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Background: Through medicare, residents in Canada are entitled to medically necessary physician services without paying out of pocket, but still many people struggle to access primary care. We conducted a survey to explore people's experience with and priorities for primary care., Methods: We conducted an online, bilingual survey of adults in Canada in fall 2022. We distributed an anonymous link through diverse channels and a closed link to 122 053 people via a national public opinion firm. We weighted completed responses to mirror Canada's population and adjusted for sociodemographic characteristics using regression models., Results: We analyzed 9279 completed surveys (5.9% response rate via closed link). More than one-fifth of respondents (21.8%) reported having no primary care clinician, and among those who did, 34.5% reported getting a same or next-day appointment for urgent issues. Of respondents, 89.4% expressed comfort seeing another team member if their doctor recommended it, but only 35.9%, 9.5%, and 12.4% reported that their practice had a nurse, social worker, or pharmacist, respectively. The primary care attribute that mattered most was having a clinician who "knows me as a person and considers all the factors that affect my health." After we adjusted for respondent characteristics, people in Quebec, the Atlantic region, and British Columbia had lower odds of reporting a primary care clinician than people in Ontario (adjusted odds ratio 0.30, 0.33, and 0.39, respectively; p < 0.001). We also observed large provincial variations in timely access, interprofessional care, and walk-in clinic use., Interpretation: More than 1 in 5 respondents did not have access to primary care, with large variation by province. Reforms should strive to expand access to relationship-based, longitudinal care in a team setting., Competing Interests: Competing interests:: Tara Kiran reports receiving support for the present manuscript from Health Canada, Staples Canada, the Max Bell Foundation, and the FDC Foundation. Dr. Kiran has also received grants or contracts from the Ministry of Health and Long-Term Care and the St. Michael’s Hospital Foundation, and grants and consulting fees from Ontario Health. Dr. Kiran has received payment or honoraria from the Canadian Medical Association, the College of Family Physicians of Canada (CFPC), the Association of Family Health Teams of Ontario, the Ontario Medical Association, and the Ontario College of Family Physicians. Dr. Kiran is the Fidani Chair in Improvement and Innovation at the University of Toronto and is also supported as a clinician scientist by the Department of Family and Community Medicine at the University of Toronto and at St. Michael’s Hospital. Amanda Condon reports receiving honoraria as the Manitoba co-lead for OurCare, in support of the present manuscript. Dr. Condon is also the Manitoba co-lead for Health Canada and the Canadian Institutes of Health Research CanTreatCOVID adaptive platform trial, and reports receiving funding for travel related to this trial. Dr. Condon is a director of the board of the CFPC. Michael Green is president and board chair of the CFPC, and board member and chair of the Fellowship Committee of AMS Healthcare Inc. Alan Katz reports receiving support for the current manuscript from the University of Manitoba. Maggie Keresteci reports receiving a grant from the Canadian Association for Health Services and Policy Research, consulting fees from Healthcare Excellence Canada and the Canadian Agency for Drugs and Technologies in Health (CADTH), and payment or honoraria from Healthcare Excellence Canada, CADTH, the Ontario College of Family Physicians, and the University of Ottawa. Dr. Keresteci also reports holding a leadership role with Emily’s House Children’s Hospice. Sarah Newbery reports receiving travel support from the PSI Foundation for attending a meeting, and from the Northern Ontario School of Medicine University for attending the CFPC’s Family Medicine Forum. Dr. Newbery is also a member of the CMAJ Editorial Advisory Board. Goldis Mitra reports holding roles with BC Family Doctors (Executive Treasurer), the Statutory Negotiations Committee of Doctors of BC, and OurCare (BC Physician Lead). Katherine Stringer reports receiving an honorarium as the Nova Scotia co-lead for the OurCare initative (paid to Dalhousie Department of Family Medicine) and support from the CFPC and Dalhousie University to travel to and attend meetings or conferences. Dr. Stringer reports holding the roles of chair of the CFPC Family Medicine Specialty Committee and chair of the Association of Academic Chairs of Family Medicine (both unpaid). No other competing interests were declared., (© 2024 CMA Impact Inc. or its licensors.)

Objective: A key issue in Britain's referendum on European Union membership was the free movement of labor into Britain, with Brexit "Leavers" having more negative attitudes toward immigrants than "Remainers." Such anti-immigrant attitudes are driven by feelings of threat. The coronavirus pandemic presented a new threat in the context of ongoing Brexit negotiations. This paper examines how the COVID-19 pandemic affected anti-immigrant attitudes and how these effects differ between Leavers and Remainers., Methods: Using an online survey in Spring 2020 of 3,708 individuals residing in the UK, we experimentally test the effect of priming COVID-19 thoughts on anti-immigrant attitudes, and examine whether this effect varies by Brexit identity., Results: We show that COVID-19 may exacerbate anti-immigrant attitudes among Leavers while having little effect on Remainers., Conclusion: These findings support the idea that the coronavirus pandemic might have presented a new, viral, threat that heightened anti-immigrant attitudes among certain political identities., (© 2021 by the Southwestern Social Science Association.)

Coronavirus disease 2019 (COVID-19) has resulted in rapid, substantial, and at times contradictory policy changes as public health agencies and government officials react to new information. We examine the implications of such changes for public compliance by drawing on the case of revised guidance on mask usage by asymptomatic individuals. As official recommendations on the use of masks in Canada shift from discouraged to mandatory, we draw on findings from an ongoing public opinion study to explore contemporaneous changes in rates of mask adoption and levels of public trust in government institutions. We find that Canadians exhibit high levels of compliance with changing policies on mask usage and that trust in public health officials remains consistent despite policy change., (© Canadian Public Policy / Analyse de politiques.)