Primary Care


Madeline Brennan is GP Research Registrar at the Department of General Practice and Primary Care and Centre of Public Health, Queen's University, Belfast

Margaret Cupples is a general practitioner and professor at the Department of General Practice and Primary Care, Centre of Public Health and UKCRC Centre of Excellence for Public Health, Queen's University Belfast, UK.

Editor’s note: This post is based on a presentation to the Association of University Departments of General Practice in Ireland, at Queen’s University, Belfast.

As a GP research registrar embarking on developing my first research project, I didn’t think I was going to change the world, but I hoped that I could, perhaps, influence a few. Obesity is a major global problem and maternal obesity is rising in addition to that of the general population. My aim was to change the health behaviour of the expectant mother. ...continue reading

Photo credit: John Ulan

Sarah Forgie is a pediatric infectious disease physician at the Stollery Children’s Hospital and professor in the University of Alberta’s Department of Pediatrics


Sheela Xavier has 5 years of clinical experience in India treating infectious diseases in children, particularly measles cases presenting with Koplik spots.


In 2000, endemic measles was declared eliminated in North America because of high levels of herd immunity thanks to an effective measles vaccine. However, measles remains endemic in other parts of the world, and with international travel, immigration and international adoptions, North Americans who are unvaccinated or inadequately vaccinated remain at risk for the disease. For example, in an ongoing measles outbreak in the United States and Canada that has been linked to a theme park, most of the patients infected were either unvaccinated or inadequately vaccinated. ...continue reading

is a Dermatology Resident Physician in Vancouver, BC, and a freelance writer for the Huffington Post, Ubyssey Newspaper, and the Online Journal for Community and Person-centered Dermatology

As one of my last off-service rotations in residency, I completed an elective rotation in refugee primary care. I was attracted to the idea of a global population placed locally, because I plan to work internationally as part of my future practice, and I enjoy cross-cultural aspects of medicine.

It would turn out that I received a lot more than I had bargained for! ...continue reading

is Senior Research Advisor at the C.T. Lamont Primary Health Care Research Centre at the Bruyère Research Institute in Ottawa, Ontario



Primary care in Canada

What do populations need?

Canada ranks last among the developed countries surveyed by the Commonwealth Fund for access to primary care services. About 10% of Canadians do not have a primary care provider, and those who do have difficulty seeing their provider in a timely fashion. ...continue reading

Paul Little is NIHR Senior Investigator and Professor of Primary Care Research at the University of Southampton in the United Kingdom

Primary Care in the United Kingdom

What do populations need?

Populations need equitable and efficient access to high-quality care, but such a statement reflects both cultural values and political context. The UK National Health Service (NHS) was launched in the early post-war years by the then minister of health, Mr. Aneurin Bevan, based on core principles: that it meet the needs of everyone; that it be free at the point of delivery; and that it be based on clinical need, not ability to pay. The NHS has been the centre of political debate since, and attempts to reform the NHS — particularly the market-based reforms starting in the 1990s — have been . ...continue reading

Chris van Weel is Emeritus Professor of Family Medicine at Radboud University, the Netherlands, and Professor of Primary Health Care Research at Australian National University, Canberra, Australia

Primary care in the Netherlands

What do populations need?

The aging population, the increasing number of people with chronic disease and (co)morbidity, the frail elderly, and the increasing number of migrants from Eastern Europe, the Middle East and Asia present a challenge for the health care system. The government increasingly promotes preventive and self-responsibility strategies for people to better manage their own health. ...continue reading

Jane Gunn is Chair of Primary Care Research and Head of the Department of General Practice at the University of Melbourne, Australia

Primary care in Australia

What do populations need?

Populations need a fair health care system that reduces the current inequities seen in the health of the population. Australia needs a health care system that in addition to treatment and care. In particular, we need to improve the health of Aboriginal and Torres Strait Islander people. Populations deserve a strong primary health care system in the community for "first contact" care that . ...continue reading

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Felicity Goodyear-Smith is a General Practitioner and Head of the Department of General Practice and Primary Health Care at the University of Auckland, New Zealand


Primary care in New Zealand

What do populations need?

Populations in the community need a health care provider for . Care needs to be patient- and family-centered, and culturally appropriate. ...continue reading

Baukje (Bo) Miedema is Professor and Director of Research at the Dalhousie University Family Medicine Teaching Unit and Adjunct Professor in the Sociology Department, University of New Brunswick

 “The constitution” of primary health internationally, as a core component of the structure of health, care can be traced back to the , even though its origins go much further back in time: 1941 in the Netherlands and 1948 in the United Kingdom. The Declaration states that governments have to be responsible for the health of their people. Primary health care is seen as an important vehicle to deliver health care to the population, and is defined as care that “addresses the main health problems in the community, providing promotive, preventative, curative and rehabilitative services accordingly.” The Declaration of Alma-Ata also states that by the year 2000 there should be “health for all.” ...continue reading

Johanna Sommer, Hubert Maisonneuve et Dagmar M. Haller Unité de Médecine de Premier Recours, Faculté de Médecine, Université de Genève, la Suisse


Grâce au soutien politique obtenu suite à l’élan imprimé par l’association « Médecins de Famille et de l’Enfance Suisse » (voir blog de François Héritier), les instituts académiques de médecine de famille des 5 universités suisses se sont réunis en un groupe de recherche national: ...continue reading