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Primary Focus with Dr. Tara Kiran

Dr. Tara Kiran
Family Medicine
Canada
Crowfoot Village Family Practice
Renfrew County
Advanced Access
Costa Rica Health System
Costa Rica
Durham Community Health Centre
Barcelona, Spain
Catalonia
Physician Pay / Payment Reform
GMF Model (groupe De Médecins De Famille)
Interprofessional Collaboration
Primary Care and Public Health Integration
Primary Care
Umbrella Multicultural Co-Op Clinic
Universal Health Coverage
Catalan Health System
Ourcare Standard
Integrated Virtual Care (IVC)

Patients, politicians and clinicians agree: it’s high time to fix primary care in Canada. But, what could a stronger, more inclusive, more efficient public system look like? In this smart, engaging podcast, family doc and researcher Dr. Tara Kiran brings together the voices of frontline healthcare workers, patients, researchers and policymakers from around the world to unpack the issues and innova... more

PublishesTwice monthlyEpisodes21Foundeda year ago
Number of ListenersCategories
Health & FitnessNewsPoliticsMedicine

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Artwork for Primary Focus

Latest Episodes

Can you imagine driving down the highway and seeing street signs directing you to your local primary care clinic instead of a hospital? In this episode, Dr. Tara Kiran hops in a car with health economist Tino Marti for a healthcare road trip across C... more

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Imagine living in a country where no resident struggles to access primary care. There are no wait lists. Everyone can be seen at the local health centre, even if they haven’t registered in advance. In this episode, Dr. Tara Kiran takes you on a journ... more

YouTube

More than 5.8 million adults in Canada don't have a regular family doctor, nurse practitioner or primary care clinic--and where you live has a lot to do with whether you're one of them. To make sense of the newest research on primary care in Canada, ... more

YouTube

In this episode, Dr. Tara Kiran travels to Durham, Ontario, to visit the Durham Community Health Centre, where CEO Francis Garwe leads a team rethinking what primary care can look like when it is truly rooted in community. Touring a repurposed public... more

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Recent Guests

Antoni Peris Grau
Family physician, CASAP manager
CASAP (Consotria/Primary care integration in Castelldefels)
Episode: In Spain: A healthcare centre in every community (Part 2)
Marisa Martí
Nurse, CASAP management team
CASAP
Episode: In Spain: A healthcare centre in every community (Part 2)
Carlin Reyes
Family doctor and research coordinator
EAP Sardenya (EBA clinic)
Episode: In Spain: A healthcare centre in every community (Part 2)
Daniel Ferrer Vidal
Physician, clinic team member
CAP Vilafranca
Episode: In Spain: A healthcare centre in every community (Part 2)
Sara Fragedes
Director of Penedas Rural East
CAP Vilafranca (Penedas region)
Episode: In Spain: A healthcare centre in every community (Part 2)
Marta Galtas
Community Health Coordinator
Cap Vilafranca (Catalan health system)
Episode: In Spain: A healthcare centre in every community (Part 2)
Tino Marti
Health economist
Department of Health, Barcelona
Episode: In Spain: A healthcare centre in every community (Part 2)
Dr. Danielle Ferreira Vidal
Physician, CAP Vilafranca/clinic teams (acknowledgement in credits)
CAP Vilafranca
Episode: In Spain: A healthcare centre in every community (Part 2)
Rafael Ruiz
Director of the primary health care strategy in the Catalonia region
Catalonia Department of Health / CatSalut
Episode: In Spain: A healthcare centre in every community (Part 1)

Host

Dr. Tara Kiran
Host of the show, guiding conversations on primary care reform and systems innovation.

Reviews

4.9 out of 5 stars from 31 ratings
  • Visionary and inspiring podcast!

    Outstanding podcast on primary health care. Current challenges are clearly stated with the view to building a better system by exploring those that already exist. Episodes are intentionally crafted and incredibly engaging. Thank you for your passion and commitment to improving care for all!

    Apple Podcasts
    5
    campbc3
    Canada6 months ago
  • Engaging and motivating.

    Thanks for spending the time to highlight effective strategies in improving primary care from other countries.

    I hope to hear more about how to address the caveats specific to Canada, such as people in the Netherlands being more stoic and how to change public mindset on what/how to seek care if we implement something like PCAs, the triage process like the Netherlands. In some ways our system has developed in response to patient expectations, which vary by location (metropolitan cities, urban c... more

    Apple Podcasts
    5
    swimasdf
    Canadaa year ago
  • Sense making!

    As someone who has been working with Primary Care in Toronto for over a decade implementing provincially funded digital tools, I love the perspective and ideas being discussed here for such an important and critical part of our health sector. Wonderful Job!!!

    Apple Podcasts
    5
    lex 17284749
    Canadaa year ago
  • Interview with Rita McCracken

    Hi Tara, I’m a family MD who has been practicing in the North and also in urban BC

    I apologize but this is more of a comment and less of a review

    So grateful that you and your guests are working hard to tackle our suboptimal primary care access and continuity

    I am a firm believer in continuity of care but much like you believe this can be achieved by different team members.

    I was surprised, however, to hear the lack of emphasis on RNs as an integral part of Primary Care Teams. I might have miss... more

    Apple Podcasts
    4
    jennyharris
    Canadaa year ago
  • Good listen

    Optimistic and refreshing. Looking forward to hearing some of the recommendations for a healthy system!

    Apple Podcasts
    5
    Meaghan McLaren
    Canadaa year ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Fans appreciate patient and clinician perspectives, calling out strong discussions on equity and implementation.
Listeners praise the show for clear, actionable insights on primary care reform and real-world examples.
Audience notes the coverage of international models as a useful benchmark for Canada.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

In Quebec: Improving timely access one clinic at a time
Q: What drew you to working and studying and improving access?
A combination of a coffee date and collaboration with colleagues sparked a shift toward modernizing Advanced Access, emphasizing teamwork and practical coaching over theory alone.
How One Calgary Clinic Gets Team-Based Care Right
Q: How does the Rainbow Team change the traditional physician-centered model?
The Rainbow Team distributes care across a broader group, with physicians acting as consultants and mentors, enabling 3,000 patients to be effectively managed while the day-to-day care is led by a nurses/PA-led team, supported by a large staff, which allows physicians to focus on the most complex cases and collaborate with the rest of the team.
Why don’t we have enough family doctors? with Dr. Ruth Lavergne
Q: Are there actionable steps to move toward the OurCare standard beyond changing how doctors are paid?
Yes. The focus should shift toward improving information systems, building out the right team-based care models, and enhancing work culture and leadership within the profession so that the OurCare standard becomes achievable not just in pay but in everyday practice and patient experience.
Why don’t we have enough family doctors? with Dr. Ruth Lavergne
Q: What anecdotes stand out from your qualitative work about career choices in family medicine?
One striking example was a BC physician who felt a weight lifted after payment reform, choosing to see fewer patients per day but more effectively close the care loop with patients, highlighting how better compensation can enable more thoughtful, patient-centered care when supported by the right team.
Why don’t we have enough family doctors? with Dr. Ruth Lavergne
Q: What might a supportive practice environment look like beyond payment reform?
A supportive environment includes administrative and overhead supports, practice management improvements, and, importantly, a trained team-based approach where tasks like care coordination and patient follow-up can be shared, reducing burnout and enabling more comprehensive care.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
Location
Interests
Professions
Age Range
Household Income
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Frequently Asked Questions About Primary Focus

What is Primary Focus about and what kind of topics does it cover?

A thoughtful, policy-forward show that examines how primary care systems around the world are organized, funded, and governed to improve access, equity, and quality. Episodes frequently compare international models—from digitally enabled, universally accessible systems to team-based, community-governed clinics—and translate those lessons into practical implications for Canada's primary care reform efforts. Notable strengths include on-the-ground clinics, data-driven improvements, and clear discussions of governance, financing, and patient-centered care. The format tends to feature clinicians, health-system leaders, researchers, and policymakers, offering a mix of practitioner perspectives and high-level analysis that's useful for listeners ... more

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Which podcasts are similar to Primary Focus?

These podcasts share a similar audience with Primary Focus:

1. White Coat, Black Art
2. Front Burner
3. The House
4. The Dose
5. The Current

How many episodes of Primary Focus are there?

Primary Focus launched a year ago and published 21 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Primary Focus?

Recent guests on Primary Focus include:

1. Antoni Peris Grau
2. Marisa Martí
3. Carlin Reyes
4. Daniel Ferrer Vidal
5. Sara Fragedes
6. Marta Galtas
7. Tino Marti
8. Dr. Danielle Ferreira Vidal

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