Laura Muldoon

Learn More
PURPOSE Conceptual frameworks for primary care have evolved over the last 40 years, yet little attention has been paid to the environmental, structural and organizational factors that facilitate or moderate service delivery. Since primary care is now of more interest to policy makers, it is important that they have a comprehensive and balanced conceptual(More)
BACKGROUND Many industrialized nations have initiated reforms in the organization and delivery of primary care. In Ontario, Canada, salaried and capitation models have been introduced in an attempt to address the deficiencies of the traditional fee-for-service model. The Ontario setting therefore provides an opportunity to compare these funding models(More)
BACKGROUND Lifestyle behaviours have significant health and economic consequences. Primary care providers play an important role in promoting healthy behaviours. We compared the performance of primary care models in delivering health promotion and identified practice factors associated with its delivery. METHODS Surveys were conducted in 137 randomly(More)
OBJECTIVE To determine which of 4 organizational models of primary care in Ontario were more community oriented. DESIGN Cross-sectional investigation using practice and provider surveys derived from the Primary Care Assessment Tool, with nested qualitative case studies (2 practices per model). SETTING Thirty-five fee-for-service family practices(More)
OBJECTIVE To describe patient-reported access to primary health care across 4 organizational models of primary care in Ontario, and to explore how access is associated with patient, provider, and practice characteristics. DESIGN Cross-sectional survey. SETTING One hundred thirty-seven randomly selected primary care practices in Ontario using 1 of 4(More)
OBJECTIVE To test the accuracy of imputing a practice population's average socioeconomic characteristics (such as average education levels and average income) using census data centred on the location of the practice. DESIGN Comparison of census data with survey data collected in primary care offices. SETTING Ontario. PARTICIPANTS A cross-sectional(More)
OBJECTIVE To describe the models of practice used by nurse practitioners (NPs) and FPs in community health centres (CHCs), and to examine the roles of NPs and FPs in these models. DESIGN Cross-sectional study using an organizational survey completed by managers of the CHC sites, as well as administrative data on patient sociodemographic characteristics(More)
  • 1