Primary care is a person's first and most frequent contact with the health system. This includes direct provision of first-contact services by family physicians, nurse practitioners, nurses, pharmacists and other professionals.
Primary care services include prevention, diagnosis and treatment of diseases and injuries, chronic disease management, basic emergency services, primary mental health care, health promotion, healthy child and youth development, primary maternal care, addictions support, referral to specialist and tertiary care services as needed.
Vancouver Community’s primary care clinics provide a range of care services to Vancouver residents, including the most vulnerable and/or marginalized individuals, who have complex care needs, do not have a family doctor and have trouble accessing health care in other settings to manage their health care needs and chronic disease conditions. We also target populations who are living in poverty, street involved and/or homeless, or who are disadvantaged in other ways. Primary Care teams collaborate and integrate closely with VCH Public Health, Addictions, Mental Health, Home Health and Acute care partners to ensure clients receive integrated care that supports the wide complexity of their needs in a community based setting.
Examples of Research and Evaluation Priorities
- Effectiveness of implementing new clinical initiatives (i.e., cost, access, safety, quality, acceptability, feasibility)
- Impact of family physicians/nurse practitioners on primary care (e.g. Emergency Department visits, hospital admissions, length of stay, re-admissions)
- Best practices for elder care, especially with complex physical, mental and/or substance abuse disorders
- Cost effective prevention/management of chronic disease in adult populations and the use of incentives.
- Impact of not implementing best practices
- Acute to Community client transition
- Utilization patterns of Emergency Department by clients
- Health belief models and culture: personal health and chronic disease management
- Epidemiology of acute and chronic disorders/conditions in Downtown Eastside population (e.g. blood born infections such as Hep C and HIV)
- Best practices related to primary care for high needs/marginalized individuals and populations
- Management of alcohol dependence in community settings
Current and Past Research and Evaluation Projects
- Building Collaboration with the Urban Primary Care Clinics in VCH
- Examining the Impact of Nurse Practitioner Led Group Medical Visits for Clients with Chronic Conditions in Primary Care
- An Analysis of the Partnership and Network Approach to Ending Street Homelessness in the City of Vancouver
- Empowering Mothers: A Participatory Action Research Study with Sheway Women in Vancouver
- Pilot study of diflunisal in HIV-infected adults
- The Canadian HIV Womenâ€™s Sexual and Reproductive Health Cohort Study
- CHIWOS), a Canadian Observational Cohort (CANOC) Affiliated
- Elements for a Supportive and Inclusive Employment Program for Self-Identified Trans Individuals in Vancouver(located on the traditional territories of the Coast Salish Peoples)
- Factors Affecting Implementation and Scalability of Online Sexual Health Services
- Systemic Barriers to Gender-Affirming Health Care in B.C.
- Refugee Health Care in BC: What facilitates access to general practitioner care?
- Quality of Life Study for Inner City COPD Population
- Experiences of recently arrived, non-literate, non-English speaking, government assisted refugees accessing health care in the Greater Vancouver area
Questions? We can help. Contact our Community Research Facilitator