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 multi-disciplinary 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 multi-disciplinary teams, to redefine the roles of family physicians vis-a-vis 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.