Brief on Primary Care Part 2: Factors Affecting Primary Care Capacity in Ontario for Pandemic Response and Recovery

Mangin, Dee; Premji, Kamila; Bayoumi, Imaan; Ivers, Noah; Eissa, Azza; Newbery, Sarah; Jaakkimainen, Liisa; Nowak, D; Green, Michael; Beazley, Suzan; Pinto, Andrew D.; Haldane, Victoria; Muggah, Elizabeth; Rayner, Jennifer; Kaplan, David; Bhattacharyya, Onil; Grill, Allan; Bodmer, Nicolas S.; Perkhun, Anna; Cowper-Fung, Beth; Levitan, Riva E.; Mastrogiacomo, Cathy; Nastos, Steve; Sangha, Prabhjot; Schurter, Matthew J.; Wright, James; Valderas, José M; Born, Karen; Razak, Fahad A.; Glazier, Richard H.; Kiran, Tara; Martin, Danielle

doi:10.47326/ocsat.2022.03.68.1.0

Cited by 15 publications

(14 citation statements)

References 39 publications

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“…It builds on the analyses completed for the preceding parts, entitled "The roles of primary care clinicians and practices in the first two years of the COVID-19 pandemic in Ontario" and "Factors Affecting Primary Care Capacity for Response and Recovery". 2,3 The evidence from parts 1 and 2 was supplemented by additional literature reviews and an environmental scan to identify best practices that might be transferable to the Ontario context. The authors of parts 1 and 2 collaborated to develop the key lessons learned and relevant recommendations.…”

Section: Resultsmentioning

confidence: 99%

“…13 Ontario needs more PCCs, including family physicians, nurse practitioners, physician assistants, primary care nurses, pharmacists, and other primary care clinicians. 3 It especially needs more clinicians from First Nations, Inuit and Metis (FNIM) communities 14 as well as racialized and other equity-deserving groups to meet the needs of the population. 15 However, training and supporting such growth will take time, particularly in the case of family physicians.…”

Section: Based Models Provides Superior Support For Covid-19 and Non-...mentioning

confidence: 99%

“…Around the world, governments and health systems appropriately diverted resources into COVID-19response. The resulting challenges across the rest of the health care system -delayed surgeries, 31,32 cancelled diagnostic imaging, deferred screening, 3 and suboptimal management of chronic disease 2 -are predictable outcomes of the choices made under tremendous pressure. 33 The need to reallocate resources to the COVID-19 response meant that non-COVID-19 services, many of which were time-dependent and essential, were deferred or delayed.…”

Section: Based Models Provides Superior Support For Covid-19 and Non-...mentioning

confidence: 99%

“…Fortunately, when primary care came together as a sector to learn, exchange information, link to other parts of the health system and educate the public, effective knowledge translation work occurred in Ontario. 3 These experiences could be leveraged for future waves and for supporting primary care to manage other health system priorities for which evidence is rapidly changing.…”

Section: Lesson 5: Primary Care Can Leverage Its Longitudinal Relatio...mentioning

confidence: 99%

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Brief on Primary Care Part 3: Lessons Learned for Strengthened Primary Care in the Next Phase of the COVID-19 Pandemic

Ivers¹,

Newbery²,

Eissa³

et al. 2022

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About Us: The Ontario COVID-19 Science Advisory Table is a group of scientific experts and health system leaders who evaluate and report on emerging evidence relevant to the COVID-19 pandemic, to inform Ontario's response. The Science Advisory Table's mandate is to provide summaries of relevant scientific evidence to public health and health care professionals, as well as the general public, by integrating information from existing scientific tables, Ontario's universities and agencies, and the best global evidence. The Science Advisory Table is hosted by Public Health Ontario (PHO). Aligned with PHO's mandate, the Science Advisory Table provides credible and independent scientific and technical advice to inform government and the broader public about COVID-19 and to help prepare for and respond to future public health emergencies.

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Section: Resultsmentioning

confidence: 99%

Section: Based Models Provides Superior Support For Covid-19 and Non-...mentioning

confidence: 99%

Section: Based Models Provides Superior Support For Covid-19 and Non-...mentioning

confidence: 99%

Section: Lesson 5: Primary Care Can Leverage Its Longitudinal Relatio...mentioning

confidence: 99%

See 2 more Smart Citations

Brief on Primary Care Part 3: Lessons Learned for Strengthened Primary Care in the Next Phase of the COVID-19 Pandemic

Ivers¹,

Newbery²,

Eissa³

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“… 12 The situation is compounded by a backlog of care, high administrative burden, and ineffectual digital systems. 13 The landscape is also complicated by the increasing reliance on urgent care and walk-in services that prioritize timely episodic care over continuity. 14 , 15…”

mentioning

confidence: 99%

Public experiences and perspectives of primary care in Canada: results from a cross-sectional survey

Kiran,

Daneshvarfard,

Wang

et al. 2024

CMAJ

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Background: Through medicare, residents in Canada are entitled to medically necessary physician services without paying out of pocket, but still many people struggle to access primary care. We conducted a survey to explore people’s experience with and priorities for primary care. Methods: We conducted an online, bilingual survey of adults in Canada in fall 2022. We distributed an anonymous link through diverse channels and a closed link to 122 053 people via a national public opinion firm. We weighted completed responses to mirror Canada’s population and adjusted for sociodemographic characteristics using regression models. Results: We analyzed 9279 completed surveys (5.9% response rate via closed link). More than one-fifth of respondents (21.8%) reported having no primary care clinician, and among those who did, 34.5% reported getting a same or next-day appointment for urgent issues. Of respondents, 89.4% expressed comfort seeing another team member if their doctor recommended it, but only 35.9%, 9.5%, and 12.4% reported that their practice had a nurse, social worker, or pharmacist, respectively. The primary care attribute that mattered most was having a clinician who “knows me as a person and considers all the factors that affect my health.” After we adjusted for respondent characteristics, people in Quebec, the Atlantic region, and British Columbia had lower odds of reporting a primary care clinician than people in Ontario (adjusted odds ratio 0.30, 0.33, and 0.39, respectively; p < 0.001). We also observed large provincial variations in timely access, interprofessional care, and walk-in clinic use. Interpretation: More than 1 in 5 respondents did not have access to primary care, with large variation by province. Reforms should strive to expand access to relationship-based, longitudinal care in a team setting.

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Thinking and Enacting the Patient Medical Home Under Pandemic Conditions: A Qualitative Study From Primary Care in Alberta, Canada

Leslie,

Hansen,

Abboud

et al. 2024

J Prim Care Community Health

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Background: The COVID-19 (C19) pandemic shocked primary care systems around the world. Those systems responded by supporting patients in the community, and acute care facilities in crisis. In Canada, the Patient Medical Home (PMH) is a widely adopted care model that aims to operationalize the tenets and principles of Primary Health Care (PHC) as developed since the Alma-Ata Declaration. This paper describes how personnel working in and with Primary Care Networks (PCNs) in Alberta, Canada deployed the PMH model and its underlying PHC principles to frame and respond to the C19 shock. Methods: Using purposive and snowball sampling techniques, we interviewed 57 participants who worked in public health and primary care, including community-based family physicians. We used interpretive description to analyze the interviews. Results: PCN staff and physicians described how the PMH model was foundational to normal operations, and how C19 responses were framed by the patient-centric, team-delivered, and continuous care principles the model shares with PHC. Specifically, participants described ensuring access to care, addressing the social determinants of health, being patient centered, and redeploying and expanding PHC teams to accomplish these goals. Discussion: Delivering PHC through the PMH allowed physicians and allied health staff to deliver patient-centered, team-based, holistic bio-medical services to Albertans. In tailoring services to meet the specific social and health needs of the populations served by each PCN, healthcare providers were able to ensure relevant support remained available and accessible.

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Brief on Primary Care Part 2: Factors Affecting Primary Care Capacity in Ontario for Pandemic Response and Recovery

Cited by 15 publications

References 39 publications

Brief on Primary Care Part 3: Lessons Learned for Strengthened Primary Care in the Next Phase of the COVID-19 Pandemic

Brief on Primary Care Part 3: Lessons Learned for Strengthened Primary Care in the Next Phase of the COVID-19 Pandemic

Public experiences and perspectives of primary care in Canada: results from a cross-sectional survey

Thinking and Enacting the Patient Medical Home Under Pandemic Conditions: A Qualitative Study From Primary Care in Alberta, Canada

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