Family Practice Nursing (FPN)

The Impact of Funding Models on the Integration of Registered Nurses in Primary Health Care Teams

Primary health reform in Canada has introduced various funding models designed to promote inter-professional teams, but little is known about the impact of funding models on the integration of family practice registered nurses (RNs) in primary health care.
To address this knowledge gap, the project consists of three studies:

  • A funding model analysis
  • Case studies through qualitative interviews with family practice RNs, family physicians and administrators
  • An online survey of family practice RNs in Canada to gather information about funding models, nurse work activities, and team functioning.

We will study the influence of funding models (e.g., traditional fee-for-service, enhanced fee-for-service, capitation and global funding) on the activities performed by family practice RNs, as well as the way in which teams function and co-manage patient care. The research findings will help provincial governments in structuring funding models by underscoring how to optimize the roles of family practice RNs, how to reap the benefits of team-based care, and, ultimately, how to improve primary health care in Canada.

Principal Investigators:  Drs. Maria Mathews (Western University), Lindsay Hedden (Simon Fraser University), Julia Lukewich (Memorial University)

Co-Investigators: Joan Tranmer, Marie-Eve Poitras, Rita McCracken, Natasha Prodan-Bhalla, Nelly Oelke, Treena Klassen, Tanya Magee, Allison Norful, Judith Belle Brown, George Kim, Shannon Sibbald, Michael Gree, Johanne Roy.

Funder:CIHR logo