A5026344450- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Cardiac Health and Mental Health
- Health Literacy and Information Accessibility
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Palliative Care and End-of-Life Issues
- Sleep and related disorders
- Obesity, Physical Activity, Diet
- Geriatric Care and Nursing Homes
- Behavioral Health and Interventions
- Cardiovascular Syncope and Autonomic Disorders
- Social Media in Health Education
- Ovarian cancer diagnosis and treatment
- Healthcare Systems and Technology
- Protease and Inhibitor Mechanisms
- Health Systems, Economic Evaluations, Quality of Life
- Respiratory and Cough-Related Research
- Innovations in Medical Education
- Stroke Rehabilitation and Recovery
- Patient Dignity and Privacy
- Child and Adolescent Psychosocial and Emotional Development
- Diabetes Management and Research
- Vaccine Coverage and Hesitancy
- Wikis in Education and Collaboration
- Trauma and Emergency Care Studies
Centre intégré de santé et de services sociaux de Chaudière-Appalaches
2017-2024
Xenon Pharmaceuticals (Canada)
2024
Université Laval
2012-2023
Michel-Sarrazin
2023
Queen's University
2023
Cégep de Lévis
2020-2021
Centre hospitalier universitaire de Québec
2012-2019
Hôpital Saint-François d'Assise
2010-2018
Canadian Institutes of Health Research
2018
Hôpital du Saint-Sacrement
2018
<h3>Background:</h3> Few interventions have proven effective in reducing the overuse of antibiotics for acute respiratory infections. We evaluated effect DECISION+2, a shared decision-making training program, on percentage patients who decided to take after consultation with physician or resident. <h3>Methods:</h3> performed randomized trial, clustered at level family practice teaching unit, 2 study arms: DECISION+2 and control. The program included 2-hour online tutorial followed by...
Background: We sought to determine the psychometric properties of SURE, a 4-item checklist designed screen for clinically significant decisional conflict in clinical practice. Methods: This study was secondary analysis clustered randomized trial assessing effect DECISION+2, 2-hour online tutorial followed by interactive workshop on shared decision making, decisions use antibiotics acute respiratory infections. Patients completed SURE and also Decisional Conflict Scale (DCS), as gold...
Background Continuing professional development (CPD) activities are one way that new knowledge can be translated into changes in practice. However, few tools available for evaluating the extent to which these change health professionals' behavior. We developed a questionnaire called CPD-Reaction assessing impact of CPD on clinical behavioral intentions. evaluated its responsiveness intention and verified acceptability among stakeholders. Methods findings enrolled 376 professionals who...
Unresolved clinically significant decisional conflict (CSDC) in patients following a consultation with health professionals is often the result of inadequate patient involvement decision-making and may poor outcomes. We sought to identify prevalence CSDC studies on primary care explore its risk factors.
We sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret. Secondary analysis an observational descriptive study conducted in two Canadian provinces. Unique patient-physician dyads were recruited from 17 clinics data on patient, physician consultation characteristics collected before, during immediately after consultations, as well weeks post-consultation, when completed Decision Regret Scale (DRS). examined DRS score...
Abstract Objective Improving care transitions for older adults can reduce emergency department (ED) visits, adverse events, and empower community autonomy. We conducted an inductive qualitative content analysis to identify themes emerging from comments better understand ED transitions. Methods The LEARNING WISDOM prospective longitudinal observational cohort includes (≥ 65 years) who experienced a transition after visit both before during COVID-19. Their on this were collected via phone...
Introduction Stroke is one of the leading causes death in Canada. While stroke care has improved dramatically over last decade, outcomes following among patients treated rural hospitals have not yet been reported Objectives To describe variation 30-day post-stroke in-hospital mortality rates between and urban academic We also examined 24/7 access to CT scanners selected services hospitals. Materials methods included Canadian Institute for Health Information (CIHI) data on adjusted from 2007...
As Canada's second largest province, the geography of Quebec poses unique challenges for trauma management. Our primary objective was to compare mortality rates between patients treated at rural emergency departments (EDs) and urban centres in Quebec. a secondary objective, we compared availability care resources services these two settings.Retrospective cohort study.26 EDs 33 level 1 2 Quebec, Canada.79 957 cases collected from Quebec's registry.Our outcome measure (prehospital, ED,...
Background: Significant gaps in the evidence base on costs rural communities Canada and elsewhere are reported literature, particularly regarding to families. However, it remains unclear whether related all resources used by palliative care patients areas differ those urban areas. Aim: The study aimed compare both that occurred over 6 months of participation a program sharing these compared with Design: Data were drawn from two prior studies performed Canada, employing longitudinal,...
It has been suggested that health literacy may impact the use of decision aids (DAs) among patients facing difficult decisions. Embedded in pilot test a questionnaire, this study aimed to measure association between and pregnant women's intention DA decide about prenatal screening. We recruited convenience sample 45 women three clinical sites (family practice teaching unit, birthing center obstetrical ambulatory care clinic). asked participating complete self-administered questionnaire...
Abstract Background Despite growing recognition that shared decision making ( SDM ) is central for patient‐centred primary care, adoption by physicians remains limited in routine practice. Objective To examine the characteristics of physicians, patients and consultations associated with care physicians’ behaviours during care. Methods A multicentre cross‐sectional survey study was conducted 114 unique patient‐physician dyads recruited from 17 clinics Quebec Ontario, Canada. Physicians’ were...
Checkpoint inhibitors directed against programmed death receptor 1 (PD-1) and its ligand (PD-L1) changed the treatment of advanced lung non-small cell carcinomas. The decision to treat patients is influenced by PD-L1 expression tumor cells, but evidence indicates that this staining heterogenous within a tumor. As tested mostly on biopsies, false negative results can occur due sampling issues. clinical impact heterogeneity has not been established. We selected 241 who underwent pulmonary...
Abstract Context: Mood and anxiety disorders appear to be overrepresented in adults with cardiovascular diseases (CVDs). These have been associated poorer biopsychosocial outcomes this population. often co-occur, but the prevalence of comorbidity their potential additive effects patients CVD remain understudied. Aims: This study aimed estimate co-occurrence rates mood general adult population living CVD. Associations between disorder status sociodemographic characteristics, somatic...
DECISION + 2, a training program for physicians, is designed to implement shared decision making (SDM) in the context of antibiotics use acute respiratory tract infections (ARTIs). We evaluated impact 2 on SDM implementation as assessed by patients and physicians' intention engage SDM. From 2010 2011, multi-center, two-arm, parallel randomized clustered trial appraised effects consulting ARTIs. 12 family practice teaching units (FPTUs) either or usual care. After consultation, both...