Emily Gard Marshall
Biographic Data
| ID | 4457110 |
|---|---|
| NAME | Emily Gard Marshall |
| GIVEN NAMES | Emily Gard |
| FAMILY NAME | Marshall |
| SIGNATURE | MARSHALL E G |
| AFFILIATIONS | Dalhousie University |
| ORCID | 0000-0001-8327-0329 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 0 |
Understanding policy supports that enhance equity in the Primary Health Care System
Background: Promoting government efforts to transition to team-based care models in Canada is essential; it aligns with the imperative of ensuring health equity within primary healthcare (PHC) settings. By addressing the fundamental principle of fairness and striving to mitigate disparities in access, quality, and outcomes, these team-based care initiatives can foster a more inclusive and effective healthcare system. This study, part of a larger …
Expériences de soins en télésanté lors de la pandémie de Covid-19
La pandémie de COVID-19 a engendré de profonds changements dans les modalités de prestation des soins de santé, notamment l’adoption rapide de la télésanté. Bien que certaines études aient exploré les avantages et les défis liés à la télésanté en contexte de pandémie, peu d’études se sont penchées sur les expériences de soins en télésanté d’individus vivant avec des troubles de santé mentale et des maladies physiques chroniques. Cet article propo…
“Swamped with information”
Introduction Providing family physicians (FPs) with the information they need is crucial for their participation in a coordinated pandemic or health emergency response, and to allow them to effectively run their practices. Most pandemic planning documents do not address communication plans specific to FPs. This study describes FPs' experiences and challenges with information management during the COVID-19 pandemic in Canada. Methods We conducted …
Family physicians’ perspectives on collaboration challenges between primary care and specialist care during the Covid-19 pandemic in Canada
Prior to the COVID-19 pandemic, Canada had longer wait-times for specialist appointments compared to other Commonwealth countries. During the pandemic, many specialist services were postponed or suspended, impacting access. The purpose of this study was to explore family physicians’ perspectives on specialist care availability during the pandemic and implications for family physician workload and patient management. These experiences can inform f…
Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces
Primary care is the foundation of health care systems around the world. Physician autonomy means that governments rely on a limited selection of levers to implement reforms in primary care delivery, and these policies may impact the practice choices, intentions, and patterns of primary care physicians. Using a systematic search strategy to capture publicly available policy documents, we conducted a scan of such policies from 1998 to 2018 in three…
“It was horrible for that community, but not for the way we had imagined”
The COVID-19 response required family physicians (FPs) to adapt their practice to minimise transmission risks. Policy guidance to facilitate enacting public health measures has been generic and difficult to apply, particularly for FPs working with communities that experience marginalisation. Our objective was to explore the experiences of FPs serving communities experiencing marginalisation during COVID-19, and the impact the pandemic and pandemi…
Do changes in primary care service use over time differ by neighbourhood income? Population-based longitudinal study in British Columbia, Canada
Results raise concerns that equity in access to primary care has deteriorated in BC. Reforms to primary care that fail to attend to the multidimensional needs of low-income communities may entrench existing inequities. Policies that tailor patterns of funding and allocation of resources in accordance with population needs, and that align accountability measures with equity objectives are needed as part of further reform efforts
Designing centralized waiting lists for attachment to a primary care provider
Access to a regular primary care provider is essential to quality care. In Canada, where 15 % of patients are unattached (i.e., without a regular provider), centralized waiting lists (CWLs) help attach patients to a primary care provider (family physician or nurse practitioner). Previous studies reveal mechanisms needed for CWLs to work, but focus mostly on CWLs for specialized health care. We aim to better understand how to design CWLs for unatt…
How the design and implementation of centralized waiting lists influence their use and effect on access to healthcare - A realist review
CONTEXT: Many health systems have centralized waiting lists (CWLs), but there is limited evidence on CWL effectiveness and how to design and implement them. AIM: To understand how CWLs' design and implementation influence their use and effect on access to healthcare. METHODS: We conducted a realist review (n = 21 articles), extracting context-intervention-mechanism-outcome configurations to identify demi-regularities (i.e., recurring patterns of …
Barriers to primary and emergency healthcare for trans adults
Trans individuals are less healthy than the general population in part because of their avoidance and underutilisation of healthcare. Using qualitative research methods, the objective of this study was to explore the barriers trans adults encounter when pursuing primary and emergency care in Nova Scotia, Canada. Findings reveal that trans adults often feel discriminated against and socially excluded in primary and emergency care settings. This ma…
Does socio-economic status or having a chronic condition affect whether family physicians accept a new patient? A Nova Scotia population study
So Many Bricks in the Wall
Adolescents are sexual beings, and many are sexually active. They are very often able to develop the knowledge and skills required to protect their sexual health, and to take the action required for doing so. Unfortunately, many experience barriers to accessing information through school-based sexual health education. The research outlined here represents an effort to better understand the origins of barriers which prevent young women from receiv…
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So Many Bricks in the Wall
Adolescents are sexual beings, and many are sexually active. They are very often able to develop the knowledge and skills required to protect their sexual health, and to take the action required for doing so. Unfortunately, many experience barriers to accessing information through school-based sexual health education. The research outlined here represents an effort to better understand the origins of barriers which prevent young women from receiv…
Does socio-economic status or having a chronic condition affect whether family physicians accept a new patient? A Nova Scotia population study
Barriers to primary and emergency healthcare for trans adults
Trans individuals are less healthy than the general population in part because of their avoidance and underutilisation of healthcare. Using qualitative research methods, the objective of this study was to explore the barriers trans adults encounter when pursuing primary and emergency care in Nova Scotia, Canada. Findings reveal that trans adults often feel discriminated against and socially excluded in primary and emergency care settings. This ma…
How the design and implementation of centralized waiting lists influence their use and effect on access to healthcare - A realist review
CONTEXT: Many health systems have centralized waiting lists (CWLs), but there is limited evidence on CWL effectiveness and how to design and implement them. AIM: To understand how CWLs' design and implementation influence their use and effect on access to healthcare. METHODS: We conducted a realist review (n = 21 articles), extracting context-intervention-mechanism-outcome configurations to identify demi-regularities (i.e., recurring patterns of …
Designing centralized waiting lists for attachment to a primary care provider
Access to a regular primary care provider is essential to quality care. In Canada, where 15 % of patients are unattached (i.e., without a regular provider), centralized waiting lists (CWLs) help attach patients to a primary care provider (family physician or nurse practitioner). Previous studies reveal mechanisms needed for CWLs to work, but focus mostly on CWLs for specialized health care. We aim to better understand how to design CWLs for unatt…
Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces
Primary care is the foundation of health care systems around the world. Physician autonomy means that governments rely on a limited selection of levers to implement reforms in primary care delivery, and these policies may impact the practice choices, intentions, and patterns of primary care physicians. Using a systematic search strategy to capture publicly available policy documents, we conducted a scan of such policies from 1998 to 2018 in three…
“It was horrible for that community, but not for the way we had imagined”
The COVID-19 response required family physicians (FPs) to adapt their practice to minimise transmission risks. Policy guidance to facilitate enacting public health measures has been generic and difficult to apply, particularly for FPs working with communities that experience marginalisation. Our objective was to explore the experiences of FPs serving communities experiencing marginalisation during COVID-19, and the impact the pandemic and pandemi…
Do changes in primary care service use over time differ by neighbourhood income? Population-based longitudinal study in British Columbia, Canada
Results raise concerns that equity in access to primary care has deteriorated in BC. Reforms to primary care that fail to attend to the multidimensional needs of low-income communities may entrench existing inequities. Policies that tailor patterns of funding and allocation of resources in accordance with population needs, and that align accountability measures with equity objectives are needed as part of further reform efforts
“Swamped with information”
Introduction Providing family physicians (FPs) with the information they need is crucial for their participation in a coordinated pandemic or health emergency response, and to allow them to effectively run their practices. Most pandemic planning documents do not address communication plans specific to FPs. This study describes FPs' experiences and challenges with information management during the COVID-19 pandemic in Canada. Methods We conducted …
Family physicians’ perspectives on collaboration challenges between primary care and specialist care during the Covid-19 pandemic in Canada
Prior to the COVID-19 pandemic, Canada had longer wait-times for specialist appointments compared to other Commonwealth countries. During the pandemic, many specialist services were postponed or suspended, impacting access. The purpose of this study was to explore family physicians’ perspectives on specialist care availability during the pandemic and implications for family physician workload and patient management. These experiences can inform f…
Understanding policy supports that enhance equity in the Primary Health Care System
Background: Promoting government efforts to transition to team-based care models in Canada is essential; it aligns with the imperative of ensuring health equity within primary healthcare (PHC) settings. By addressing the fundamental principle of fairness and striving to mitigate disparities in access, quality, and outcomes, these team-based care initiatives can foster a more inclusive and effective healthcare system. This study, part of a larger …
Expériences de soins en télésanté lors de la pandémie de Covid-19
La pandémie de COVID-19 a engendré de profonds changements dans les modalités de prestation des soins de santé, notamment l’adoption rapide de la télésanté. Bien que certaines études aient exploré les avantages et les défis liés à la télésanté en contexte de pandémie, peu d’études se sont penchées sur les expériences de soins en télésanté d’individus vivant avec des troubles de santé mentale et des maladies physiques chroniques. Cet article propo…
Medicine (11 works) · Primary Care and Health Outcomes (8 works) · Nursing (7 works) · Family medicine (6 works) · Health care (6 works) · Political science (6 works) · Sociology (6 works) · Healthcare Policy and Management (5 works) · Psychology (5 works) · Qualitative research (5 works)