3PCI (implementing primary care pandemic planning)

Primary care providers (i.e., family physicians, nurse practitioners, registered nurses and registered/licensed practical nurses) play critical roles in pandemic response. However, prior to the COVID-19 pandemic, response plans did not include concrete steps to develop and implement plans for primary care. Building on a review of the supports described in the literature, primary care providers, public health professionals and health system managers will rank the supports for primary care providers at the clinic, community and region-level. Working groups will operationalize the prioritized supports and draft pandemic plans for the clinic, community, and region.

We will study the documents from the working groups and interview their members to understand how the groups decided which supports to operationalize and how, and the facilitators and barriers to creating the clinic, community and region-level pandemic plans for primary care.

A scoping review of the essential supports of a pandemic response plan for primary care and an online priority setting exercise to develop a list of priority supports will inform a primary care pandemic plan for Middlesex-London.

The project addresses the pressing need to preserve the lessons learned from the COVID-19 pandemic response and incorporate them into future pandemic preparedness plans. An effective primary care pandemic response is integral to the preservation and promotion of the health of the population, health system functioning, and the protection and wellbeing of the primary care workforce. The project will create tools to aid in pandemic planning in other communities.

Principal Investigators: Maria Mathews, Jamie Wickett, Joanne Kearon/Alexander Summers

Co-Investigators: Ashley Bilodeau, Arianne DiSchiavi, Thomas Freeman, Paul Gill, Andrea Gillan, Daniel Grushka, Lindsay Hedden, Erin Kennedy, Julia Lukewich, Emily Marshall, Stephen Wetmore, Erick Wong, Gillian Young
Collaborator: Gordon Schacter

Publications

Mathews M, Ryan D, Meredith L, Grushka D, Hedden L, Lukewich J, Young G., Wong EKW. Pandemic planning for primary care in Southwestern Ontario: protocol for a sequential multiple-methods design BMJ Open 2025;15: doi: 10.1136/bmjopen-2025-107804
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