First Things First: Fostering Accountable, Connected, Quality Primary Healthcare

Cover page for report: "First Things First"; photos of patients & caregivers Download "First Things First"

The purpose of this framing paper was to amplify the thinking behind The Change Foundation’s 2009 Meeting of the Minds exchange, First Things First: Fostering Accountable, Connected, Quality Primary Health Care, and to stimulate discussion and debate. The way in which a health system organizes, funds, incents and rewards its primary healthcare sector has a lot to do with how effective, efficient and high-performing that health system becomes. Primary healthcare in Ontario has historically experienced waves of intense attention and absolute neglect. It is not currently a major policy priority, overshadowed by wait times (surgical, diagnostic and emergency department stays), efforts to reduce the number of alternate-level-of-care patients, and institutional budget shortfalls. Yet, some of the long-term fix for these issues lies in a primary healthcare sector integrated into the rest of the healthcare system. 


How do we define ‘family caregiver’? By “family caregivers” we mean family, friends and neighbours who provide the vast majority of care, support and enrichment to those who have health related needs. Learn more about us and our work: