A5040589934- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Healthcare Systems and Practices
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Social Sciences and Governance
- Global Maternal and Child Health
- Patient Satisfaction in Healthcare
- Emergency and Acute Care Studies
- Health, Medicine and Society
- Geriatric Care and Nursing Homes
- Clinical practice guidelines implementation
- Vaccine Coverage and Hesitancy
- Global Public Health Policies and Epidemiology
- Maternal and Neonatal Healthcare
- COVID-19 epidemiological studies
- Diabetes Management and Education
- Health Policy Implementation Science
- Aging, Elder Care, and Social Issues
- COVID-19 and Mental Health
- Maternal Mental Health During Pregnancy and Postpartum
- Healthcare Systems and Technology
- COVID-19 Impact on Reproduction
- Infection Control in Healthcare
- Homelessness and Social Issues
Université de Montréal
2014-2024
Ghana College of Physicians and Surgeons
2024
University of Leeds
2024
Center for Interuniversity Research and Analysis on Organizations
2018-2022
Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal
2015-2022
Centre Hospitalier Universitaire Sainte-Justine
2021
Université Clermont Auvergne
2021
Pontifícia Universidade Católica de São Paulo
2021
Weatherford College
2021
Centre Hospitalier de l’Université de Montréal
2016
<h3>Background:</h3> Many studies have shown the tendency for people without a regular care provider or primary physician to make greater use of emergency departments. We sought determine effects three aspects provided by physicians (physician specialty, continuity and comprehensiveness care) on their patients' department. <h3>Methods:</h3> Using provincial administrative databases, we created cohort 367 315 adults aged 18 years older. Participants were residents urban areas Quebec....
The Canadian healthcare system is currently experiencing important organizational transformations through the reform of primary (PHC). These reforms vary in scope but share a common feature proposing transformation PHC organizations by implementing new models organization. their performance with respect to client affiliation, utilization services, experience care and perceived outcomes care.In early 2005 we conducted study two most populous regions Quebec province (Montreal Montérégie) which...
Vaccination will be instrumental in controlling the COVID-19 pandemic, and vaccination of children necessary to achieve herd immunity. Given that with chronic health conditions may at increased risk COVID-19, it is crucial understand factors influencing parental decisions about whether have their child vaccinated. The study objectives were measure intent asthma vaccinated against identify determinants decision.
Over the past decade, in province of Quebec, Canada, government has initiated two consecutive reforms. These have created a new type primary healthcare - family medicine groups (FMGs) and established 95 geographically defined local health networks (LHNs) across province. A key goal these reforms was to improve collaboration among organizations. The objective paper is analyze impact on development collaborations practices between organisations hospitals both within outside administrative...
Purpose: Nurses are identified as a key provider in the management of patients primary care. The objective this study was to evaluate patients’ experience care it pertained nursing role. aim test hypothesis that, health organizations (PHCOs) where systematically followed by nurse, and competencies therefore optimally used, is better. Method: Based on cross-sectional analysis combining organizational surveys, we built 2 groups PHCOs. first group PHCOs reported having nurse who patients....
Dans la recherche sur les services de santé et en publique, construction taxonomie typologie est une méthode d’analyse plus utilisée. Les termes typologie, quoiqu’ayant des définitions différentes selon le Petit Robert, semblent être utilisées comme synonymes. L’objectif cet article proposer un cadre théorique issu théorie organisations dans lequel concepts sont clairement définis. L’approche configurationnelle courant qui apparu années 1980. Cette approche vise à analyser éléments composent...
Objectif : Présenter les résultats d’une recension intégrative des études synthétisant connaissances empiriques sur dimensions de la vulnérabilité en période périnatale qui génèrent besoins matière soutien social postnatal informel ou semi-formel. Méthode La a été réalisée dans dix bases données, couvrant 1990 à mars 2013. Les informations pertinentes ont extraites et analysées un mode intégratif selon quatre grandes biologiques, psychologiques, sociales, cognitives. Résultats Trente...
Prenatal education is a core component of perinatal care and services provided by health institutions. Whereas group prenatal the most common educational model, some institutions have opted to implement online address accessibility issues as well evolving needs future parents. Various studies shown that can be effective in acquisition knowledge on labour delivery, reducing psychological distress maximising father's involvement. However, these results may depend material, organization, format...
ObjectiveThe growth of healthcare spending is a major concern for insurers and governments but also patients whose health problems may result in costs going beyond direct medical costs. To develop comprehensive tool to measure indirect condition their families various outpatient contexts.MethodsWe conducted content face validation including results systematic review identify the items related or an online Delphi determine cost retain. We pilot test-retest with 18 naive participants analyzed...
Healthcare reforms initiated in the early 2000s Québec involved implementation of new modes primary healthcare (PHC) delivery and creation Health Social Services Centers (HSSCs) to support it. The objective this article is assess explain degree PHC organizational change achieved following these reforms. We conducted two surveys organizations, 2005 2010, regions province Québec, Canada. From responses surveys, we derived a measure based on an index conformity ideal type (ICIT). One set...
School screening programs for adolescent idiopathic scoliosis (AIS) have been discontinued in Canada and elsewhere because they were not considered cost-effective. In communities lacking such programs, we expect a significant variety of healthcare pathways timeframes patient referrals to orthopaedics. The objectives this study were: 1) characterise the young children with suspected AIS population without school screening; 2) investigate relationships between these appropriateness specialised...
Size of primary health care (PHC) practices is often used as a proxy for various organizational characteristics related to provision care. The objective this article identify some these and determine the extent which they mediate relationship between size PHC practice patients’ experience care, preventive services, unmet needs. In 2010, we conducted population organization surveys in 2 regions province Quebec. We carried out multilevel linear logistic regression analyses, adjusting...
Introduction . Healthcare reforms launched in the early 2000s Québec, Canada, involved implementation of new forms primary healthcare (PHC) organizations: Family Medicine Groups (FMGs) and Network Clinics (NCs). The objective this paper is to assess how organizational changes associated with these have impact on patients’ experience care, use services, unmet needs. Methods We conducted population organization surveys 2005 2010 two regions province Québec. design was a before-and-after...
Introduction . Solo practices have generally been viewed as forming a homogeneous group. However, they may differ on many characteristics. The objective of this paper is to identify different forms solo practice and determine the extent which are associated with patient experience care. Methods Two surveys were carried out in two regions Quebec 2010: telephone survey 9180 respondents from general population postal 606 primary healthcare (PHC) practices. Data linked through respondent’s usual...
Chronic disease management requires substantial services integration. A cardiometabolic risk program inspired by the Care Model was implemented in Montréal for patients with diabetes or hypertension. One of this study's objectives to assess impact care coordination between interdisciplinary teams and physicians on patient participation program, lifestyle improvements control.We obtained data health outcomes from a register clinical data, questionnaires completed upon entry into at 12-month...
Abstract Background Despite the implementation of a set social and health policies, Brazil has experienced slowdown in decline infant mortality, regional disparities persistent high death levels, raising questions about determinants mortality after these policies. The objective this article is to propose methodological approach aiming at identifying those Method A series multilevel panel data with fixed effect nested within-clusters were conducted supported by concept capabilities based on...
Background. Commonly self-reported questions in population health surveys, such as "do you have a family physician?", represent one of the best-known sources information about patients' attachment to physicians. Is it possible find proxy for this administrative data? Objective. To identify type patient physician using data. Methods. Using fee-for-service database and patients enrolment registries (Quebec, Canada, 2008-2010), we developed step-by-step algorithm including three dimensions...
The goal of this project is to evaluate the implementation an integrated and interdisciplinary program for prevention management cardiometabolic risk (PCMR). intervention based on Chronic Care Model. study will PCMR in 6 12 health social services centres (CSSS) Montréal, effects patients practice their primary care physicians up 40 months following implementation, as well sustainability program. Objectives are: 1-to persistence registered physicians, by site degree exposure program; 2-to...
The overall aim of this project is to help develop knowledge about primary care delivery models likely improve the accessibility, quality and efficiency care. Operationally, objective will be achieved through supporting evaluating 8 team pilot sites that rely on an expanded nursing role within a more intensive team-based, interdisciplinary setting.