Centre for Studies in Primary Care

Centre for Studies in Primary Care

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Current Projects

Eva Purkey

 

Principal Investigator: Eva Purkey, MD, CCFP

613.533.9303 ext 73935
purkeye@queensu.ca  

Learn more about Eva Purkey at her contact page here

 

 


Monitoring and evaluation of neonatal hepatitis B immunization project in Karenni State, Myanmar

This project, funded by the CSPC Research Initiation Grant Competition, is looking at the implementation of a development project seeking to decrease mother to child transmission of hepatitis B in Karenni State, Myanmar.  Karenni state is a rural and mountainous area of Myanmar where 70% of deliveries occur at home and where government programs for hepatitis B immunization do not effectively reach.  A team of Faculty of Health Sciences researchers from Family Medicine, Emergency Medicine, and Public Health, is implementing a program of monitoring and evaluation to assess the impact of this project, and in the process seeking to train project managers and implementers on the principles of project M&E.

 


Implementation and Evaluation of a Poverty Screening and Intervention Tool

"Treating Poverty" is a new project of the Ontario College of Family Physicians (OCFP) which proposes universal poverty screening in primary care.  This project, funded by the Innovation Fund of the Queen's Office of Research Services, seeks to evaluate the implementation of a poverty screening tool developed by the OCFP, in order to eventually assess the outcomes and impact of poverty screening.  This project will look at the implementation of the poverty tool not only in family medicine, but in pediatrics and possibly obstetrics and gynecology as well, and is in partnership with Queen's University Department of Pediatrics, as well as Faculty at Kingston Community Health Centres.

 


Women's experience of Primary Health Care in the context of chronic disease and adverse childhood experiences

The connection between adverse childhood experiences and disease is increasingly understood. This includes not only mental health conditions, addiction and pain conditions but also increasingly chronic diseases such as cancer and cardiovascular and respiratory diseases. Despite the data, there has yet to be an integration of the concept of trauma-informed care into primary care delivery. The study on women's experience of primary healthcare in the context of chronic disease and adverse childhood experiences is a qualitative exploration of the experience of women with multiple chronic conditions and a history of trauma (adverse childhood experiences) and their interactions with the primary health-care system.

The purpose of this study is to identify behaviours, attitudes and structural components of health-care settings, providers and staff that are either enhancing or detrimental to the ability of women with a history of trauma to access care for their chronic conditions. This study hopes to elicit components of 'trauma-informed care' as described in the literature, which can be used to structure health systems and to train health-care providers with the goal of improving outcomes in women with a history of childhood trauma.

 


Pre-departure Preparation for residents going on global Health electives: A National Consensus

Pre-departure preparation for international electives has been mandatory for medical students in Canada for several years. Such preparation, however, is not yet mandatory for residents going on international or other global health electives. Furthermore, pre-departure preparation may not even be available to residents in all Canadian institutions. Thus there is an increasing call from global health educators across Canadian universities to standardize practices and move towards mandatory pre-departure preparation activities for residents embarking on international or global health electives.

This study aims to foster collaboration between educators from universities across Canada to reach a consensus regarding the importance, nature and content of such pre-departure preparation sessions and materials. Launched in spring 2014, this study utilizes the Delphi technique for developing consensus and has engaged educators from over 10 Canadian universities. Findings of this research study will be presented to Canadian institutions to assist with educational policy development, and may help to inform movement towards mandatory pre-departure preparation for all residents embarking on global health electives.

 


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