Is the dissemination of a decision-making tool sufficient to support the complex decisions that must be made by elderly people with declining autonomy and their loved ones, or is training in shared decision-making necessary?

Discover a pilot project that has established a large-scale, effective, and collaborative dissemination practice between researchers, clinicians, and citizens.

When health knowledge products are misused—either too much or too little—the entire system wastes resources, including in primary care. This study explores which products are actually applied, how they are applied, and what impacts are measured.

This study explores how innovators in primary care assess the scalability potential of their innovations in Quebec.

This article aims to raise awareness of key pitfalls to anticipate when planning for scalability, drawing on experiences from both low- and middle-income countries and high-income countries.

In 2013, the Canadian Institutes of Health Research supported twelve teams to develop evidence-based innovations in primary health care and assess their scalability. This study aimed to explore the scalability of these innovations.

A wide range of evidence-based practices have the potential to improve patient outcomes, but little is known about how to implement them at scale. This study aimed to identify effective strategies for scaling up evidence-based practices in primary care.

The prevalence of mood disorders has increased worldwide, but there is heterogeneity in the use of healthcare services. Scientists have identified four trajectories of care and classified people with mood disorders into service utilization groups to help decision-makers allocate resources.

By following these guidelines, research teams can ensure that people with lived experience of mental health and/ or substance use and their families contributions are genuinely valued and effectively integrated, ultimately enhancing the quality and impact of the research and fostering authentic collaboration.

On the whole, decision aids help indecisive patients more, and improve congruence between choices and personal values. They improve patients' realistic expectations of the advantages and disadvantages of available options.

In Canada and internationally, there is a growing interest in value-based healthcare and a growing belief that learning health systems are a critical strategy for supporting and accelerating health system transformations that create value. But what is a learning health system and how can it create value for the population?

Our colleagues France Légaré and the late Pierre Pluye are among the fifty most-quoted Canadian primary care researchers in Canada. Robert Reid, author of the Learning Health System Action Framework, is also on this list. It's encouraging to see that the LHS, patient partnership, collaborative research and scaling up, to name but a few, are attracting significant interest.

This study shows a significant increase in the delivery of comprehensive care for patients without a regular family doctor, from 13% to 43%, thanks to interprofessional collaboration. Nevertheless, it highlights the need for structural improvements and training to maximize the effectiveness of this collaboration.

A narrative review challenged the dominant model of knowledge in medicine and healthcare, and classified the forms of knowledge that patients acquire, develop and mobilize throughout their care journey.

"The article studies an organizational lever, namely the ethical climate, as a vector of several positive spin-offs, for both caregivers and patients. Considering that the data was collected across Canada during the omicron wave, the article presents an interesting portrait of healthcare networks and the people who make them up in times of crisis." Francis Maisonneuve