Objectives: To describe how physicians were engaged in primary healthcare system change in a remote and rural Canadian health authority.Design: A qualitative interpretive study based on a hermeneutic approach.Methods: 34 transcribed in-depth interviews with physicians and administrators relevant...

This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of a regional health authority to engage actively with...