Agnes Grudniewicz

Associate Professor

B.Com (Honours) (uOttawa), Ph.D. (University of Toronto)

Location: DMS 6108
Telephone: 613-562-5800 x 4720

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Website: healthsystemsresearch.ca

Biography

Dr. Grudniewicz earned her Ph.D. in Health Services Research from the Institute of Health Policy, Management & Evaluation at the University of Toronto. She is an Associate Professor in the areas of health systems and health services research. She teaches courses in health care management and health systems at graduate levels.

Research Interests

Dr. Grudniewicz's research is focused on primary care and aims to improve health care systems and services for patients with complex health and social needs. Her work advances primary care improvement for older adults, individuals living with mental illness, and people with multiple chronic conditions. Using qualitative research designs, Dr. Grudniewicz explores team-based primary care and collaboration across settings and care providers. She is also a member of the Centre for Journalology at the Ottawa Hospital where she advances the study of the impact of predatory journals and publishers.

Research Areas

Health Systems Management

Publications during the last 7 years

Papers in Refereed Journals

Lavergne, M.R., Rudoler, D., Peterson, S., Stock, D., Taylor, C., Wilton, A.S., Wong, S., Scott, I., McGrail, K., McCracken, R., Marshall, E.G., MacKenzie, A., Katz, A., Jamieson, M., Hedden, L., Grudniewicz, A., Goldsmith, L.J., Glazier, R.H., Burge, F. and 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.
Hunniford, T.**, Grudniewicz, A., Fergusson, D., Montroy, J., Grigor, E., Lansdell, C. and Lalu, M.M. 2023. A systematic assessment of preclinical multilaboratory studies and a comparison to single laboratory studies. eLife, 12: e76300.
Lavergne, M.R., Rudoler, D., Peterson, S., Stock, D., Taylor, C., Wilton, A.S., Wong, S.T., Scott, I., McGrail, K.M., McCracken, R., Marshall, E.G., MacKenzie, A., Katz, A., Jamieson, M., Hedden, L., Grudniewicz, A., Goldsmith, L.J., Glazier, R.H., Burge, F. and Blackie, D. 2023. How comprehensiveness of services delivered by Canadian family physicians is changing: Analysis of population-based linked data in four provinces. Canadian Family Physician, (In Press).
Lessard, L., Coates, A., Chung, A.Q.H., Grudniewicz, A., Espadero, C., Gheidar, Y., Da Silva, E., Sauré, A., King, J. and Fung-Kee-Fung, M. 2023. The use and role of digital technology in learning health systems: A scoping review. International Journal of Medical Informatics, (Accepted).
Grudniewicz, A., Peckham, A., Rudoler, D., Lavergne, M.R., Ashcroft, R., Corace, K., Kaluzienski, M., Langford, L., McCracken R.K., Norris, W.C., O'Riordan, N., Patrick, K., Peterson, S., Randall, E., Rayner, J., Schütz, C.G., Sunderji, N., Thai, H. and Kurdyak, P. 2022. Primary care for individuals with serious mental illness (PriSMI): Protocol for a convergent mixed methods study. BMJ Open, 12(9): e065084.
Evans, J., Peever, A., Grudniewicz, A., McDonald, B., Mendelson, A.A. and Lalu, M.M. 2022. On the same page? A qualitative study protocol on collaboration in a multi-laboratory preclinical study. PLOS ONE, 17(8): e0273077.
Marshall, E.G., Horrey, K., Moritz, L.R., Buote, R., Grudniewicz, A., Goldsmith, L.J., Randall, E., Jones, L. and Lavergne, M.R. 2022. Influences on intentions for obstetric practice among family physicians and residents in Canada: an explorative qualitative inquiry. BMC Pregnancy and Childbirth, 22(1): 857.
Rudoler, D., Peterson, S., Stock, D., Taylor, C., Wilton, D., Blackie, D., Burge, F., Glazier, R., Goldsmith, L., Grudniewicz, A., Hedden, L. and et al. 2022. Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces. Canadian Medical Association Journal, 194(48): E1639-46.
Huybrechts, I.**, Boeykens, D.**, Grudniewicz, A., Steele Gray, C., De Sutter, A., Pype, P., Van de Velde, D., Boeckxstaens, P. and Anthierens, S. 2022. Exploring readiness for implementing goal-oriented care in primary care using Normalization Process Theory. Primary Health Care Research & Development, 24(e12): 1-7.
King, M.**, Steele Gray, C., Kobewka, D. and Grudniewicz, A. 2022. Continuing care for older adults in a Canadian long-term care setting: A qualitative study. BMC Health Services Research, 22: 1204.
Scarffe, A.**, Coates, A.**, Evans, J. and Grudniewicz, A. 2022. Centralization and innovation: Competing priorities for health systems? International Journal of Health Planning and Management, 1-8.
Mathews, M., Ryan, D., Randall, E., Marshall, E.G., Goldsmith, L., Horrey, K., Jones, L., Lavergne, M.R., Snadden, D., Scott, I., Wong, S., Stringer, K. and Grudniewicz, A. 2022. 'At the mercy of some of the regulations': the impact of the residency match and return of service requirement on the early-career decisions of international medical graduates in Canada. Human Resources for Health, 20(15).
Kabir, M.**, Randall, E., Mitra, G., Lavergne, M.R., Scott, I., Snadden, D., Jones, L., Goldsmith, L., Marshall, E. and Grudniewicz, A. 2022. Resident and early-career family physicians’ focused practice choices in Canada: a qualitative study. British Journal of General Practice, 72(718): e334-e341.
McKay, M., Lavergne, M.R., Prince Lea, A., Le, M., Grudniewicz, A., Blackie, D., Goldsmith, L., Marshall, E.G., Mathews, M., McCracken, R., McGrail, K.M., Wong, S. and Rudoler, D. 2022. Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces: A jurisdictional scan. Health Policy, 126: 565-575.
Im, J.**, Evans, J., Grudniewicz, A., Boeckxstaens, P., Upshur, R. and Steele Gray, C. 2022. On the Same Page? A Qualitative Study of Shared Mental Models in an Inter-Organizational Team Implementing Goal-Oriented Care. Journal of Interprofessional Care, 37(4): 549-557.
Mitra, G., Grudniewicz, A., Lavergne, M.R., Fernandez R. and Scott, I. 2021. Alternative payment models: A path forward. Addressing the problem with fee-for-service. Canadian Family Physician, 67: 805-807.
Allin, S., Martin, E., Rudoler, D., Church Caron, M., Grudniewicz, A., Jopling, S. and Strumpf, E. 2021. Comparing public policies impacting prescribing and medication management in primary care in two Canadian provinces. Health Policy, 125(9): 1121-1130.
Gutberg, J.**, Evans, J., Khan, S.**, Abdelhalim, R.**, Wodchis, W.P. and Grudniewicz, A. 2021. Implementing coordinated care networks: The interplay of individual and distributed leadership practices. Medical Care Research and Review.
Steele Gray, C., Grudniewicz, A., Armas, A., Mold, J., Im, J. and Boeckxstaens, P. 2020. Goal-oriented care: A catalyst for person-centred system integration. International Journal of Integrated Care, 20(4)(8): 1-10.
Cukier, S., Lalu, M.M., Bryson, L., Cobey, K.D., Grudniewicz, A. and Moher, D. 2020. Defining predatory journals and responding to the threat they pose: a modified Delphi consensus process. BMJ Open, 10.
Austin, T., Chreim, S. and Grudniewicz, A. 2020. Examining health care providers’ and middle-level managers’ readiness for change: A qualitative study. BMC Health Services Research, 20: 47.
Grudniewicz, A., Moher, D. and Cobey, K.D. 2019. Predatory Journals: No Definition, No Defence. Nature, 576.
Lavergne, R., Goldsmith, L.J. and Grudniewicz, A. 2019. Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study. BMJ Open, 9(9).
Lavergne, R., Scott, I., Snadden, D., Goldsmith, L.J., Rudoler, D. and Hedden, L. 2019. Regional differences in where and how family medicine residents intend to practise: a cross-sectional survey analysis. CMAJ Open, 7(1).
Cobey, K.D., Lalu, M.M., Skidmore, B., Ahmadzai, N., Grudniewicz, A. and Moher, D. 2019. What is a predatory journal? A scoping review. F1000Research, 7(1001).
Cobey, K.D., Grudniewicz, A., Lalu, M.M., Rice, D.B., Raffoul, H. and Moher, D. 2019. Knowledge and motivations of researchers publishing in presumed predatory journals: A Survey. BMJ Open, 9(3): e026516.
Lessard, L., Grudniewicz, A., Sauré, A., Szczotka, A., King, J. and Fung-Kee-Fung, M. 2019. The type and use of digital technology in learning health systems: a scoping review protocol. BMJ Open, 9(5): e026204.
Rudoler, D., Peckham, A., Grudniewicz, A. and Marchildon, G. 2019. Coordinating primary care services: A case of policy layering. Health Policy, 123(2): 215-221.
Evans, J.M., Grudniewicz, A. and Tsasis, P. 2019. Trial and Error, Together: Divergent Thinking and Collective Learning in the Implementation of Hybrid Integrated Care Networks. International Review of Administrative Sciences.
Watt, J., Tricco, A.C., Talbot-Hamon,C., Pham, Ba'., Rios, P., Grudniewicz, A., Wong, C., Sinclair, D. and Straus, S.E. 2018. Identifying Older Adults at Risk of Delirium Following Elective Surgery: A Systematic Review and Meta-Analysis. Journal of General Internal Medicine, 33(4): 500-509.
Watt, J., Tricco, A.C., Talbot-Hamon,C., Pham, Ba'., Rios, P., Grudniewicz, A., Wong, C., Sinclair, D. and Straus, S.E. 2018. Identifying Older Adults at Risk of Harm Following Elective Surgery: A Systematic Review and Meta-Analysis. BMC Medicine, 16(2): DOI: 10.1186/s12916-017-0986-.2.
Grudniewicz, A., Tenbensel, T., Evans, J.M., Steele Gray, C., Wodchis, W.P. and Baker, G.R. 2018. 'Complexity-compatible' policy for integrated care? Lessons from the implementation of Ontario's Health Links. Social Science and Medicine, 198(February 2018): 95-102.
Lessard, L., Michalowski, W., Fung-Kee-Fung, M., Jones, L. and Grudniewicz, A. 2017. Architectural frameworks: Defining the structures for implementing Learning Health Systems. Implementation Science, 12(78): 1-11.
Evans, J.M., Grudniewicz, A., Steele Gray, C., Wodchis, W.P., Carswell, P. and Baker, G.R. 2017. Organizational context matters: A research toolkit for conducting standardized case studies of integrated care initiatives. International Journal of Integrated Care, 17(2): 9, pp. 1-10.
Watt, J., Tricco, A., Talbot-Hamon,C., Pham, Ba'., Rios, P., Grudniewicz, A., Wong, C., Sinclair, D. and Straus, S. 2017. Preoperative prognostic factors and the development of delirium and other postoperative complications among older adults undergoing elective surgery: A systematic review and meta-analysis. Journal of General Internal Medicine, (Accepted).
Grudniewicz, A., Bhattacharyya, O., McKibbon, K.A. and Straus, S.E. 2016. User-Centered Design and Printed Educational Materials: A Focus Group Study of Primary Care Physician Preferences. Journal of Continuing Education in the Health Professions, 36(4): 249-255.
Evans, J.M., Grudniewicz, A., Baker, G.R. and Wodchis, W.P. 2016. Organizational capabilities for integrating care: A review of measurement tools. Evaluation & the Health Professions, 16(3): pp.1-14.
Evans, J.M., Grudniewicz, A., Baker, G.R. and Wodchis, W.P. 2016. Organizational context and capabilities for integrating care: A framework for improvement. International Journal of Integrated Care, 16(3): 15, pp. 1-14.
Grudniewicz, A., Nelson, M.L.A., Kuluski, K., Lui, V., Cunningham, H., Nie, J., Colquhoun, H., Wodchis, W.P., Taylor, S., Loganathan, M. and Upshur, R. 2016. Treatment goal setting for complex patients: protocol for a scoping review. BMJ Open, 6(5): e011869.

Funded Research during the last 7 years

Funded Research during the last 7 years
From-To	Source	Title	*	**	Role	Amount
2023-2025	Stem Cell Network	Developing rigorous late preclinical trial designs and methodological guidance to better inform cell therapy clinical trials	R	F	Co-PI	$ 101,142
2023-2024	CIHR	Generating data-driven policy solutions for Ontario’s primary care crisis	R	C	Co-I	$ 149,690
2023-2024	CIHR	Beyond public payment, private delivery: Understanding how private financing and for-profit delivery operate within Canadian health care	R	C	Co-I	$ 149,650
2023-2024	Research Nova Scotia	A Thousand Papercuts: Understanding and Addressing Changing Administrative Workload in Primary Care	R	G	Co-I	$ 99,835
2022-2024	Telfer School of Management Research Grants (SMRG)	Understanding the delivery of Indigenous health topics and anti-racism content in Indigenous health education: A mixed-methods study	R	I	PI	$ 17,978
2021-2023	SSHRC	New Frontiers in Research Fund: Preclinical multicenter studies of sepsis: assessing feasibility and team mental models	R	C	Co-I	$ 250,000
2021-2022	CIHR	CIHR Canada Graduate Scholarship Masters Award. Rachel Thelen (MSc Student - PI)	R	C	Collaborator	$ 17,500
2020-2025	CIHR	Primary Care for People with Serious Mental Illness	R	C	PI	$ 994,500
2020-2023	SSHRC	Exploring the Relationship between Organizational Structures and Shared Mental Models in Inter-Professional Teams: A Convergent Mixed Methods Study	R	C	PI	$ 60,471
2020-2021	SSHRC	COVID-19: The Role of Leaders in Shifting to and Sustaining Virtual Delivery of Social Programs	R	C	PI	$ 24,692
2019-2020	Interdisciplinary Research Group Funding Opportunity (IRGFO) - Stream 1 - Research Team Creation (RTC)	Adapting Digital Platforms to Drive Learning in Health Systems	R	I	Co-PI	$ 9,940
2019-2020	CIHR	CIHR Canada Graduate Scholarship Masters Award. Madeline King (MSc Student - PI) - Grudniewicz, A.	P	C	Collaborator	$ 17,500
2018-2022	CIHR - IHSPR	Practice patterns among early-career primary care physicians and workforce planning implications: a mixed methods study	R	C	Co-PI	$ 1,243,124
2018-2021	CIHR - IHSPR	Primary care reform and medication appropriateness for seniors: A comparative study of two provinces	R	C	Co-PI	$ 501,075
2018-2019	Telfer School of Management Research Grants (SMRG)	Collaboration Across Professional and Organizational Boundaries: Exploring Mental Health Networks in Primary Care	R	I	PI	$ 11,907
2018	Telfer School of Management Research Grants (SMRG) – Team Grant	Towards the Development of a Digital Platform for Learning Health Systems Innovation	R	I	Co-I	$ 19,995
2018	Telfer School of Management Travel Funds (SMTF)	Trial and Error Together: Divergent Thinking and Collective Learning in the Implementation of Integrated Care Networks	O	I	PI	$ 3,500
2017-2019	Research Development Program 2017 (uOttawa) and Match RDP 2017 (Telfer)	Examining Care Plans and their Role in Goal Setting for Patients with Complex Care Needs	R	I	PI	$ 20,000
2013-2018	CIHR CBPHC	Implementing Models of Primary Health Care for Older Adults with Complex Needs	R	C	Co-I	$ 999,980

LEGEND:

Role
PI = Principal Investigator | Co-I = Co-Investigator | Co-PI = Co-Principal Investigator

Pillars

Healthier Happier