![]() ![]() ![]() ![]() L’accès aux soins primaires demeure un défi dans les milieux ruraux pour les deux pays, et les relations longitudinales entre les professionnels de la santé et les patients semblent plus courants au Canada. Les deux ont démontré une tendance vers l’adoption de l’équipe interprofessionnelle pour la prestation des soins. Les systèmes de soins primaires brésilien et canadien ont tous deux adopté et intégré les principes de Starfield, et ce de différentes façons. Primary care reform must be implemented with the public’s trust in mind. Both countries face challenges to maintaining trust in the context of the increasing prevalence of team-based care, and a lack of trust at the system level can be seen in patients’ perceptions about the difficulty of finding a family doctor and in high rates of emergency department and urgent care centre use in both countries. With the advent of technology, increasing patient engagement and expectations, the decline of paternalistic medicine, and the sheer mass of readily available information (and misinformation), to be successful, primary care systems must also be constructed to engender trust at both the local and the system levels. Access to primary care remains a challenge in rural areas in both countries, and longitudinal relationships between providers and patients appear to be more common in Canada. The Brazilian and Canadian primary care systems have both adopted and advanced the Starfield principles in various ways, with both countries showing an increasing trend toward adopting interprofessional team-based care. ![]()
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