Scientist, Li Ka Shing Knowledge Institute of St Michael’s Hospital; Director of Research, Centre for FacultyDevelopment, St Michael’s Hospital; Scientist, Wilson Centre for Research in Education; Associate Professor,Department of Psychiatry, University of Toronto, Toronto, Ontario, CanadaAim: This paper explores the impact of space and time on interprofessional teamworkin three primary health care centres and the implications for Canadian and other pri-mary health care reform. Background: Primary health care reform in Canada hasemphasized the creation of interprofessional teams for the delivery of collaborativepatient-centred care. This involves the expansion and transformation of existing pri-mary health care centres into interprofessional family health teams (FHT) promising toprovide patients better access, more comprehensive care, and improved utilization ofindividual health professionals. Benefits for providers include improved workplacesatisfaction and organizational efficiencies. Currently, there is little evidence for howeffective interprofessional teamwork happens and little is known about how to createhigh-functioning teams in the primary health care setting. Methods: We used ethno-graphic observations and interviews to gain a deep understanding of the nature ofinterprofessional teamwork. Three academic family health centres participated in atotal of 139h of observation and 37 interviews. Team members in all three centresfrom the disciplines of medicine, nursing, physiotherapy, occupational therapy, socialwork, dietetics, pharmacy, and office administration participated in this study. Find-ings: We found that both the quantity and quality of interprofessional communicationand collaboration in primary health care is significantly impacted by space and time.Correspondence to: Ivy F. Oandasan (MD CCFP MHScFCFP), Office of Interprofessional Education at the UniversityHealth Network, Toronto Western Hospital, 750 DundasStreet West, Suite. 302 Toronto, Ontario M6J 3S3. Email:ivy.oandasan@uhn.on.ca
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