Challenges

One key challenge related to developing an effective decision-making framework supporting collaboration is the lack of systemic level incentive and legislative restrictions.

Lack of systemic level incentive
When there is no obvious acute crisis in the health of the population, policy makers and providers are generally comfortable to do business as usual.

ListenListen to a discussion between two providers debating these commonly seen challenges.

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This interchange between the public health and primary care decision makers highlights the complex relationship between this systemic level factor – effective decision-making framework – with an interpersonal factor – Shared Values, Beliefs, and Attitudes – and with an organizational factor – Strategic Coordination and Communication Mechanisms between Partners.

Related: Shared Values, Beliefs, and Attitudes
Related: Strategic Coordination and Communication Mechanisms between Partners

Legislative Restrictions
Another challenge to consider when applying public health-primary care decision-making frameworks is legislative restrictions. While every attempt should be made to apply the various principles to specific issues and situations when employing systemic level public health and primary care decision-making frameworks, it should be noted that their application may be limited in certain instances due to legislative or other governmental requirements or restrictions.