Canadian experts' views on the importance of attributes within professional and community-oriented primary healthcare models

Purpose: The aim of this study was to rate the importance of primary healthcare (PHC) attributes in evaluations of PHC organizational models in Canada. Methods: Using the Delphi process, we conducted a consensus consultation with 20 persons recognized by peers as Canadian PHC experts, who rated the importance of PHC attributes within professional and community-oriented models of PHC. Results: Attributes rated as essential to all models were designated core attributes: first-contact accessibility, comprehensiveness of services, relational continuity, coordination (management) continuity, interpersonal communication, technical quality of clinical care and clinical information management. Overall, while all were important, non-core attributes - except efficiency/productivity - were rated as more important in community-oriented than in professional models. Attributes rated as essential for community-oriented models were equity, client/community participation, population orientation, cultural sensitivity and multidisciplinary teams. Conclusion: Evaluation tools should address core attributes and be customized in accordance with the specific organizational models being evaluated to guide health reforms.