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Dr. Fred Burge

Professor and research director

Department of Family Medicine

Email: fred.burge@dal.ca
Phone: (902) 473-4742
Mailing Address: 
Department of Family Medicine Dalhousie University
8th floor, 8525 Abbie J Lane Building
5909 Veterans' Memorial Lane
Halifax, NS B3H 2E2
 
Research Topics:
  • Primary health care
  • End of life care
  • Health services research


Education

  • BA/MD, Queen's University
  • MSc Epidemiology and Biostatistics, McGill University
  • FCFP

Research Interests

Dr. Burge's research interests lie in health services research in primary care with a focus in the area of end-of-life care.

For a number of years, he and his colleagues have conducted administrative health data record linkage projects, examining how health services are provided to the dying in Nova Scotia. The care provided by family doctors has been of particular interest — especially how continuity of care influences health service utilization for the dying.  Recently, his team completed a large provincial mortality follow back study to examine unmet health-care needs of the dying.

Other areas of interest are focused on improving the quality of primary care, including chronic disease management, through the application of research evidence in this setting and developing tools and strategies to improve that care. He is also interested in research and evaluation of new models of primary care.

He co-leads the Dalhousie Collaborative for Primary Healthcare Research, an inter-faculty initiative to increase primary healthcare research (CoR-PHC).

Building Research for Integrated Primary Healthcare (BRIC NS) is also under his leadership (BRIC-NS). 

He is a founding co-investigator on the team of "TUTOR-PHC," the first CIHR funded interdisciplinary training centre for primary care research. This virtual centre is a joint initiative with graduate research students from across Canada.  He is particularly interested in supporting the development of the next generation of researchers in family medicine and this training centre is one vehicle to ensure they will be there (see web link).

Selected Projects

Unmet needs and unfulfilled wishes at the end of life: A population-based mortality follow back study. Burge F, Asada Y, Flowerdew G, Grunfeld E, Johnston G, Lawson B. Canadian Institutes of Health Research (2009-2012 ) View questionnaire, View presentation

Assessing the feasibility and reliability of using administrative health data to identify transitions in care settings at the end of life. Burge F, Johnston G, McIntyre P and Lawon B.  Nova Scotia Health Research Foundation (2012-2013)

The organization, deliver and costs of end-of-life cancer care: the potential of homecare nursing in four provinces.
  Seow H, Krahn M, Barbera L, Brouwers M, Burge F, Fassbender K, Peacock S, Sussman J, Sutradhar R, Lawson B. Canadian Cancer Society Research Institute Research Grant (2011-2014)

Selected Publications

Lawson B, Dicks D, MacDonald D, Burge FUsing quality indicators to evaluate the effect of an enhanced collaborative care model among a community, primary healthcare practice population. Nurs Leadership 2012; 25(3):28-42.

Burge F, Lawson B, Mitchell G.  How to move to a palliative approach to care for people with multimorbidity.  BMJ. 2012;345:e6324.

Maddison AR, Asada Y, Burge F, Johnston GW, Urquhart R.  Inequalities in end-of-life care for colorectal cancer patients in Nova Scotia, Canada.  J Palliat Care.  2012 Summer:28(2):90-6.

Burge F, Haggerty J, Pineault R, Beaulieu M-D, Levesque J-F, Beaulieu C, Santor D.  Relational continuity from the consumer perspective:  Comparison of primary healthcare evaluation instruments.  Healthc Policy 2011;7(Special Issue): 124-138.

Lawson B, Burge F. Re-examining the definition of location of death in health services research. Accepted for publication, J Palliative Care, 2010

Stewart M, Reid G, Brown JB, Burge F, DiCenso A, Watt S, McWilliam C, Beaulieu M-D, Meredith L. Development and implementation of training for interdisciplinary research in primary health care. Acad Med 2010;85 (6):974-979

Urquhart, RL, Johnston, GM, McVorran,SM, Burge, FI. Lessons from a Knowledge Exchange Trainee Experience. Healthcare Policy 2010;5(4): 47-57

Lawson B, Burge F, McIntyre P, Field S, Maxwell D. Can the introduction of an integrated service model to an existing comprehensive palliative care service impact emergency department visits among enrolled patients? J Palliat Med 2009;12(3):245-52

Selected Presentations

Burge F, B Lawson, K Van Aarsen, Y Asada, G Flowerdew, P McIntyre, E Grunfeld.  Is Having an Advance Directive or Living Will in Place Associated with Family Physician Home Visits at the End of Life? 40th North American Primary Care Research Group Annual Meeting. New Orleans, LA. Dec 1-5, 2012.

Burge F, Lawson B, VanAarsen K, Johnston G, Asada Y, Flowerdew G, McIntyre P, Grunfeld E. 
Is Medical Care that Respects Patient Wishes Associated with Having an Advanced Directive or Living Will in Place?
40th North American Primary Care Research Group Annual Meeting. New Orleans, LA. Dec 1-5, 2012. View Presentation

Lawson B, Burge F, MacDonald L, Smith P, Edwards L.  Family Practice Nurse & Family Physician Teams: Evidence of Healthcare Service Improvements in Fee-for-Service Settings.  39th North American Primary Care Research Group Annual Meeting. Banff, AB. Nov 12-16, 2011.

VanAarsen, K, Lawson, B, Burge F, Johnston G, Asada Y, Flowerdew G, Grunfeld E,
McIntyre P. Transitions in Location of Care at the End of Life. 39th North American Primary Care Research Group Annual Meeting. Banff, AB. Nov 12-16, 2011.

VanAarsen, K, Lawson, B, Burge F, Johnston G, Asada Y, Flowerdew G, Grunfeld E, McIntyre P.  Toward a Quality Outcome Orientation to Primary Healthcare in Nova Scotia: Practice Quality Indicator Inclusion and Payment Incentives.  39th North American Primary Care Research Group
Annual Meeting. Banff, AB. Nov 12-16, 2011.

Burge F, Lawson B, Gass D, Natarajan N, Putnam W, MacPhail J, Archibald G, Lussing F. Acceptable linking of quality and payment in primary healthcare: A Canadian view. 37th North American Primary Care Research Group Annual Conference, Montreal, QC, Nov 14-18, 2009.

Lawson B, Burge F, Heath S, Ryan S. Using quality indicators to evaluate the effect of implementing an enhanced collaborative care model in community practice. 37th North American Primary Care Research Group Annual Conference, Montreal, QC, Nov 14-18, 2009.

Natarajan N, Latter C, Buhariwalla F, Goodfellow M, Goodine RA, Hall J, Lacey K, MacDonald I, Murray M, Smith P, Lawson B, Burge F, Putnam W, Godwin M, Dunbar P, Sketris I, Mann E. Adherence to antihypertensive medication in primary care patients with type 2 diabetes. 37th North American Primary Care Research Group Annual Conference, Montreal, QC, Nov 14-18, 2009.