A5015396258- Musculoskeletal pain and rehabilitation
- Health, Medicine and Society
- Healthcare Systems and Practices
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Spine and Intervertebral Disc Pathology
- Clinical practice guidelines implementation
- Interprofessional Education and Collaboration
- Workplace Health and Well-being
- Social Sciences and Governance
- Healthcare Systems and Technology
- COVID-19 and healthcare impacts
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Urinary Tract Infections Management
- Musculoskeletal Disorders and Rehabilitation
- Occupational Health and Performance
- Nursing Roles and Practices
- Antibiotic Use and Resistance
- Pharmaceutical Practices and Patient Outcomes
- Healthcare cost, quality, practices
- Palliative Care and End-of-Life Issues
- Occupational Health and Safety Research
- Medical and Biological Sciences
- Innovations in Medical Education
Université d'Angers
2015-2025
École des Hautes Études en Santé Publique
2021-2024
Inserm
2011-2024
Institut de Recherche en Santé, Environnement et Travail
2011-2024
Université de Sherbrooke
2016-2024
Conservatoire National des Arts et Métiers
2023-2024
Université de Rennes
2022-2023
Université Nantes Angers Le Mans
2014-2022
Lurie Children's Hospital
2011-2021
Centre Intégré Universitaire de Santé et de Services Sociaux du Saguenay–Lac-Saint-Jean
2016-2018
Introduction . Multimorbidity adversely affects health-related quality of life. Methodological factors may impact the magnitude this relationship. Objective To evaluate how physical life varies in individuals with multimorbidity depending on length list candidate conditions considered. Methods Secondary analysis from PRECISE, a cohort study general adult population Quebec, Canada. was measured using 21-chronic condition Disease Burden Morbidity Assessment, and component summary (PCS)...
COVID-19 vaccines are among the most effective measures to reduce serious illness and death from infection with highly contagious SARS-CoV-2 virus. To improve vaccine accessibility, pharmacists in France have been authorized administer vaccinations since March 2021. This study aims assess satisfaction French people receiving their vaccination a community pharmacist.The PharmaCoVax was conducted pharmacies 16 30 June Interested completed an online participation form, giving them access...
Sick leave is a significant social and economic concern, with substantial costs potential adverse consequences for patients. Understanding the factors influencing sick prescriptions essential to improve their relevance impact. The principal objective of this study was describe general medicine consultations that led prescriptions. ECOGEN study, conducted from November 2011 April 2012 in France, systematically analysed thousands consultations. Data collected 10,271 consultations, involving...
Integrating health promotion into primary care is critical to transforming healthcare systems. While many promising initiatives exist, their sustainability and scalability remain key challenges. Major barriers include limited institutional recognition, lack of understanding by policymakers, weak evaluation culture, undervaluation in public policies. Local solutions are essential, but require systemic support, including cross-sectoral collaboration, funding, training. A paradigm shift needed...
To examine the incidence and risk factors for incident thoracic spine pain (TSP) in workers representative of a French region's working population.In this prospective study, 3,710 were assessed 2002-2005, 2,332 (62.9%) them reassessed 2007-2010. TSP was by self-administered Nordic questionnaire at baseline followup. At baseline, all participants completed on personal work exposure. A total 1,886 subjects (1,124 men 762 women) without eligible analysis. Associations between analyzed...
Abstract Background In France, the first COVID-19-related lockdown (17th March to 10th May 2020) resulted in a major decrease healthcare service utilization. This raised concerns about continuity of care for vulnerable patients. Objectives To identify individual and organizational factors associated with initiatives taken by French GPs contact patients during lockdown. Methods A national observational survey using an online questionnaire was conducted document GPs’ adaptations COVID-19...
Better insight into frequent comorbidities in patients with chronic (≥ 3 months) low back pain (LBP) may help general practitioners when planning comprehensive care for these patients.To prospectively study the prevalence of psychological, social, musculoskeletal and somatoform disorders presenting non-specific LBP to practitioners, comparison a contrast group consulting same setting.This case-control is embedded historical cohort, based on primary practice-based research network. All health...
<b><i>Background:</i></b> The best chemotherapy regimen for well- differentiated pancreatic neuroendocrine tumours (pNETs) with a Ki-67 index ≥10% is still debated. We evaluated the antitumour efficacy of various first-line regimens (streptozocin based, platinum or dacarbazine/temozolomide based) in this situation. <b><i>Methods:</i></b> In retrospective multicentre study French Group Endocrine Tumours (GTE), we recruited consecutive patients...
Increasing prevalence of chronic conditions and multimorbidity challenges health care systems calls for patient-centered coordination care. Implementation evaluation policies focusing on the development needs valid instruments measuring this dimension The aim validation study was to assess psychometric properties French version 14-item Patient-Centered Coordination by a Care Team (PCCCT) questionnaire in primary setting. PCCCT provides total score from 0 (worst coordination) 42 (best...
Abstract Background Urinary tract infections (UTIs) are among the most common that require antibiotic therapy. In December 2015, new guidelines for UTI management were published in France with aim of reducing misuse and risk antimicrobial resistance. Objectives To analyze changes prescribing behavior acute uncomplicated women from 2014 to 2019. Methods Retrospective study using data extracted medico-administrative database ‘OpenMedic’ is linked French National Health Data System collects on...
Abstract Background The implementation of evidence-based innovations is incentivized as part primary care reform in Canada. In the Province Québec, it generated creation interprofessional models involving registered nurses and social workers members clinics. However, scope practice for these professionals remains variable suboptimal. 2019, expert committees co-designed published two guides, but no clear strategy has been identified to support their assimilation. This project’s goal...
In order to develop primary care research by general practice university lecturers, it was necessary evaluate the representativeness of this group lecturers at Angers Faculty Medicine.Declarative study based on self-administered questionnaires filled in 216 lecturers. The questionnaire derived from that regional panel Research, studies, evaluation and statistics directorate 2007, investigating sociodemographic characteristics, professional organization, activities certain practices...
A train-the-trainer approach can effectively support the integration of new practice standards for health and social services professionals. This study describes effects an enhanced program to registered nurses workers working in primary care clinics their understanding fundamental principles care. We implemented six clinics. conducted a pre-post using quantitative qualitative data assess trainers' trainees' intention, commitment, confidence applying acquired knowledge. trained 11 trainers...
The COVID-19 epidemic represented a major challenge for the primary care sector. We present results of an interprofessional collaborative research endeavor conducted by ACCORD network to describe actors' and organizations' response first wave national lockdown in France.This work draws from quantitative qualitative material. data cross-analysis six online surveys carried out between March May 2020, among general practitioners, midwives, multi-professional organizations France. This was...
Abstract Background Musculoskeletal disorders (MSD) are multifactorial requiring multidisciplinary treatment including physiotherapy. General practitioners (GP) have a central role in managing MSDs and mostly solicit physiotherapists accounting for 76.1% of physiotherapy referrals France. Patient, physician, contextual factors, healthcare accessibility, can influence referral rates. Objective To identify patient, factors associated with adult patients general practice. Methods This study is...
In France, towards the end of first lockdown, COVID-19 management was largely transferred from hospitals to primary care. Primary care actors adapted their practices ensure patients’ access care, while limiting contamination. this study, we aimed identify patterns adaptations implemented by French general practitioners (GPs) in May 2020 for outpatients with confirmed or suspected COVID-19, and factors associated these adaptions. A survey concerning organization adaptations, individual,...
BackgroundPsychosocial factors at work (PFW) can be defined as all non-physicochemical occupational risks. Several epidemiological models have been proposed to measure PFW, but one of the most widely used is Karasek's model.