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Pharm PHC

Primary Care Reform and Medication Appropriateness for Older Adults

Funded by:


This research aims to understand whether and how different approaches to team-based primary care in Ontario and Québec have improved prescribing and related health outcomes among older adults. Both provinces have implemented major reforms to the organization and delivery of primary care, with goals of improving quality, patient experience, and outcomes. This research project will answer the following questions using a mixed-methods design: 

1) What are the primary care practice and patient characteristics that are associated with polypharmacy, potentially inappropriate prescribing, and adverse drug events for older adults in Ontario and Québec?

2) To what extent have the different approaches taken to implement team-based primary care in Ontario and Québec affected appropriateness, multiple drug use, and drug-related hospitalizations for older adults? 

3) How is medication management in primary care shaped by provincial policies, and what are the regulatory, policy and other mechanisms by which medication management is established and implemented in multi-professional team practice?

4) How can primary care policies optimize the organization of team-based primary care to improve medication management and related health outcomes among older adults?

The results of this research will generate evidence for policy-makers across Canada who are interested in optimizing the composition and design of team-based primary care delivery models.

Team Members

Nominated Principal Investigator: David Rudoler

Co-Principal Investigators:  Agnes Grudniewicz,  Elisabeth Martin, Erin Strumpf, Sara Allin 

Co-Investigators and Collaborators: Audrey Laporte, Caroline Sirois, Greg Marchildon, Lisa Dolovich, Lise Bjerre,  Monika Roerig, Nichole Austin, Rick Glazier

Papers & Preprints

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