Dr. Ruth Lavergne, PhD

DFM_Ruth Lavergne

Email: ruth.lavergne@dal.ca
Phone: 902-473-4741
Mailing Address: 
Dalhousie Family Medicine
1465 Brenton Street, Suite 402
Halifax NS B3J 3T4
 

Education

  • PhD (Population and Public Health), University of British Columbia
  • MSc (Community Health and Epidemiology), Dalhousie University
  • BSc (Environment and Health, Bioethics minor), University of Toronto

Research Interests

Ruth Lavergne is an Associate Professor in the Department of Family Medicine at Dalhousie University. Dr. Lavergne’s program of research aims to address disparities in access and build evidence to ensure primary care organization, delivery, and workforce meet the needs of Canadians now and in the future.

Her expertise is in quantitative analysis of population-based administrative health data and use of quasi-experimental designs to examine the impact of policy changes. She leads interdisciplinary mixed methods primary care studies in collaboration with experts in qualitative methods, patients, care providers and policymakers.

Current work examines changing practice patterns within the physician workforce, focusing on primary care and psychiatry. She also leads research exploring access to primary care for immigrant and refugee populations and integration of care for people who need services for mental health and substance use disorders.

Selected Grants

Nova Scotia Health Research Fund
$99,942.00
Charting our own course: Practical and ethical considerations implementing Ai-supported charting in primary care
Principal Investigator: Dr. Mathew Grandy: Co-Investigators: Marshall EG, Thomson C, Piccinini H, Welton S, Rudzicz F, Green, Zed J, Horrey, K, Lavergne R, Pottie K, Stringer K, Atkinson S, Sadler L

Changing primary care capacity in Canada (4C): A cross-provincial mixed methods study to inform workforce planning
Funding agency and program: CIHR Project Grant
Principal applicants Lavergne MR, Easley J, Grudniewicz A, Hedden L, McDonald T, Rudoler D, Sauré A
Co-applicants: Bergin F, Correia R, Dufour E, Gallant F, Hakim J, Johnson C, Jose C, Katz A, MacKenzie A, Martin-Misener R, McCracken R, Moody E, Nethery E, Patrick J, Piccinini H, Scott I, Shiplett H, Simkin S, Wilson E,
Support period: 2024/04-2028/03
Total amount: $1,041,430

Examining experiences and system impacts of publicly funded episodic virtual care (EVC)
Funding agency and program: CIHR Project Grant
Principal applicants: Lavergne MR, McDonald T, Easely J, Grudniewicz A
Co-applicants: Austin N, Hedden L, Kiran T, Lapointe-Shaw L, Marshall E, Martin-Misener R, Splane J
Support period: 2024/04-2027/03
Total amount: $520,199

Informing Family Physician Payment Reform: A Cross-Provincial, Multi-Method Study
Funding agency and program: CIHR Project Grant
Principal Applicants: Lindsay Hedden, M. Ruth Lavergne, James McDonald, David Rudoler, Alan Katz
Co-Applicants: Nichole Austin, Gayle Halas, Maria Mathews, Rita McCracken, Kimberlyn McGrail, Hugh Shiplett, Erin Strumpf
Funder: Canadian Institutes for Health Research
Program: Project Grant
Project period: April 2024-March 2029
Total awarded: $792,330 CAD

A thousand papercuts: Understanding and addressing changing administrative workload in primary care (Papercuts Project)
Funding agency and program: Nova Scotia Research Foundation New Health Investigator Award
Principal applicant: Lavergne MR
Co-applicants: Martin-Misener R, Buote R, Bergin F, Easley J, Gradstein R, Gruniewicz A, Hedden L, Leslie M, Marshall M, McKay M, Mooney M, Moravac C, Palmer R, Tracey J
Support period: 2023/04-2025/03
Total amount: $99,835

SPOR Canadian Primary Care Research Network (CPCRN)
Funding agency and program: Nova Scotia Research Foundation New Health Investigator Award
Principal applicant: Bhattacharyya O
Co-principal applicants: Lavergne MR, Barber D, Doucet S, Fairman K, Grunier A, Halas G, Hall A, Hudon C, Johnston S, Montelpare W, Muhajarine, N, Ramsden V, Lachance P, Paquette J
Support period: 2022/04-2027/03
Total amount: $1,000,000 

Pan-Canadian Study of Psychiatric Care (PCPC)
Funding agency and program: CIHR Project Grant
Principal applicants: Rudoler D (nominated), Lavergne MR, Marshall E, Zaheer J
Co-applicants: Bolton J, Etches S, Good K, Katz A, Kurdyak P, Mulsant B
Responsibilities on grant and percent effort: Contributed to drafting of quantitative methods within grant, leading quantitative data preparation in BC, collaborating on qualitative data collection and analysis 
Support period: 2021/10-2025/09
Total amount: $711,452

Primary Care for Individuals with Serious Mental Illness (PriSMI)
Funding agency and program: CIHR Project Grant
Principal applicants: Grudniewicz, (nominated), Lavergne MR, Rudoler D, Peckham A
Co-applicants: Ashcroft R, Corace K, Kaluzienski M, Kurdyak P, Langford L, McCracken R, Norris C, Rayner J, Schütz C, Sunderji N, Thai H
Support period: 2020/10– 2025/09
Total amount: $994,500

Evaluating Inequities in Refugee and Immigrant Women’s Sexual and Reproductive Health Access (IRIS): A Mixed-Methods, Population-Based Study in British Columbia
Funding agency and program: Canadian Institutes for Health Research Project Grant
Principal applicants: Lavergne MR (nominated), Goldenberg S, Wiedmeyer M
Co-applicants: Duff P, Krusi A, Machado S, Shannon K, Shoveler J
Support period: 2019/07– 2024/6
Total amount: $956,250

Practice patterns among early-career primary care physicians and workforce planning implications: a mixed methods study.
Funding agency and program: Canadian Institutes for Health Research Project Grant
Principal applicants: Lavergne MR (nominated), Grudniewicz A, Goldsmith L, Rudoler D, Marshall E
Co-applicants: Burge F, Gibson R, Glazier R, Hawrlylyshyn S, Hedden L, Horrey K. Joyce M, Kiran T, MacKenzie A, McCracken R, Matthews M, McGrail K, McPherson C, Mitra G, Sampalli T, Scott, I, Snadden D, Tomblin Murphy G, Wong S
Support period: 2018/04– 2023/3
Total amount: $1,243,124

Title: Preventing and Mitigating the Impacts of COVID-19 Among Im/migrants in British Columbia: Rapid Mixed-Methods Data to Inform Policy and Programmes
Funding agency and program: Michael Smith Foundation for Health Research COVID-19 Rapid Response
Principal applicants: Goldenberg S (nominated)
Co-applicants: Lavergne MR, Wiedmeyer M, Wanigaratne S, Shannon K
Support period: 2020/07– 2021/06
Total amount: $149,990

Selected Publications

Spencer S, Hollingbery T, Bodner A, Hedden L, Rudoler D, Christian E, Lavergne MR. Evaluating engagement with equity in Canadian provincial and territorial primary care policies: Results of a jurisdictional scan. Health Policy. 2024;140:104994.  https://doi.org/10.1016/j.healthpol.2024.104994.

Contandriopoulos D, Bertoni K, McCracken R, Hedden L, Lavergne MR, Randhawa GK. Evaluating the cost of NP-led vs GP-led primary care in British Columbia. Healthcare Management Forum. 2024. https://doi.org/10.1177/08404704241229075

Butler A, Nichols TL, Samji H, Fabian S, Lavergne MR. Mental Health Needs, Substance Use, and Reincarceration: Population-Level Findings From a Released Prison Cohort. Criminal Justice and Behavior, 2-24: 00938548241238327.

Machado S, Karisem S, Lavergne MR, Goldenberg S, Wiedmeyer M. Respectful community engagement in health research with diverse im/migrant communities. BMJ Open. 2023:13(12): e077391. doi: 10.1136/bmjopen-2023-077391

Noriega EC, Siden H, Lavergne MR. Infants, children, youth and young adults with a serious illness in British Columbia: a population-based analysis using linked administrative data. CMAJ Open. 11(6), E1118-E1124.

Grudniewicz A, Randall E, Lavergne MR, Marshall EG, Jones L, Rudoler D, Horrey K, Mathews M, McKay M, Mitra G, Scott I, Snadden D, Wong S, Goldsmith L. Factors influencing practice choices of early-career family physicians in Canada: a qualitative interview study

Lavergne MR, Bodner A, Allin S, Christian E, Hajidazeh M, Hedden L, Katz A, Kephart G, Leslie M, Rudoler D, Spencer S. Disparities in access to primary care are growing wider in Canada. Healthcare Management Forum; 2023;26(5):272-279. doi: 10.1177/08404704231183599.

Lavergne MR, Moravac C, Bergin F, Buote R, Easley J, Grudniewicz A, Hedden L, Leslie M, McKay M, Marshall EG, Martin-Misener R, Mooney M, Palmer E, Tracey J. Understanding and addressing changing administrative workload in primary care in Canada: protocol for a mixed-method study. BMJ Open 2023;13:e076917. doi: 10.1136/bmjopen-2023-076917

Lavergne MR, Peterson S, Rudoler D, Scott I, McCracken R, Mitra F, Katz A. (2023). Productivity decline or administrative avalanche? Using population-based administrative health data to examine factors shaping changing workload in primary care. Healthcare Policy. 2023;19(1):114-129. doi: 10.12927/hcpol.2023.27152.

Lavergne MR, Rudoler D, Peterson S, Stock D, Blackie D, Burge F, Hedden L, Glazier R, Goldsmith L, Grudniewicz A, Jamieson M, Katz A, McCracken R, McGrail K, MacKenzie A, Marshall E, Scott I, Taylor C, Wilton D, Wong S. Changes in comprehensiveness of services delivered by Canadian family physicians: Analysis of population-based linked data in 4 provinces. Canadian Family Physician. 2023;69(8): 550-556. doi: 10.46747/cfp.6908550

Lavergne MR, Moravac C, Scott I, McCracken R, Hedden L, Grudniewicz A, Marshall EG. (2023). Ending the generational blame game: Let’s move forward with needed primary care change (commentary). Canadian Family Physician;69(8): 524–526.  doi: 10.46747/cfp.6908524.

Rudoler D, Lavergne MR, Marshall EG, Zaheer J, Etches S, Good KP, Grudniewicz A, Katz A, Kurdyak P, Bolton J, Kaoser R, Moravac C, Morrison J, Mulsant B, Peterson S, Tibbo PG. Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study. BMJ Open. 2023 Jul 18;13(7):e073183. doi: 10.1136/bmjopen-2023-073183.

Machado S, Zaki S, Villasin R, Berry NS, Lavergne MR, Wiedmeyer M, Krüsi K, Goldenberg S. 'When I came to Canada, I almost forgot myself: where I am, who I am': A qualitative exploration of how im/migration shapes young women’s experiences of pregnancy, motherhood, and marriage. SSM Qualitative Research in Health (2023). https://doi.org/10.1016/j.ssmqr.2023.100299.

Wiedmeyer ML, Goldenberg S, Peterson S, Wanigaratne S, Machado S, Tayyar E, Braschel M, Carrillo R, Sierra-Heredia C, Tuyisenge G, Lavergne MR. (2023). SARS-CoV-2 testing and COVID-19-related primary care use among people with citizenship, permanent residency, and temporary immigration status: an analysis of population-based administrative data in British Columbia. Can J Public Health. 2023 Apr 4:1–15. doi: 10.17269/s41997-023-00761-w. PMID: 37014576; PMCID: PMC10072010.

Lavergne MR, Rudoler D, Peterson S, Stock D, Taylor C, Wilton D, Wong S, Scott I, McGrail K, McCracken R, Marshall E, MacKenzie A, Katz A, Jamieson M, Hedden L, Grudniewicz A, Goldsmith L, Glazier R, Burge F, Blackie D.  (2023). Declining comprehensiveness of services delivered by Canadian family physicians is not driven by early-career physicians. Annals of Family Medicine. 21(2):151-156. doi: 10.1370/afm.2945. PMID: 36973051; PMCID: PMC10042570.

Ssendikaddiwa JM, Goldenberg S, Berry NS, Lavergne MR. (2023). Sex, Immigration, and Patterns of Access to Primary Care in Canada. J Immigr Minor Health. Mar 4. doi: 10.1007/s10903-023-01459-4. PMID: 36870007.

Loyal J, Lavergne MR, Shirmaleki M, Fisher B, Kaoser R, Makolewski J, Small W. (2023). Trends in involuntary psychiatric hospitalization in British Columbia: Descriptive analysis of population-based linked administrative data from 2008 to 2018. The Canadian Journal of Psychiatry, 68(4). doi.org/10.1177/07067437221128477

Lavergne MR, Bodner A, Peterson S, Wiedmeyer M, Rudoler D, Spencer S, Marshall EG. (2022). Do changes in primary care service use over time differ by neighbourhood income? Population-based longitudinal study in British Columbia, Canada. International Journal for Equity in Health, 21:80. doi.org/10.1186/s12939-022-01679-4

Lavergne MR, Loyal J, Shirmaleki M, Kaoser R, Nicholls T, Schütz C, Vaughan A, Samji H, Puyat J, Kaulius M, Jones W Small W. (2022). The relationship between outpatient service use and emergency department visits among people treated for mental disorders: Analysis of population-based administrative data in British Columbia, Canada. BMC Health Services Research, 22(1):477. doi: 10.1186/s12913-022-07759-z.

McKay M, Lavergne MR, Prince Lea A, Le M, Grudniewicz A, Blackie D, Goldsmith LJ, Matthews M, McCracken R, McGrail K, Wong S, Rudoler D. (2022). Doing the same things and expecting different results: A jurisdictional scan of government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces. Health Policy, S0168-8510(22)00063-X. doi: 10.1016/j.healthpol.2022.03.006.