Table 4 Consensus statements

5

I think different work processes are a barrier to collaboration. For example, staff who work in clinical services work at the very usually stressful sort of primary care pace. Colleagues who work in other areas of Public Health aren’t in the same mindset, stress level, pace level.

10

A lack of vision in collaborations is a barrier. For example, people are not being clear on what the end result is going to be.

11

I think politicians have research evidence to say that collaboration will save money so will put money behind it.

16

There’s a strong lack of collaboration for prevention interventions. Primary care and public health work in silos. I think we need to break those silos.

18

If primary care and public health professionals are so married to how they interpret their role and mandate, that a person can’t step outside of that role if the situation calls for it, it can be a barrier to collaboration. People need to be comfortable with a blurring of the lines.

28

In collaborations there is a threat that public health staff who don’t have a primary care background are moving into situations where they’re going to have to deal with primary care issues.

29

In a provincial healthcare system, you have to have the primary care and public health players in the collaboration working for the same entity-- for the same overall administrative structure.

37

I think the issue of patient confidentiality and privacy is a huge area of concern when working in a collaboration.

39

Mutual respect between primary care and public health sectors is not necessarily required for effective collaboration.