held on November 16, 2019. Participants from 8 countries took part. Key recommendations included leveraging the continuous relationships between providers and patients over time, developing partnerships between the health and social sectors, and advocating for resources that are proportional to patient need. Solutions must be generated using teambased approaches that explicitly include people with who have experienced discrimination. Progress will require confronting structural determinants including racism, capitalism, and colonialism. Conference participants suggested practical solutions, such as developing a public transportation program for rural residents to improve community building and the ability to attend medical appointments, and identifying patients who have recently missed clinic visits that may benefit from additional care. These approaches will need to be evaluated through highquality research and quality improvement, with a knowledge translation that facilitates sustainability and expansion across settings.

    Original languageEnglish
    Pages (from-to)364-369
    Number of pages6
    JournalANNALS OF FAMILY MEDICINE
    Volume18
    Issue number4
    DOIs
    Publication statusPublished - 1 Jul 2020

    Keywords

    • Health equity
    • Primary health care
    • Quality improvement
    • Quality of health care
    • Social determinants of health

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