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Alexandra Peckham

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Assistant Professor
Faculty, DTPHX Campus, Mailcode 3020

Dr. Peckham's research aims to improve health systems and organizational structures for the overall health and well-being of older adults. Peckham applies a life-course approach and uses supportive care concepts and critical institutional theories to ground her research and increase the impact of her work in practice.

  • Ph.D. Health Services and Policy Research, Dalla Lana School of Public Health, University of Toronto, Canada 2016
  • M.S.W. Gerontology, University of Toronto, Canada 2009
  • B.A. Gerontology, McMaster University, Canada 2007
Research Interests: 

My independent program of research aims to improve health systems and organizational structures for the overall health and well-being of communities. I apply a life-course approach and use supportive care concepts and critical institutional theories to ground my research and increase the impact of my work in practice. I focus on three research aims: 1) collaborating with care recipients, their families, and interdisciplinary experts to design, implement, and evaluate innovative approaches to care (e.g., community-based interventions);  2) understand factors that influence variation across care settings and the implications that these variations can have on the health and well-being of care dyads and communities; and, 3) assess the role that politics can play on a government’s ability to effectively support collaboration across the care continuum and promote best practices for health system design.


2022    Peckham, A., Sargosa, M*., King, M*., Roerig, M., Shaw, J., Bornstein, S., McGrail, K., Morris, M*., Young, Y., Papenkov, M*. V., Marchildon, G. Dementia care programs and service delivery models: A five-jurisdiction North American Comparative Analysis. Revise and Resubmit. Health and Social Care in the Community. In press.

2022    Peckham, A., Rudoler, D., Allin, S., Marchildon, G. Accountable care organizations and the Canadian context. International Journal of Integrated Care. 22(2). 1-15.

2021    Peckham, A., Miller, F., Marchildon, G. Assistive devices: Regulation and coverage in Canada. Health Policy. In Press.

2021    Peckham, A., Pituch, K, Maxfield, M., Guest, A., Doebbeling, B., Sivanandam, K*. Aging through the time of COVID-19: Effects on Healthcare Access. BMC Health Services Research. 21(1355).  

2021    Maxfield, M., Peckham, A., Guest, M.A., Pituch, K.A. Age-based healthcare stereotype threat during the COVID-19 Pandemic. Journal of Gerontological Social Work. 1-14.

2021    Rodney P. J., Pituch, K.A, Guest, M.A., Maxfield, M., Peckham, A., Coon, D., Kim, W.S., Langer L.S. Physical activity among middle-aged and older US adults during the SARD-CoV-2 pandemic: Results from a national longitudinal survey. Frontiers in Aging and Public Health. 9(652197).

2021    Peckham, A., Wright, J., Marani, H*., Laxer, D., Abdelhalim, R*., Allin, S., Marchildon, G. Putting the patient first: A scoping review of patient desires in Canada. Healthcare Policy. 16(4):46-69.

2021    Milligan, C*., Allin, S., Farr, M*., Farmanova, E*., Peckham, A., Misfeldt, R., Byrd, J., Baker, G. R., Marchildon, P. G. Mandatory reporting legislation in Canada: Improving systems for patient safety or just a framework for data collection? Health Economics, Policy and Law. 16(3); 355-370.

2020    Gallant, N*., Peckham, A. Marchildon, G., Hadjistavropoulos, T., Roblin, B., Provincial legislative and regulatory standards for pain assessment and management in long-term care homes. BMC Geriatrics. 20(458).

2020    Allin, S., Farmer, J*., Quinonez, C., Peckham, A., Marchildon, G., Panteli, D., Henschke, C., Fattore, G., Lamloum, D., Holden, A., Rice, T. Do health systems cover the mouth? Comparing dental coverage for older adults in eight jurisdictions. Health Policy. 124(9).

2020    Kuluski, K., Ho, J*., Cadel, L., Shearkhani, S*., Levy, C., Marcinow, M., Peckham, A., Sandercock, J., Willison, D., Guilcher, S. An alternate level of care plan: Co-designing components of an intervention with patients, caregivers and providers to address delayed hospital discharge challenges. Health Expectations. 00:1-11.

2019    Peckham, A., Williams, P., Berta, W., Denton, M., Kuluski, K. It’s more than just needing money: Supporting informal networks of care. Journal of Aging & Social Policy. DOI: 10.1080/08959420.2019.1685357

2019     Kuluski, K., Peckham, A., Gill, A., Gagnon, D., Wong-Cornall, C., McKillop, A., Parsons, J., Sheridan, N. What is important to older people with Multimorbidity and their caregivers? Identifying attributes of person-centered care from the user perspective. International Journal of Integrated Care. 19(3): 4, 1-115. 

2019    Kuluski, k., Kokorelias, K., Peckham, P., Goldhar, J., Petrie, J., Alloway, C. A. Twelve principles to support caregiver engagement in health care systems and health research. Patient Experience Journal. (6)1, 141-148.

2019    Rudoler, D., Peckham, A., Grudniewicz, A., Marchildon, G. Coordinating primary care services: A case of policy layering. Health Policy. 123, 215-221

2018    Kuluski, K., Peckham, A., Gill, A., Arneja, J., Morton-Chang, F., Parsons, J., Wong-Cornall, C. McKillop, A., Upshur, R., Sheridan, N. “You’ve got to look after yourself, to be able to look after them” a qualitative study of the unmet needs of caregivers of community based primary health care patients. BMC Geriatrics. 18, 275.

2018    Sheridan, N., Kenealy, T., Fitzgerald, A., Kuluski, K., Dunham, A., McKillop, A., Peckham, A., Gill, A. How does it feel to be a problem? Patients’ experiences of self-management support in New Zealand and Canada. Health Expectations. 1-12.

2018    Peckham, A., Morton-Chang, F., Williams, P., Miller, F. Rebalancing health systems towards community-based care: The role of subsectoral politics. Health Policy. 122, 1260-1265.

2018    Peckham, A., Rudoler, D., Li, Joyce., D’Souza, S. Community-based reform efforts: The case of the aging at home strategy. Healthcare Policy. 14(1), 30-43.

2017    Laport, A., Rohit Dass, A., Kuluski, K., Peckham, A., Berta, W., Lum, J., Williams, A.P. Waiting for residential long-term care in North West Ontario: The factors associated with long-term care waitlist placement. Canadian Journal on Aging. 36(3), 286-305.

2017    Tenbensel, T., Miller, F., Breton, M., Couturier, Y., Morton-Chang, F., Ashton, T., Sheridan, N., Peckham, A., Williams, AP., Kenealy, T., Wodchis, W. How do policy and institutional setting shape opportunities for community-based primary health care? A comparison of Ontario, Québec and New Zealand. International Journal of Integrated Care. 17(2):13, 1-15.

2017    Wong-Cornall, C., Parsons, J., Sheridan, N., Kenealy, T., Peckham, A. Extending ‘continuity of care’ to include the contribution of family carers. International Journal of Integrated Care. 17(2):11, 1-7.  

2016    Williams, AP., Lum, J., Morton-Chang, F., Kuluski, K., Peckham, A., Warrick, N., Ying, A. Integrating long-term care in a community-based continuum: Shifting from ‘beds’ to ‘places’. Institute for Research on Public Policy (IRPP), Ottawa, Canada.

2014    Peckham. A., Williams, AP., Neysmith, S. Balancing formal and informal care for older persons: How case managers respond. Canadian Journal on Aging. 33(2), 123-136.

Spring 2022
Course NumberCourse Title
HCA 507CareCoordContinuumofCare
Fall 2021
Course NumberCourse Title
HCA 504CaregivingIssuesFamiliesProfes
Spring 2021
Course NumberCourse Title
HCA 507CareCoordContinuumofCare
Fall 2020
Course NumberCourse Title
HCA 504CaregivingIssuesFamiliesProfes