{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T15:02:16Z","timestamp":1767193336639,"version":"3.48.0"},"reference-count":79,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"unspecified","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PPE 196084"],"award-info":[{"award-number":["PPE 196084"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,8,12]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>During the COVID-19 pandemic, primary care providers rapidly adapted their practice in response to emerging knowledge of infection risk, resource availability and evolving patient and system needs. Given the previous lack of guidance specific to primary care settings, there is a need to formalise and integrate lessons learnt from these successful adaptations into future pandemic plans. Our project will develop a model for pandemic planning in primary care designed for replication in other Canadian regions and internationally to facilitate the scale and spread of effective primary care pandemic response strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>We will apply a pragmatic approach and a sequential multiple-methods design consisting of three objectives: (1) scoping review, (2) priority setting exercise and (3) plan creation. For objective 1, we will conduct a scoping review to identify the essential supports of a pandemic response plan for primary care at the clinic, community, regional and provincial levels in Canada and comparable countries. We will conduct the review in accordance with the Joanna Briggs Institute methodology (search date July 2025) and synthesise findings based on recurring themes. For objective 2, we will engage primary care providers, public health professionals and health system managers in a priority-setting exercise consisting of deliberative dialogues and a Delphi process. The exercise will involve a presentation and three rounds of online surveys asking participants to rank the importance of various pandemic supports for primary care. We estimate that 100 participants will attend the presentations and 60 will complete all three rounds of the survey. For objective 3, we will co-create clinic-level, community-level and region-level pandemic response plans in Southwestern Ontario through working groups led by primary care providers and public health members of the research team, with an aim to engage approximately 12\u201324 participants. We will use rapid reviews, stakeholder input and evidence gathered in earlier components of the project to operationalise prioritised supports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>We obtained ethics approval from the Western University Research Ethics Board (project ID: 127132) and will use best practices for promoting consent, confidentiality and data security. We will disseminate findings through regional, national and international conferences, peer-reviewed journal publications and online platforms. Lastly, we will develop and share a toolkit for pandemic planning in primary care to encourage further research and inform future pandemic preparedness efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-107804","type":"journal-article","created":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:15:29Z","timestamp":1756667729000},"page":"e107804","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Pandemic planning for primary care in Southwestern Ontario: protocol for a sequential multiple-methods design"],"prefix":"10.1136","volume":"15","author":[{"given":"Maria","family":"Mathews","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7949-8849","authenticated-orcid":false,"given":"Dana","family":"Ryan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Meredith","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Grushka","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Hedden","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Lukewich","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Memorial University of Newfoundland, St. John\u2019s, Newfoundland and Labrador, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric K W","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,31]]},"reference":[{"key":"2025123106484478000_15.8.e107804.1","first-page":"1110","article-title":"Promoting best practices for control of respiratory infections","volume":"52","author":"Hogg","year":"2006","journal-title":"Can Fam Physician"},{"key":"2025123106484478000_15.8.e107804.2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2021.S1.200204"},{"key":"2025123106484478000_15.8.e107804.3","first-page":"468","article-title":"Reflections on family practice and the pandemic first wave","volume":"66","author":"Lemire","year":"2020","journal-title":"Can Fam Physician"},{"key":"2025123106484478000_15.8.e107804.4","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.idh.2021.01.004","article-title":"General practitioners\u2019 knowledge, preparedness, and experiences of managing COVID-19 in Australia","volume":"26","author":"Sotomayor-Castillo","year":"2021","journal-title":"Infect Dis Health"},{"key":"2025123106484478000_15.8.e107804.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12875-022-01958-7","article-title":"Family physicians\u2019 responses to personal protective equipment shortages in four regions in Canada: a qualitative study","volume":"24","author":"Mathews","year":"2023","journal-title":"BMC Prim Care"},{"key":"2025123106484478000_15.8.e107804.6","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-046199","article-title":"Frontline healthcare workers\u2019 experiences with personal protective equipment during the COVID-19 pandemic in the UK: a rapid qualitative appraisal","volume":"11","author":"Hoernke","year":"2021","journal-title":"BMJ Open"},{"key":"2025123106484478000_15.8.e107804.7","unstructured":"British Columbia Family Doctors . 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