TY - JOUR T1 - Primary care renewal strategies in Manitoba JF - Canadian Family Physician JO - Can Fam Physician SP - e397 LP - e404 VL - 65 IS - 9 AU - Ashley Struthers AU - Colleen Metge AU - Catherine Charette AU - Karen Harlos AU - Sunita Bayyavarapu Bapuji AU - Paul Beaudin AU - Ingrid Botting AU - Alan Katz AU - Sara Kreindler Y1 - 2019/09/01 UR - http://www.cfp.ca/content/65/9/e397.abstract N2 - Objective To understand family physicians’ perceptions of Manitoba’s strategies for primary care renewal or reform (PCR).Design Qualitative substudy of an explanatory case study.Setting Rural and urban Manitoba.Participants A total of 60 family physicians (31 fee-for-service physicians, 26 alternate-funded physicians, and 3 physicians representing provincial physician organizations).Methods Semistructured interviews and focus groups.Main findings Many physicians were hesitant to participate in PCR initiatives, perceiving clear risks but uncertain benefits to patients and providers. Additional barriers to participation included concerns about the adequacy and import of communication about PCR, the meaningfulness of opportunities for physician “voice,” and the trustworthiness of decision makers. There was an appetite for tailored, clinic-level support in addressing concrete, physician-identified problems; however, the initiatives on offer were not widely viewed as providing such support.Conclusion Although some of the observed barriers might fade over time, concentrating PCR efforts on the everyday realities of family physician practice might be the best way to build a primary care system that works for patients and providers. ER -