Please describe your most important contribution(s) to primary care research
I am a health services researcher and uses mixed methods to conduct research in primary health care. My primary areas of focus include:
- Integrated health systems and services delivery
- Collaborative development of key principles for integrated health systems
- Measurement of integration in health systems
- Working with the Health Standards Organization (national level) to develop a standard for integrated health systems
- Optimizing role of nurses in primary care teams
- Facilitating integrated health services delivery through teams (policy analysis)
- Primary care teams in rural settings
- Linkages between primary care and community-based services and supports
Please describe your current work or upcoming research projects related to primary care
- Facilitating integration through primary health care teams – funded by CIHR, MSFHR, and UBC Okanagan – is completing a policy analysis of provincial and regional level policies related to primary health care teams and integration across 4 provinces in Canada (BC, AB, ON, and QC). Phase 2 of the project has been initiated and focuses on patient/caregiver engagement in policy development, implementation, and evaluation.
- Understanding rural health services delivery, with a focus on interprofessional collaborative practice, in two rural communities in the southern interior of BC – funded by RCCbc. We are completing the final components of the study along with KT products.
- Continued work in the area of mental health in rural communities
What are the key messages from your primary care research to share with other stakeholders (e.g. clinicians, policymakers, patients)?
- Importance of patient/caregiver engagement in developing, implementing and evaluating policy and strategic directions on primary healthcare teams at all levels
- Primary health care teams are essential in improving care for patients with complex needs
- Lack of direction on composition of teams; remuneration models need to be addressed
- Electronic health records (EHRs) are essential to the delivery of team-based care; infrastructure and support varies for EHRs
- Performance measurement on teams and integration need significant attention
- Access to care in rural communities continues to be an issue
- Interprofessional collaborative practice strongly supported and required in rural communities to address population needs