{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T11:02:27Z","timestamp":1779966147533,"version":"3.53.1"},"reference-count":85,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":55,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"MOH Catalyst Grant Project"},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PJT-191804"],"award-info":[{"award-number":["PJT-191804"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PJT-195813"],"award-info":[{"award-number":["PJT-195813"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Primary care is essential for health care systems to promote health, prevent disease, and manage chronic conditions. However, a shortage of primary care physicians challenges the delivery of high-quality primary care services to the population, especially for those living with multimorbidity. To address this challenge, interprofessional primary teams consisting of primary care physicians, nurses, and allied health professionals (AHPs) have been rolled out in many jurisdictions. This approach allows physicians to focus on complex patient care, where less complex care can be delegated to nurses and AHPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a scoping review of the literature on the scope of practice of nurses and AHPs in interprofessional primary care teams in Ontario, Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nurse practitioners and registered nurses are heavily involved in providing direct patient care, whereas registered practical nurses are less involved. Pharmacists focus on medication management and patient education, dieticians focus on dietary assessments and nutrition education, and social workers focus on counselling and psychosocial assessments. Pharmacists and nurse practitioners often face challenges in defining their independent roles. Some physicians struggle with teamwork, whereas others appreciate multidisciplinary approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Effective integration of nurses and AHPs in a primary care setting would enable physicians to delegate several tasks and address primary care physician shortages in various jurisdictions. Clarifying the professional roles of AHPs in primary care would enhance interprofessional team functioning, helping to increase both the quality and quantity of primary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmag027","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T12:26:48Z","timestamp":1777638408000},"source":"Crossref","is-referenced-by-count":0,"title":["The scope of practice of nurses and allied health professionals in primary care in Ontario, Canada: a scoping review"],"prefix":"10.1093","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9174-765X","authenticated-orcid":false,"given":"Sisira","family":"Sarma","sequence":"first","affiliation":[{"name":"Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University , London, ON N6G 2M1 ,","place":["Canada"]},{"name":"ICES , Toronto, ON M4N 3M5 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyue","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University , London, ON N6G 2M1 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose Anne","family":"Devlin","sequence":"additional","affiliation":[{"name":"Department of Economics, University of Ottawa , Ottawa, ON K1N 6N5 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Rayner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University , London, ON N6G 2M1 ,","place":["Canada"]},{"name":"Department of Family Medicine, Schulich School of Medicine and Dentistry, Centre for Studies in Family Medicine, Western University , London, ON N6A 3K7 ,","place":["Canada"]},{"name":"Department of Research and Policy, Alliance for Healthier Communities , Toronto, ON M6A 3B6 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"2026052806044287600_cmag027-B1","author":"Primary health care"},{"key":"2026052806044287600_cmag027-B2","doi-asserted-by":"publisher","first-page":"E463","DOI":"10.1503\/cmaj.170784","article-title":"Why strengthening primary health care is essential to achieving universal health coverage","volume":"190","author":"van Weel","year":"2018","journal-title":"Can Med Assoc J"},{"key":"2026052806044287600_cmag027-B3","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3399\/bjgp23X731469","article-title":"The global primary care crisis","volume":"73","author":"Lawson","year":"2023","journal-title":"Br J Gen Pract"},{"key":"2026052806044287600_cmag027-B4","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1080\/13814788.2021.1954616","article-title":"Task shifting in primary care to tackle healthcare worker shortages: an umbrella review","volume":"27","author":"Leong","year":"2021","journal-title":"Eur J Gen Pract"},{"key":"2026052806044287600_cmag027-B5","doi-asserted-by":"publisher","first-page":"647","DOI":"10.46747\/cfp.6709647","article-title":"Family medicine: an evolving field around the world","volume":"67","author":"Gupta","year":"2021","journal-title":"Can Fam Physician"},{"key":"2026052806044287600_cmag027-B6","author":"World Health Organization, PEPFAR & UNAIDS","year":"2007"},{"key":"2026052806044287600_cmag027-B7"},{"key":"2026052806044287600_cmag027-B8","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1111\/j.1945-1474.2011.00152.x","article-title":"How do allied health professionals evaluate new models of care? 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