Allie Peckham
Biographic Data
| ID | 4157717 |
|---|---|
| NAME | Allie Peckham |
| GIVEN NAMES | Allie |
| FAMILY NAME | Peckham |
| SIGNATURE | PECKHAM A |
| AFFILIATIONS | University of Toronto |
| ORCID | 0000-0001-6199-6903 |
| VERIFIED | Yes |
| TOTAL WORKS | 25 |
| TOTAL CITATIONS | 12 |
| AUTHOR COUNT | 25 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Resilient Connections
Research on dementia care partners often emphasizes the dyadic relationship, overlooking broader social networks that shape care partners’ well-being and resilience. This study examines how social network composition and quality influence care partner outcomes. We conducted ego-centric social network structured interviews with 179 unpaid care partners of individuals living with dementia. We used regression models to test our hypothesis, with hier…
Chronic Disease Management Among People Treated for Comorbid Serious Mental Illness and/or Substance Use Disorders
People with serious mental illness and/or substance use disorders are at high risk of chronic physical diseases like diabetes and hypertension and related acute complications but may face barriers to chronic disease management (including medication management and laboratory testing). We describe patterns of service use and chronic disease management among people with diabetes and/or hypertension treated for comorbid serious mental illness and/or …
Mapping the Trajectories of Social Relations for White, Black, and Hispanic/Latino Individuals Approaching Death With Dementia
Objectives Larger social networks are associated with a lower risk of dementia, but little is known about how social networks shift as someone with dementia approaches death. We investigate these shifts while giving special attention to race and ethnicity, which are related to different dementia patterns, social network sizes, and social network makeup. Methods This study included 2,301 deceased people with dementia from the Health and Retirement…
Who’s ideating, prototyping, and evaluating? A case study of resource-limited participatory design for health and aging
While participatory design approaches aim to include stakeholders in all design activities, in resource-limited situations, participation is challenging. Participatory designers often make decisions dealing with the tension between the agency of stakeholder participants and the project’s viability. In designing health services, care professionals have limited availability, and patients, such as low-income older adults, have limitations such as la…
Mirabella at Arizona State University
University-based retirement communities (UBRCs) are a relatively recent addition to housing options for older adults. The case example of a new UBRC, Mirabella at Arizona State University (ASU), is presented within the context of Age-Friendly University (AFU) principles and New American University design aspirations. We provide an overview of the planning process, describe initial collaborations between Mirabella and research faculty, and outline…
What Can Canada Learn From Accountable Care Organizations
Introduction: Accountable Care Organizations (ACOs), implemented in the United States (US), aim to reduce costs and integrate care by aligning incentives among providers and payers. Canadian governments are interested adopting such models to integrate care, though comparative studies assessing the applicability and transferability of ACOs in Canada are lacking. In this comparative study, we performed a narrative literature review to examine how C…
Policy programs and service delivery models for older adults and their caregivers
Despite an increase in prevalence of complex chronic conditions and dementia, long-term care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia in Canada and the United States (U.S.) live at home with support provided by family, friends or other unpaid caregivers. Ten dementia care policy programs and service delivery models across five different North …
Physical Activity Among Predominantly White Middle-Aged and Older US Adults During the Sars-CoV-2 Pandemic
Background: The first COVID-19 case in the US was diagnosed late January 2020. In the subsequent months, cases grew exponentially. By March 2020, SARS-CoV-2 (the novel coronavirus that causes COVID-19) was a global pandemic and the US declared a national emergency. To mitigate transmission, federal guidelines were established for social and physical distancing. These events disrupted daily routines of individuals around the world, including Ameri…
Comparison of outpatient coverage in Canada
Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions
Oral health is an important component of general health, yet there is limited financial protection for the costs of oral health care in many countries. This study compares public dental care coverage in a selection of jurisdictions: Australia (New South Wales), Canada (Alberta), England, France, Germany, Italy, Sweden, and the United States. Drawing on the WHO Universal Coverage Cube, we compare breadth (who is covered), depth (share of total cos…
An alternate level of care plan
Our findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families
How does it feel to be a problem? Patients’ experiences of self‐management support in New Zealand and Canada
BACKGROUND: The impact of long-term conditions is the "healthcare equivalent to climate change." People with long-term conditions often feel they are a problem, a burden to themselves, their family and friends. Providers struggle to support patients to self-manage. The Practical Reviews in Self-Management Support (PRISMS) taxonomy lists what provider actions might support patient self-management. OBJECTIVE: To offer providers advice on how to sup…
What is important to people with multimorbidity and their caregivers? Identifying attributes of person centred primary health care from the user perspective
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective
Attributes of good care extend beyond disease management. While our findings include activities that characterize these attributes, further research on implementation barriers and facilitators is required
Building a Framework for Caregiver Co-Design and Implementation
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Extending “Continuity of Care” to include the Contribution of Family Carers
The Maori Provider Organisation supported family carer-provider partnership enabled by shared Maori cultural values and social mandate of building family-centred wellbeing. Relational continuity was the most important level of continuity of care; it sets precedence for family carers and providers to establish the other levels - informational and management - continuity of care for their family member cared for. Family carers need to be considered…
Caring for Caregivers
Introduction: Even with international consensus that carers play a crucial role in supporting high-needs populations and contribute to formal health system sustainability, the academic and policy literature offers inconclusive evidence to guide how to support carers to ensure their resilience.Theory and Methods: This research used a convergent mixed model parallel design consisting of three main research phases. The theory of social capital was u…
Functional Limitations Experienced by Older Adults with Complex Care Needs and Its Impact on Access to Community Based Health and Social Care
Introduction: Multimorbidity is often combined with functional limitations among older adults. It is therefore important to ensure the built and social environment encourages older adults to safely age while maintaining independence. Previous findings have focused on the impact of the built environment as a barrier to an active lifestyle, but not specific to accessing community-based health and social care (CHSC). We propose to investigate the im…
How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand
Community-based primary health care describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for community-based primary health care have stimulated local initiatives and influenced the design of policy solutions. However, the wa…
Icoach
Introduction: In Ontario, Canada publicly funded healthcare extends across siloed sub-systems, spanning acute, primary, home and community care (H&CC). The fractured and constantly evolving nature of healthcare can pose challenges for integrated care. Community-based primary health care (CBPHC) may serve as a strategy to work across several subsystems, specifically between primary and H&CC, to support the independence of the frail elderly.Here we…
The Unmet Needs of Patients and Carers within Community Based Primary Health Care
Introduction: Community Based Primary Health Care (CBPHC) is positioned as the foundation of integrated health systems, intended to support broader goals of population health and health system sustainability. CBPHC moves beyond traditional primary care (a physician visit) to team based care that spans organizational boundaries (such as primary care clinics + community care services). At the core of CBPHC are patients and their informal carers (fa…
A comparison of the policy and institutional environment relevant to community-based primary health care in Ontario, Quebec and New Zealand
Introduction: Community-based primary health care (CBPHC) describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for CBPHC have stimulated local initiatives and influenced the design of policy solutions. However, the ways in wh…
What Factors Influence Patient and Carer Engagement in Community Based Primary Health Care? Insights from People with Complex Care Needs and their Carers
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Reform but no change
Introduction: In this article we consider Ontario policy responses to an aging population and highlight lessons learned about the challenges of sustaining policy change in unstable sub-sectors. We consider the case of community based long-term care (LTC) policy in Ontario over the past decade analyzing the trajectory and legacy of what has been referred to as “Aging at Home” strategy.Description of the innovation or study: Aging at Home policies …
Analyzing The Pace and Direction of Primary Health Care Reform in Ontario, Canada
Background: Almost four decades after the ground-breaking Declaration of Alma-Ata identified primary health care (PHC) as “essential health care,” there is growing consensus across the industrialized world that improvements in “first contact” care are crucial not only to enhance population health but to sustain increasingly stretched health care systems. According to the World Health Organization (WHO, 2008), PHC that includes, but goes beyond a …
What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective
Attributes of good care extend beyond disease management. While our findings include activities that characterize these attributes, further research on implementation barriers and facilitators is required
How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand
Community-based primary health care describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for community-based primary health care have stimulated local initiatives and influenced the design of policy solutions. However, the wa…
Extending “Continuity of Care” to include the Contribution of Family Carers
The Maori Provider Organisation supported family carer-provider partnership enabled by shared Maori cultural values and social mandate of building family-centred wellbeing. Relational continuity was the most important level of continuity of care; it sets precedence for family carers and providers to establish the other levels - informational and management - continuity of care for their family member cared for. Family carers need to be considered…
Policy programs and service delivery models for older adults and their caregivers
Despite an increase in prevalence of complex chronic conditions and dementia, long-term care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia in Canada and the United States (U.S.) live at home with support provided by family, friends or other unpaid caregivers. Ten dementia care policy programs and service delivery models across five different North …
Reform but no change
Introduction: In this article we consider Ontario policy responses to an aging population and highlight lessons learned about the challenges of sustaining policy change in unstable sub-sectors. We consider the case of community based long-term care (LTC) policy in Ontario over the past decade analyzing the trajectory and legacy of what has been referred to as “Aging at Home” strategy.Description of the innovation or study: Aging at Home policies …
Analyzing The Pace and Direction of Primary Health Care Reform in Ontario, Canada
Background: Almost four decades after the ground-breaking Declaration of Alma-Ata identified primary health care (PHC) as “essential health care,” there is growing consensus across the industrialized world that improvements in “first contact” care are crucial not only to enhance population health but to sustain increasingly stretched health care systems. According to the World Health Organization (WHO, 2008), PHC that includes, but goes beyond a …
Extending “Continuity of Care” to include the Contribution of Family Carers
The Maori Provider Organisation supported family carer-provider partnership enabled by shared Maori cultural values and social mandate of building family-centred wellbeing. Relational continuity was the most important level of continuity of care; it sets precedence for family carers and providers to establish the other levels - informational and management - continuity of care for their family member cared for. Family carers need to be considered…
Caring for Caregivers
Introduction: Even with international consensus that carers play a crucial role in supporting high-needs populations and contribute to formal health system sustainability, the academic and policy literature offers inconclusive evidence to guide how to support carers to ensure their resilience.Theory and Methods: This research used a convergent mixed model parallel design consisting of three main research phases. The theory of social capital was u…
Functional Limitations Experienced by Older Adults with Complex Care Needs and Its Impact on Access to Community Based Health and Social Care
Introduction: Multimorbidity is often combined with functional limitations among older adults. It is therefore important to ensure the built and social environment encourages older adults to safely age while maintaining independence. Previous findings have focused on the impact of the built environment as a barrier to an active lifestyle, but not specific to accessing community-based health and social care (CHSC). We propose to investigate the im…
How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand
Community-based primary health care describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for community-based primary health care have stimulated local initiatives and influenced the design of policy solutions. However, the wa…
Icoach
Introduction: In Ontario, Canada publicly funded healthcare extends across siloed sub-systems, spanning acute, primary, home and community care (H&CC). The fractured and constantly evolving nature of healthcare can pose challenges for integrated care. Community-based primary health care (CBPHC) may serve as a strategy to work across several subsystems, specifically between primary and H&CC, to support the independence of the frail elderly.Here we…
The Unmet Needs of Patients and Carers within Community Based Primary Health Care
Introduction: Community Based Primary Health Care (CBPHC) is positioned as the foundation of integrated health systems, intended to support broader goals of population health and health system sustainability. CBPHC moves beyond traditional primary care (a physician visit) to team based care that spans organizational boundaries (such as primary care clinics + community care services). At the core of CBPHC are patients and their informal carers (fa…
A comparison of the policy and institutional environment relevant to community-based primary health care in Ontario, Quebec and New Zealand
Introduction: Community-based primary health care (CBPHC) describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for CBPHC have stimulated local initiatives and influenced the design of policy solutions. However, the ways in wh…
What Factors Influence Patient and Carer Engagement in Community Based Primary Health Care? Insights from People with Complex Care Needs and their Carers
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Reform but no change
Introduction: In this article we consider Ontario policy responses to an aging population and highlight lessons learned about the challenges of sustaining policy change in unstable sub-sectors. We consider the case of community based long-term care (LTC) policy in Ontario over the past decade analyzing the trajectory and legacy of what has been referred to as “Aging at Home” strategy.Description of the innovation or study: Aging at Home policies …
Building a Framework for Caregiver Co-Design and Implementation
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
How does it feel to be a problem? Patients’ experiences of self‐management support in New Zealand and Canada
BACKGROUND: The impact of long-term conditions is the "healthcare equivalent to climate change." People with long-term conditions often feel they are a problem, a burden to themselves, their family and friends. Providers struggle to support patients to self-manage. The Practical Reviews in Self-Management Support (PRISMS) taxonomy lists what provider actions might support patient self-management. OBJECTIVE: To offer providers advice on how to sup…
What is important to people with multimorbidity and their caregivers? Identifying attributes of person centred primary health care from the user perspective
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective
Attributes of good care extend beyond disease management. While our findings include activities that characterize these attributes, further research on implementation barriers and facilitators is required
Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions
Oral health is an important component of general health, yet there is limited financial protection for the costs of oral health care in many countries. This study compares public dental care coverage in a selection of jurisdictions: Australia (New South Wales), Canada (Alberta), England, France, Germany, Italy, Sweden, and the United States. Drawing on the WHO Universal Coverage Cube, we compare breadth (who is covered), depth (share of total cos…
An alternate level of care plan
Our findings outline ways to meaningfully engage patients and caregivers during a delayed hospital discharge. Combining this with a minimal basket of services can potentially facilitate a better care experience and outcomes for patients, their care providers and families
Physical Activity Among Predominantly White Middle-Aged and Older US Adults During the Sars-CoV-2 Pandemic
Background: The first COVID-19 case in the US was diagnosed late January 2020. In the subsequent months, cases grew exponentially. By March 2020, SARS-CoV-2 (the novel coronavirus that causes COVID-19) was a global pandemic and the US declared a national emergency. To mitigate transmission, federal guidelines were established for social and physical distancing. These events disrupted daily routines of individuals around the world, including Ameri…
Comparison of outpatient coverage in Canada
What Can Canada Learn From Accountable Care Organizations
Introduction: Accountable Care Organizations (ACOs), implemented in the United States (US), aim to reduce costs and integrate care by aligning incentives among providers and payers. Canadian governments are interested adopting such models to integrate care, though comparative studies assessing the applicability and transferability of ACOs in Canada are lacking. In this comparative study, we performed a narrative literature review to examine how C…
Policy programs and service delivery models for older adults and their caregivers
Despite an increase in prevalence of complex chronic conditions and dementia, long-term care services are being continuously pushed out of institutional settings and into the home and community. The majority of people living with dementia in Canada and the United States (U.S.) live at home with support provided by family, friends or other unpaid caregivers. Ten dementia care policy programs and service delivery models across five different North …
Mirabella at Arizona State University
University-based retirement communities (UBRCs) are a relatively recent addition to housing options for older adults. The case example of a new UBRC, Mirabella at Arizona State University (ASU), is presented within the context of Age-Friendly University (AFU) principles and New American University design aspirations. We provide an overview of the planning process, describe initial collaborations between Mirabella and research faculty, and outline…
Who’s ideating, prototyping, and evaluating? A case study of resource-limited participatory design for health and aging
While participatory design approaches aim to include stakeholders in all design activities, in resource-limited situations, participation is challenging. Participatory designers often make decisions dealing with the tension between the agency of stakeholder participants and the project’s viability. In designing health services, care professionals have limited availability, and patients, such as low-income older adults, have limitations such as la…
Mapping the Trajectories of Social Relations for White, Black, and Hispanic/Latino Individuals Approaching Death With Dementia
Objectives Larger social networks are associated with a lower risk of dementia, but little is known about how social networks shift as someone with dementia approaches death. We investigate these shifts while giving special attention to race and ethnicity, which are related to different dementia patterns, social network sizes, and social network makeup. Methods This study included 2,301 deceased people with dementia from the Health and Retirement…
Resilient Connections
Research on dementia care partners often emphasizes the dyadic relationship, overlooking broader social networks that shape care partners’ well-being and resilience. This study examines how social network composition and quality influence care partner outcomes. We conducted ego-centric social network structured interviews with 179 unpaid care partners of individuals living with dementia. We used regression models to test our hypothesis, with hier…
Chronic Disease Management Among People Treated for Comorbid Serious Mental Illness and/or Substance Use Disorders
People with serious mental illness and/or substance use disorders are at high risk of chronic physical diseases like diabetes and hypertension and related acute complications but may face barriers to chronic disease management (including medication management and laboratory testing). We describe patterns of service use and chronic disease management among people with diabetes and/or hypertension treated for comorbid serious mental illness and/or …
Medicine (20 works) · Political science (16 works) · Nursing (13 works) · Health care (12 works) · Business (9 works) · Chronic Disease Management Strategies (7 works) · Gerontology (7 works) · Primary Care and Health Outcomes (7 works) · Psychology (7 works) · Computer Science (6 works)