the report suggests that blocks to rolling out quality commitments and achieving better integration included insufficient financial incentives to ensure that providers adhered fully to clinical guidelines the lack of multidisciplinary teams a culture of treatment over prevention and weak overall patient management in primary care current plans for health centres and hospital networks seek to create multidisciplinary teams to redefine the roles of family physicians visavis specialists and to improve training there are also contracting mechanisms that may help to improve incentives and accountability for the provision of preventive services and outcomes