High Performing
Primary Care
System

Explicit Policy Direction Anchored in Public Values, Needs and Preferences


Governance Mechanisms at the Community, Regional and Provincial or Territorial Levels


Research Capacity and Productivity


Patient Enrolment


Inter-professional Teams


Patient Engagement


Funding and Provider Payment Arrangements Aligned with Health System Goals


Health Information Technology that Effectively Supports Patients and Providers


Ongoing Performance Measurement


Training and Support for Quality Improvement


Leadership Development


Coordination, Integration and Partnerships with Other Health and Social Services


Systematic Evaluation of Innovation

Ongoing
Performance
Measurement

Local, regional
& provincial
governance

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Strong research
capacity

Clear policy
rooted in public
values & needs

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Ongoing
Performance
Measurement

Aggarwal-Hutchison Framework

The Aggarwal-Hutchison Framework defines the structural attributes of high-performing primary care systems and provides the analytic foundation for our work. We use the framework to guide research design, evaluation, and knowledge translation across our projects. Click through each element to learn more.