ORCID Profile
0000-0002-9874-3771
Current Organisation
Université de Sherbrooke
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Publisher: Springer Science and Business Media LLC
Date: 14-07-2022
Publisher: SAGE Publications
Date: 2021
Publisher: BMJ
Date: 09-2021
DOI: 10.1136/BMJOPEN-2020-046914
Abstract: A patient-centred care interdisciplinary pragmatic intervention to support self-management for patients with multimorbidity was implemented in one region of Quebec, Canada. This embedded study aimed to evaluate the process of implementation. A descriptive qualitative study was conducted in 2016–2017 using semistructured in idual interviews. The Consolidated Framework for Implementation Research (CFIR) was used to guide the data coding, analysis and reporting of the findings. The study took place in seven Family Medicine Groups in one region (Saguenay-Lac-Saint-Jean) of Quebec, Canada. Ten managers (including two family physicians) and 19 healthcare professionals (HCPs), nurses, kinesiologists, nutritionists and a respiratory therapist, were interviewed. Many key elements within the five CFIR domains were identified as impacting the implementation of the intervention : (1) intervention characteristics—evidence strength and quality, design quality and packaging, relative advantage and complexity (2) outer setting—patients’ needs and resources, external policies and incentives (3) inner setting—structural characteristics, networks and communication, culture, compatibility, readiness for implementation and leadership engagement (4) characteristics of the managers and HCPs—knowledge and belief about the intervention (5) process—planning, opinion leaders, formally appointed internal implementation leaders, reflecting and evaluating. This study revealed the organisational and contextual aspects of the implementation based on different and complementary perspectives. With the growing demand for interdisciplinary teams in primary care, we believe that our insights will be helpful for practices, researchers, and policymakers interested in the implementation of disease prevention and management programmes for people with multiple chronic conditions in primary care. NCT02789800 .
Publisher: MDPI AG
Date: 08-04-2019
Abstract: Background: Social aspects play an important role in in idual health and should be taken into consideration in the long-term care for people with multimorbidity. Purposes: To describe social vulnerability, to examine its correlation with the number of chronic conditions, and to investigate which chronic conditions were significantly associated with the most socially vulnerable state in patients with multimorbidity. Methods: Cross-sectional analysis from the baseline data of the Patient-Centred Innovations for Persons with Multimorbidity (PACEinMM) Study. Participants were patients attending primary healthcare settings in Quebec, Canada. A social vulnerability index was applied to identify social vulnerability level. The index value ranges from 0 to 1 (1 as the most vulnerable). Spearman’s rank correlation coefficient was calculated for the correlation between the social vulnerability index and the number of chronic conditions. Logistic regression was applied to investigate which chronic conditions were independently associated with the most socially vulnerable state. Results: There were 301 participants, mean age 61.0 ± 10.5, 53.2% female. The mean number of chronic health conditions was 5.01 ± 1.82, with the most common being hyperlipidemia (78.1%), hypertension (69.4%), and obesity (54.2%). The social vulnerability index had a median value of 0.13 (range 0.00–0.78). There was a positive correlation between the social vulnerability index and the number of chronic conditions (r = 0.24, p 0.001). Obesity, depression/anxiety, and cardiovascular diseases were significantly associated with the most socially vulnerable patients with multimorbidity. Conclusions: There was a significant correlation between social vulnerability and the total number of chronic conditions, with depression/anxiety, obesity, and cardiovascular diseases being the most related to social vulnerability.
Publisher: Oxford University Press (OUP)
Date: 10-05-2013
Publisher: Wiley
Date: 08-02-2020
DOI: 10.1111/HEX.13035
Publisher: Wiley
Date: 27-04-2020
DOI: 10.1111/HEX.13068
No related grants have been discovered for Martin Fortin.