{
  "abstract": "Introduction 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.Methods and analysis 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 12–24 participants. We will use rapid reviews, stakeholder input and evidence gathered in earlier components of the project to operationalise prioritised supports.Ethics and dissemination 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.",
  "authors": [
    {
      "affiliations": [
        "Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"
      ],
      "name": "Maria Mathews"
    },
    {
      "affiliations": [
        "Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"
      ],
      "name": "Dana Ryan"
    },
    {
      "affiliations": [
        "Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"
      ],
      "name": "Leslie Meredith"
    },
    {
      "affiliations": [
        "Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"
      ],
      "name": "Daniel Grushka"
    },
    {
      "affiliations": [
        "Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada"
      ],
      "name": "Lindsay Hedden"
    },
    {
      "affiliations": [
        "Faculty of Nursing, Memorial University of Newfoundland, St. John’s, Newfoundland and Labrador, Canada"
      ],
      "name": "Julia Lukewich"
    },
    {
      "affiliations": [
        "Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"
      ],
      "name": "Gillian Young"
    },
    {
      "affiliations": [
        "Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada"
      ],
      "name": "Eric K W Wong"
    }
  ],
  "title": "Pandemic planning for primary care in Southwestern Ontario: protocol for a sequential multiple-methods design",
  "uid": "6c70af4d-be6b-5cf1-9e15-bf1c3e2ce225"
}