Emily Gard Marshall
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View article: Factors influencing the match between patient needs and primary care services: Patient and healthcare provider perspectives from two Canadian provinces
Factors influencing the match between patient needs and primary care services: Patient and healthcare provider perspectives from two Canadian provinces Open
Objectives This study aims to combine the perspectives of patients and healthcare providers on the factors that influence the match between patients’ needs for and providers’ capacity to deliver services. Methods A qualitative descriptive …
View article: Author ordering and citation-based measures of scholarly impact
Author ordering and citation-based measures of scholarly impact Open
The variability and inconsistency of author ordering thwart efforts to identify or create valid measures to rank citation impact. Adoption of author ordering based on contribution as a universal convention would enhance the reliability and…
View article: Validation of a standardised approach to collect sociodemographic and social needs data in Canadian primary care: cross-sectional study of the SPARK tool
Validation of a standardised approach to collect sociodemographic and social needs data in Canadian primary care: cross-sectional study of the SPARK tool Open
Objective This study validates the previously tested Screening for Poverty And Related social determinants to improve Knowledge of and access to resources (‘SPARK Tool’) against comparison questions from well-established national surveys (…
View article: Understanding Canadian experiences of suicidality during the COVID-19 pandemic: protocol of a pan-Canadian qualitative study
Understanding Canadian experiences of suicidality during the COVID-19 pandemic: protocol of a pan-Canadian qualitative study Open
Introduction The COVID-19 pandemic led to major disruptions in society across many spheres, including healthcare, the economy and social behaviours. While early predictions warned of an increased risk of suicide during and after the COVID-…
View article: Understanding policy supports that enhance equity in the Primary Health Care System
Understanding policy supports that enhance equity in the Primary Health Care System Open
Background: Promoting government efforts to transition to team-based care models in Canada is essential; it aligns with the imperative of ensuring health equity within primary healthcare (PHC) settings. By addressing the fundamental princi…
View article: Canadian Adaptive Platform Trial of Treatments for COVID in Community Settings (CanTreatCOVID): protocol for a randomised controlled adaptive platform trial of treatments for acute SARS-CoV-2 infection in community settings
Canadian Adaptive Platform Trial of Treatments for COVID in Community Settings (CanTreatCOVID): protocol for a randomised controlled adaptive platform trial of treatments for acute SARS-CoV-2 infection in community settings Open
Introduction SARS-CoV-2 is now endemic and expected to remain a health threat, with new variants continuing to emerge and the potential for vaccines to become less effective. While effective vaccines and natural immunity have significantly…
View article: The Intersection of Policy and Health Equity in Primary Health Care: A Policy Scan of 3 Canadian Provinces
The Intersection of Policy and Health Equity in Primary Health Care: A Policy Scan of 3 Canadian Provinces Open
Introduction/Objectives: Health equity is increasingly being recognized as an important aspect of healthcare. A focus on health equity allows everyone to reach their full potential. Yet there are gaps in healthcare to address health equity…
View article: “You do it for the patient”: a qualitative analysis of changes to primary care nurses’ workplace demands and resources during the COVID-19 pandemic in Canada
“You do it for the patient”: a qualitative analysis of changes to primary care nurses’ workplace demands and resources during the COVID-19 pandemic in Canada Open
Introduction Primary care in Canada was an essential component of the COVID-19 pandemic response, as well as continued provision of routine care. Yet, primary care settings were inadequately supported during the pandemic, leaving clinician…
View article: Identifying Factors That Influence How Pediatric Patients or Their Caregivers Decide to Present to an Emergency Department: A Scoping Review Protocol
Identifying Factors That Influence How Pediatric Patients or Their Caregivers Decide to Present to an Emergency Department: A Scoping Review Protocol Open
Objective: To map and describe the extent and type of evidence in relation to factors that influence how pediatric patients or their caregivers decide to present to an emergency department (ED). Introduction: Studies in countries with univ…
View article: Perspectives on Using Artificial Intelligence to Derive Social Determinants of Health Data From Medical Records in Canada: Large Multijurisdictional Qualitative Study
Perspectives on Using Artificial Intelligence to Derive Social Determinants of Health Data From Medical Records in Canada: Large Multijurisdictional Qualitative Study Open
Background Data on the social determinants of health could be used to improve care, support quality improvement initiatives, and track progress toward health equity. However, this data collection is not widespread. Artificial intelligence …
View article: Examining experiences and system impacts of publicly funded episodic virtual care: protocol for a cross-provincial mixed methods study
Examining experiences and system impacts of publicly funded episodic virtual care: protocol for a cross-provincial mixed methods study Open
Introduction Health systems are under pressure as one in five Canadians have no regular place for primary care, with many experiencing substantial travel times and delays in accessing care. In the context of these urgent needs, platforms f…
View article: Perspectives of primary care nurses on the organization of the COVID-19 vaccine rollout: a qualitative study
Perspectives of primary care nurses on the organization of the COVID-19 vaccine rollout: a qualitative study Open
Findings highlight the critical roles of primary care nurses in mass vaccination campaigns, underscoring the need for targeted information, effective training, streamlined coordination, better integration into primary care, and more equita…
View article: Surge capacity and practice management challenges of Canadian family physicians during COVID-19: a qualitative study
Surge capacity and practice management challenges of Canadian family physicians during COVID-19: a qualitative study Open
FPs make critical contributions to surge capacity but require structured support to balance their redeployment roles with their ongoing primary care responsibilities. Ensuring adequate coverage for their practices and employing strong comm…
View article: The Implementation of Infection Prevention and Control Procedures in Primary Care During the COVID‐19 Pandemic: A Qualitative Study of Nursing Roles
The Implementation of Infection Prevention and Control Procedures in Primary Care During the COVID‐19 Pandemic: A Qualitative Study of Nursing Roles Open
Introduction: During the COVID‐19 pandemic, primary care practices felt poorly supported by existing infection prevention and control (IPAC) guidelines, which focused primarily on acute care facilities. This issue was further complicated b…
View article: Nurses’ experiences with virtual care during the COVID-19 pandemic: a qualitative study in primary care
Nurses’ experiences with virtual care during the COVID-19 pandemic: a qualitative study in primary care Open
Primary care teams are increasingly relying upon nurses to support virtual care delivery, emphasizing the need to understand nursing roles in virtual care. Primary care funding models should be leveraged to support nurses in virtual care d…
View article: Canadian Adaptive Platform Trial of Treatments for COVID in Community Settings (CanTreatCOVID): protocol for a randomized controlled adaptive platform trial of treatments for acute SARS-CoV-2 infection in community settings
Canadian Adaptive Platform Trial of Treatments for COVID in Community Settings (CanTreatCOVID): protocol for a randomized controlled adaptive platform trial of treatments for acute SARS-CoV-2 infection in community settings Open
Introduction While effective vaccines and natural immunity have significantly reduced hospitalizations and the need for critical care, SARS-CoV-2 is now endemic and is expected to continue to pose a threat to health. New variants are expec…
View article: Revealing administrative staff roles in primary care during the COVID-19 pandemic: a qualitative study of family physicians’ perspectives
Revealing administrative staff roles in primary care during the COVID-19 pandemic: a qualitative study of family physicians’ perspectives Open
Background Administrative staff in primary care undertake numerous tasks to support patient care delivery. Although their roles are often overlooked, administrative staff are essential to the coordination and operations of primary care cli…
View article: Patient experiences using primary care wait lists in Canada: A qualitative study
Patient experiences using primary care wait lists in Canada: A qualitative study Open
CONTEXT: Primary healthcare is the front door to the health system, facilitating access to diagnostic testing and specialist care. Patients without a regular primary care provider (a family physician or nurse practitioner) are considered “…
View article: Validation of the SPARK Tool to collect demographic and social needs data in healthcare
Validation of the SPARK Tool to collect demographic and social needs data in healthcare Open
CONTEXT: Despite evidence that social determinants (e.g. income, housing) affect health, there is no standardized tool or approach in Canada for the routine collection of demographic and social information in healthcare settings. OBJECTIVE…
View article: Nurses’ perspectives on the characteristics of high-functioning teams in primary care during the COVID-19 pandemic
Nurses’ perspectives on the characteristics of high-functioning teams in primary care during the COVID-19 pandemic Open
CONTEXT : The COVID-19 pandemic provides an opportunity to explore the qualities that enable greater team adaptability, as a team’s ability to respond effectively to disruption is a good indicator of how well it functions. Considering that…
View article: A Qualitative Analysis of the Functions of Primary Care Nurses in <scp>COVID</scp> ‐19 Vaccination
A Qualitative Analysis of the Functions of Primary Care Nurses in <span>COVID</span> ‐19 Vaccination Open
Aim To describe vaccination roles of primary care nurses during the COVID‐19 pandemic in Canada. Design This analysis was part of a larger mixed‐methods case study. Methods We conducted semi‐structured qualitative interviews from May 2022 …
View article: Early career family physician perspectives on their residency experience and practice choices in Canada: a qualitative study
Early career family physician perspectives on their residency experience and practice choices in Canada: a qualitative study Open
Background: Though there are more family physicians in Canada than ever before, and residency programs are expanding, gaps in access to comprehensive care remain. This study aimed to describe and understand the role residency training expe…
View article: System-Based Interventions to Address Physician Burnout: A Qualitative Study of Canadian Family Physicians’ Experiences During the COVID-19 Pandemic
System-Based Interventions to Address Physician Burnout: A Qualitative Study of Canadian Family Physicians’ Experiences During the COVID-19 Pandemic Open
Background: Medical professionals experienced high rates of burnout and moral distress during the COVID-19 pandemic. In Canada, burnout has been linked to a growing number of family physicians (FPs) leaving the workforce, increasing the nu…
View article: Care-seeking experiences of unattached patients in the Canadian health care system
Care-seeking experiences of unattached patients in the Canadian health care system Open
Having a regular primary care provider is essential to having access to high-quality care and other health care services. Attachment also promotes health equity and confidence in the public health care system and has broader system-level, …
View article: Managing “socially admitted” patients in hospital: a qualitative study of health care providers’ perceptions
Managing “socially admitted” patients in hospital: a qualitative study of health care providers’ perceptions Open
Health care providers viewed "socially admitted" patients as needing enhanced care but identified individual, institutional, and system challenges that impeded its realization. Examining perceptions of the people who care for "socially adm…
View article: Assessing the impact of Canadian primary care research and researchers
Assessing the impact of Canadian primary care research and researchers Open
Canada is home to a cadre of primary care researchers who are highly cited in the medical literature, suggesting that their work is of high quality and relevance. Building on this foundation, further investments in primary care research co…