strong commitment and involvement from all stakeholders are required to create the necessary environment for cultural change to achieve consensus on how to deliver patientcentred and coordinated care effective integration between primary and secondary care also requires genuine collaboration among providers and efforts to break down cultural barriers and providers wariness about working in new ways oecd g lastly as patients often enter the health care system via primary care it is critical to make sure that pcps support care coordination and bridge acute primary care and social care health care systems should have the opportunity to better use financial incentives linked to strong information systems to achieve greater patientcentred integrated care over the longer term