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Dr. Rita K. McCracken, MD, PhD


Studying the reasons for Canada's "family doctor shortage" and how to improve primary care access for all.


I am a practicing family physician and health services researcher. My work focuses on understanding the causes of Canada's “family doctor shortage” and finding better ways to measure and strengthen access to primary care. I am interested in how  policy decisions, workforce structures, and health system design shape who receives effective primary care and where gaps in access persist

Before medicine, I spent nearly a decade in human resources in the technology sector. After completing my medical training, I noticed important gaps in evidence affecting the care of older adults and people with complex needs. — questions I felt compelled to pursue more rigorously. This led me to complete a PhD, where I examined polypharmacy and guideline-driven treatment in frail older adults. As access challenges grew across Canada, I expanded my focus to the organization, capacity, and workforce dynamics of primary care itself. 

My research draws on mixed methods and linked administrative data to evaluate how health system interventions play out in practice. For example, I have studied how  policies intended to improve opioid prescribing can shape access to care, particularly for patients with complex needs, and how well-intentioned interventions can sometimes unintentionally widen or reduce health inequities. This kind of work reflects my broader interest in understanding not just whether policies achieve their goals, but who bears the costs when they fall short. Alongside this, I try to translate findings in ways that are useful to policy makers and the public, because I believe primary care is the foundation of a fair and effective health system — and that it deserves to be better understood.

I live and work as an uninvited settler on the unceded territories of Coast Salish peoples in what is also known as British Columbia. Learn more about these territories.


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