Richard Fleet

ORCID: 0000-0003-2732-7655
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About
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Research Areas
  • Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Cardiac Health and Mental Health
  • Psychosomatic Disorders and Their Treatments
  • Cardiovascular Syncope and Autonomic Disorders
  • Trauma and Emergency Care Studies
  • Emergency and Acute Care Studies
  • Heart Rate Variability and Autonomic Control
  • Artificial Intelligence in Healthcare and Education
  • Global Health Workforce Issues
  • Health Systems, Economic Evaluations, Quality of Life
  • Telemedicine and Telehealth Implementation
  • Art Therapy and Mental Health
  • Suicide and Self-Harm Studies
  • Healthcare professionals’ stress and burnout
  • Workplace Health and Well-being
  • Healthcare cost, quality, practices
  • Diversity and Impact of Dance
  • Patient Satisfaction in Healthcare
  • Takotsubo Cardiomyopathy and Associated Phenomena
  • Acute Myocardial Infarction Research
  • Child and Adolescent Psychosocial and Emotional Development
  • Primary Care and Health Outcomes
  • Cardiac Arrest and Resuscitation
  • Cardiovascular and exercise physiology
  • Cardiac Imaging and Diagnostics

Université Laval
2014-2024

Centre intégré de santé et de services sociaux de Chaudière-Appalaches
2013-2024

Cégep de Lévis
2012-2024

Hôpital du Saint-Sacrement
2018

Fonds de Recherche du Québec - Santé
2018

Canadian Institutes of Health Research
2018

Quebec - Clinical Research Organization in Cancer
2015

Université du Québec à Montréal
1996-2012

Montreal Heart Institute
1994-2011

Hôpital du Sacré-Cœur de Montréal
1998-2011

The World Health Organization and other institutions are considering Artificial Intelligence (AI) as a technology that can potentially address some health system gaps, especially the reduction of global inequalities in low- middle-income countries (LMICs). However, because most AI-based applications developed implemented high-income countries, their use LMICs contexts is recent there lack robust local evaluations to guide decision-making low-resource settings. After discussing potential...

10.1186/s12992-020-00584-1 article EN cc-by Globalization and Health 2020-06-24

Artificial intelligence (AI) is seen as a strategic lever to improve access, quality, and efficiency of care services build learning value-based health systems. Many studies have examined the technical performance AI within an experimental context. These provide limited insights into issues that its use in real-world context raises. To help decision makers address these systemic holistic manner, this viewpoint paper relies on technology assessment core model contrast expectations sector...

10.2196/17707 article EN cc-by Journal of Medical Internet Research 2020-05-13

Abstract Background Artificial intelligence (AI) technologies are expected to “revolutionise” healthcare. However, despite their promises, integration within healthcare organisations and systems remains limited. The objective of this study is explore understand the systemic challenges implications in a leading Canadian academic hospital. Methods Semi-structured interviews were conducted with 29 stakeholders concerned by large set AI organisation (e.g., managers, clinicians, researchers,...

10.1186/s12913-024-11112-x article EN cc-by BMC Health Services Research 2024-06-03

Abstract Electronic health records (EHRs) are considered as a powerful lever for enabling value-based systems. However, many challenges to their use persist and some of unintended negative impacts increasingly well documented, including the deterioration work conditions quality, increased dissatisfaction care providers. The “quadruple aim” consists improving population patient provider experience while reducing costs. Based on this approach, quality well-being providers could help rethinking...

10.1186/s12911-020-1048-9 article EN cc-by BMC Medical Informatics and Decision Making 2020-02-17

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...

10.1371/journal.pone.0191151 article EN cc-by PLoS ONE 2018-01-31

Background Digital health technologies (DHTs) are promoted as means to reduce the environmental impact of healthcare systems. However, a growing literature is shedding light on highly polluting nature digital industry and how it exacerbates inequalities. Thus, footprint DHTs should be considered when assessing their overall value The objectives this article to: (1) explore stakeholders’ perspectives integrating impacts in assessment procurement practices; (2) identify factors enabling or...

10.1177/20552076231219113 article EN cc-by-nc-nd Digital Health 2023-01-01

Point-of-care ultrasound (POCUS) can be used to provide rapid answers specific and potentially life-threatening clinical questions, improve the safety of procedures. The rate POCUS access use in Canada is unclear. objective this study was examine potential barriers/facilitators its among rural physicians Quebec. This descriptive cross-sectional an online survey. 30-item questionnaire adapted translated version a prior survey conducted Ontario, Canada. pre-tested for clarity relevance. sent...

10.1186/s12873-015-0063-0 article EN cc-by BMC Emergency Medicine 2015-12-01

Introduction Rural emergency departments (EDs) are important safety nets for the 20% of Canadians who live there. A serious problem in access to health care services these regions has emerged. However, there considerable geographic disparities trauma center Canada. The main objective this project was compare local 24/7 support rural EDs Quebec and Ontario as well distances Levels 1 2 centers. Materials Methods were identified through Canadian Healthcare Association's Guide Facilities. We...

10.1371/journal.pone.0123746 article EN cc-by PLoS ONE 2015-04-15

Background : Panic disorder (PD) is a common, often unrecognized condition among patients presenting with chest pain to the emergency departments (ED). Nevertheless, psychological treatment rarely initiated. We are unaware of studies that evaluated efficacy brief cognitive-behavioural therapy (CBT) for this population. Aim Evaluate two CBT interventions in PD ED pain. Method Fifty-eight were assigned either 1-session CBT-based panic management intervention (PMI) ( n = 24), 7-session 19), or...

10.1017/s1352465811000506 article EN Behavioural and Cognitive Psychotherapy 2011-09-20

Information about recruitment and retention factors quality of work life (QWL) in rural emergency departments (EDs) is limited. A pilot study was used to determine the feasibility a large-scale these variables Quebec EDs.Two EDs, approximately 10,000 30,000 patients per year respectively, were selected as convenience samples. An online survey containing Quality Work Life Systemic Inventory (QWLSI; 34 items) Recruitment Retention Factors Questionnaire (39 sent ED nurses physicians two EDs....

10.1186/s13104-015-1075-2 article EN cc-by BMC Research Notes 2015-04-01

Shared decision making (SDM) is a process whereby decisions are made together by patients and/or families and clinicians. Nevertheless, few aware of its proven benefits. This study investigated the feasibility, acceptability impact an intervention to raise public awareness SDM in libraries.A 1.5 hour interactive workshop be presented libraries was co-designed with Quebec City library network officials, science communication specialist physicians. A clinical topic maximum reach chosen:...

10.1371/journal.pone.0208449 article EN cc-by PLoS ONE 2018-12-12
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