Moving healthcare reform forward: a complex and challenging transition.

As a long-time advocate of primary-care reform and a participant in the present implementation of the Ontario Primary Care Reform (PCR) pilot projects, I am sympathetic to the perspectives of Rosser and Kasperski. The model for reform that they propose has added fuel to the debate on PCR initiatives. However, the future strategic direction for primary care will be determined at the conclusion of the implementation and testing period for the pilot sites and after evaluating models in other provincial jurisdictions. Although the investment of resources over the past four years by government and the profession has clearly been significant, the methodical planning and breadth of consultation and review on many issues may not be apparent to observers.