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[An effective intervention project for arterial hypertension screening in family medicine].

https://arctichealth.org/en/permalink/ahliterature223529
Source
Union Med Can. 1992 Jul-Aug;121(4):227-32
Publication Type
Article
Author
M. Aubin
L. Vézina
J P Fortin
P M Bernard
Author Affiliation
Unité de médecine familiale, Hôpital Laval, Sainte-Foy, Québec.
Source
Union Med Can. 1992 Jul-Aug;121(4):227-32
Language
French
Publication Type
Article
Keywords
Adolescent
Adult
Family Practice - methods - standards
Female
Health Services Research
Humans
Hypertension - epidemiology - prevention & control
Male
Mass Screening - methods - standards
Middle Aged
Quebec - epidemiology
Abstract
This study was carried out to assess the effectiveness of a preventive protocol in improving hypertension detection in a hospital-based family medicine unit. This protocol was planned and implemented by local practitioners and did not need any additional budgeting. Two distinct groups, each of 850 adults, were randomly selected from patients having consulted before and after the introduction of the protocol. Medical records were audited. Hypertension screening rate improved of 17.7% (p less than 0.00001) after the application of the preventive intervention. Furthermore, a 20.5% increase of the screening rate was estimated after adjustment by the logistic regression method, for characteristics related to patients and to practitioners. In conclusion, these findings support the hypothesis that this preventive protocol contributes to improve in family physicians their hypertension screening performance and they justify further assessment with a control group.
PubMed ID
1413291 View in PubMed
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[Collaboration between family physicians and home care professionals. Is it possible?].

https://arctichealth.org/en/permalink/ahliterature194751
Source
Can Fam Physician. 2001 Apr;47:751-8
Publication Type
Article
Date
Apr-2001
Author
M. Aubin
L. Vézina
R. Bergeron
A. Laberge
Author Affiliation
Unité de médecine familiale de l'Hôpital Laval.
Source
Can Fam Physician. 2001 Apr;47:751-8
Date
Apr-2001
Language
French
Publication Type
Article
Keywords
Canada
Case Management
Family Practice
Home Care Services - manpower
Humans
Interprofessional Relations
Abstract
To describe perceptions of physicians and home care professionals working in local community service centres (CLSCs) with respect to collaboration on home care follow up, and to identify conditions likely to help or hinder cooperation.
Descriptive study using individual and group interviews.
Areas served by three CLSCs in the Quebec city region.
Forty-five general practitioners with large home care practices and coordinators and representatives of CLSC home care teams.
Perceptions of physicians and home care professionals with respect to interprofessional cooperation on and barriers to home care follow up.
Most participants thought that cooperation would be beneficial to complex case management and continuity of follow-up care. In practice, however, cooperation is hindered by differences in medical practice and home care team service delivery and in methods of remuneration, and lack of knowledge of the other field of practice.
All participants recognized the importance of cooperation. This study did not reveal any real integration of medical and CLSC home care services. Efforts must be made to identify the strategies most conducive to improving interprofessional cooperation.
Notes
Cites: J Am Geriatr Soc. 1984 Apr;32(4):288-926707409
Cites: Gerontol Geriatr Educ. 1986 Fall;7(1):15-243666466
Cites: Gerontologist. 1988 Apr;28(2):172-63129342
Cites: Health Serv Res. 1990 Aug;25(3):479-5002199414
Cites: J Am Geriatr Soc. 1991 Nov;39(11):1100-41753049
Cites: Med Care. 1992 Jan;30(1):43-571729586
Cites: Am Fam Physician. 1999 Oct 1;60(5):1481-810524492
Cites: Br J Gen Pract. 1993 Feb;43(367):57-98466776
Cites: Home Care Provid. 1998 Apr;3(2):100-3, 1109611523
Cites: J Am Geriatr Soc. 1999 Jan;47(1):71-59920232
Cites: J Fam Pract. 1999 Jan;48(1):62-59934386
Cites: CMAJ. 1999 Aug 24;161(4):369-7310478159
Cites: Arch Intern Med. 1992 Oct;152(10):2025-321417375
PubMed ID
11340756 View in PubMed
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[Delivery of home health care. Survey of the Quebec region].

https://arctichealth.org/en/permalink/ahliterature196685
Source
Can Fam Physician. 2000 Oct;46:2022-9
Publication Type
Article
Date
Oct-2000
Author
A. Laberge
M. Aubin
L. Vézina
R. Bergeron
Author Affiliation
Centre de santé publique de la région de Québec.
Source
Can Fam Physician. 2000 Oct;46:2022-9
Date
Oct-2000
Language
French
Publication Type
Article
Keywords
Delivery of Health Care - statistics & numerical data
Family Practice - statistics & numerical data
Health Care Surveys
Home Care Services - statistics & numerical data
Humans
Physician's Practice Patterns
Quebec
Abstract
To describe the characteristics of home health care delivered by general practitioners and to identify the conditions that facilitate or hinder development of this practice.
Mailed survey.
Quebec city region.
General practitioners in private practice, family practice units, community health centres, or hospitals.
A self-administered questionnaire was used to gather information on volume of home care provided, characteristics of clients and visits, methods of follow up, and factors that promoted or hindered home care.
Of the 487 physicians surveyed, 58.1% (283) made housecalls to a clientele consisting mainly of elderly patients (87.6%): 42% saw fewer than five patients per week, and 31% spent 2 hours or less per week on housecalls. Close to two thirds (64%) devoted 15 to 30 minutes to these visits, and 90.2% said they used community health centres for assessment or home follow up of their patients. Difficulties with scheduling and methods of remuneration reportedly hampered development of this practice.
Home care practice is widespread around Quebec city, but represents only a small portion of the clinical work of many GPs.
Notes
Cites: Am Fam Physician. 1999 Oct 1;60(5):1481-810524492
Cites: J Am Geriatr Soc. 1991 Nov;39(11):1100-41753049
Cites: Med Care. 1972 Mar-Apr;10(2):173-85015414
Cites: J Fam Pract. 1977 May;4(5):933-8864415
Cites: Milbank Q. 1988;66(2):309-883141762
Cites: Health Serv Res. 1990 Aug;25(3):479-5002199414
Cites: J Fam Pract. 1999 Jan;48(1):62-59934386
Cites: Clin Geriatr Med. 1991 Nov;7(4):665-751760787
Cites: Med Care. 1992 Jan;30(1):43-571729586
Cites: Arch Intern Med. 1992 Oct;152(10):2025-321417375
Cites: J Epidemiol Community Health. 1993 Dec;47(6):481-48120504
Cites: Soc Sci Med. 1995 Feb;40(3):349-587899947
Cites: N Engl J Med. 1997 Dec 18;337(25):1815-209400040
Cites: Can Fam Physician. 1998 Oct;44:2143-99805169
PubMed ID
11072582 View in PubMed
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[Female victimization in the context of dating violence in adolescence: development of an instrument (VIFFA)].

https://arctichealth.org/en/permalink/ahliterature192945
Source
Can J Commun Ment Health. 2001;20(1):153-71
Publication Type
Article
Date
2001
Author
F. Lavoie
L. Vézina
Author Affiliation
Ecole de psychologie, Université Laval, Cité universitaire, Québec, Canada, G1K 7P4. francine.lavoie@psy.ulaval.ca
Source
Can J Commun Ment Health. 2001;20(1):153-71
Date
2001
Language
French
Publication Type
Article
Keywords
Adolescent
Courtship
Factor Analysis, Statistical
Female
Humans
Jealousy
Male
Quebec
Questionnaires
Reproducibility of Results
Social Desirability
Violence - psychology
Abstract
The aim is to report on the development and preliminary validation of an instrument, VIFFA (Violence faite aux Filles dans les Fréquentations à l'Adolescence), on female victimization in the context of dating violence in adolescence. Objectives are twofold: to document the psychometric qualities of this self-report and to propose an instrument adapted to the context of young teens. The instrument refers to concepts of physical, emotional, and sexual abuse. Questioning in two phases is used to achieve proper understanding of the concept studied and to help select the partner to whom they refer in the second detailed phase. Girls were questioned on violence sustained and boys on violence inflicted. The total sample included 331 boys and 377 girls; their mean age was 14.6 years. A social desirability questionnaire was used to evaluate discriminant validity and the results indicate that the adolescents' answers were not distorted by social desirability. The factorial analyses resulted in 4 slightly different factors for girls and boys. With regard to the girls (violence sustained), the factors included Verbal and Emotional Abuse, Physical Abuse, Control through Jealousy and Sexual Abuse. With the boys (violence inflicted), the factors were Psychological Abuse, Jealousy and Sexual Abuse, Severe Physical Abuse and Minor Physical Abuse. Validation studies indicate that the instrument has adequate psychometric qualities and is adapted to the context of adolescence. An innovative aspect is the place given to items concerning jealousy.
PubMed ID
11599133 View in PubMed
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[Palliative care: profile of medical practice in the Quebec city region].

https://arctichealth.org/en/permalink/ahliterature192404
Source
Can Fam Physician. 2001 Oct;47:1999-2005
Publication Type
Article
Date
Oct-2001
Author
M. Aubin
L. Vézina
P. Allard
R. Bergeron
A P Lemieux
Author Affiliation
Unité de médecine familiale de l'Hôpital Laval au Québec, QC.
Source
Can Fam Physician. 2001 Oct;47:1999-2005
Date
Oct-2001
Language
French
Publication Type
Article
Keywords
Adult
Family Practice - organization & administration - statistics & numerical data
Female
Health Care Surveys
House Calls
Humans
Institutionalization
Male
Office Visits
Palliative Care - organization & administration - statistics & numerical data
Physician's Practice Patterns - statistics & numerical data
Quebec
Workload
Abstract
To describe the palliative care provided by physicians in the Quebec city region and to identify factors that affect its delivery.
Mailed survey.
Quebec city region.
General practitioners in active clinical practice.
Physicians' personal and professional characteristics and their palliative care practice (volume of work, source of requests for follow-up care, place of delivery of care, resources used, difficulties, encountered).
Of the 476 physicians (67%) who responded to our survey, 295 (62%) provided palliative care. Of these, 70% saw no more than two patients requiring palliative care per month, and 55% devoted no more than 2 hours per week to this aspect of patient care. Most (76%) provided palliative care in a variety of settings (private office, home, institution). Home care teams working out of local community health centres are the resource physicians drew upon most frequently (69%). The main difficulties encountered were a lack of clinical expertise, scheduling home care, and providing patients and families with emotional support.
Most physicians in the Quebec city region provided palliative care occasionally. This care could be improved by removing various logistical and professional barriers.
Notes
Cites: Br Med J (Clin Res Ed). 1986 Apr 19;292(6527):1051-32421820
Cites: J R Coll Gen Pract. 1988 Sep;38(314):411-33256657
Cites: Aust Fam Physician. 1990 Dec;19(12):1835-412275665
Cites: J Palliat Care. 1992 Spring;8(1):28-321583564
Cites: Can Fam Physician. 1993 Jan;39:49-578382093
Cites: J Public Health Med. 1993 Mar;15(1):3-87682424
Cites: J Palliat Care. 1993 Summer;9(2):33-87690852
Cites: Palliat Med. 1993;7(2):117-267505171
Cites: Can Fam Physician. 1994 Jan;40:47-507508776
Cites: Can Fam Physician. 1994 Feb;40:240-67510562
Cites: Can Fam Physician. 1998 May;44:1028-349612588
Cites: Eur J Cancer Care (Engl). 1996 Dec;5(4):242-59117069
Cites: Clin Geriatr Med. 1996 May;12(2):267-788799347
Cites: Can Fam Physician. 1996 May;42:899-904; 907-108688693
Cites: Br J Gen Pract. 1994 Oct;44(387):461-47538315
Cites: Can J Oncol. 1994 Jul;4(3):285-907529630
Cites: CMAJ. 1999 Aug 24;161(4):369-7310478159
PubMed ID
11723594 View in PubMed
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Which physicians make home visits and why? A survey.

https://arctichealth.org/en/permalink/ahliterature200938
Source
CMAJ. 1999 Aug 24;161(4):369-73
Publication Type
Article
Date
Aug-24-1999
Author
R. Bergeron
A. Laberge
L. Vézina
M. Aubin
Author Affiliation
Family Medicine Unit, Hôpital Laval, Sainte-Foy, Que.
Source
CMAJ. 1999 Aug 24;161(4):369-73
Date
Aug-24-1999
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Chi-Square Distribution
Female
Home Care Services - economics - statistics & numerical data
Humans
Male
Physician's Practice Patterns - economics - statistics & numerical data
Physicians, Family
Quebec
Questionnaires
Reimbursement Mechanisms
Workload
Abstract
Recent changes in the North American health care system and certain demographic factors have led to increases in home care services. Little information is available to identify the strategies that could facilitate this transformation in medical practice and ensure that such changes respond adequately to patients' needs. As a first step, the authors attempted to identify the major factors influencing physicians' home care practices in the Quebec City area.
A self-administered questionnaire was sent by mail to all 696 general practitioners working in the Quebec City area. The questionnaire was intended to gather information on physicians' personal and professional characteristics, as well as their home care practice (practice volume, characteristics of both clients and home visits, and methods of patient assessment and follow-up).
A total of 487 physicians (70.0%) responded to the questionnaire, 283 (58.1%) of whom reported making home visits. Of these, 119 (42.0%) made fewer than 5 home visits per week, and 88 (31.1%) dedicated 3 hours or less each week to this activity. Physicians in private practice made more home visits than their counterparts in family medicine units and CLSCs (centres locaux des services communautaires [community centres for social and health services]) (mean 11.5 v. 5.8 visits per week), although the 2 groups reported spending about the same amount of time on this type of work (mean 5.6 v. 5.0 hours per week). The proportion of visits to patients in residential facilities or other private residences was greater for private practitioners than for physicians from family medicine units and CLSCs (29.7% v. 18.9% of visits), as were the proportions of visits made at the patient's request (28.0% v. 14.2% of visits) and resulting from an acute condition (21.4% v. 16.0% of visits). The proportion of physicians making home visits at the request of a CLSC was greater for those in family medicine units and CLSCs than for those in private practice (44.0% v. 11.3% of physicians), as was the proportion of physicians making home visits at the request of a colleague (18.0% v. 4.5%) or at the request of hospitals (30.0% v. 6.8%). Physicians in family medicine units and CLSCs did more follow-ups at a frequency of less than once per month than private practitioners (50.9% v. 37.1% of patients), and they treated a greater proportion of patients with cognitive disorders (17.2% v. 12.6% of patients) and palliative care needs (13.7% v. 8.6% of patients). Private practitioners made less use of CLSC resources to assess home patients or follow them. Male private practitioners made more home visits than their female counterparts (mean 12.8 v. 8.3 per week), although they spent an almost equal amount of time on this activity (mean 5.7 v. 5.2 hours per week).
These results suggest that practice patterns for home care vary according to the physician's practice setting and sex. Because of foreseeable increases in the numbers of patients needing home care, further research is required to evaluate how physicians' practices can be adapted to patients' needs in this area.
Notes
Cites: J Med Educ. 1983 Jun;58(6):447-566854606
Cites: Soc Sci Med. 1995 Feb;40(3):349-587899947
Cites: Union Med Can. 1987 Apr;116(4):243-5, 248-93603886
Cites: CMAJ. 1988 Oct 15;139(8):737-403167734
Cites: CMAJ. 1989 Nov 1;141(9):897-9042804847
Cites: Can J Public Health. 1990 Jan-Feb;81(1):27-312311046
Cites: Health Serv Res. 1990 Aug;25(3):479-5002199414
Cites: Int J Health Serv. 1991;21(1):49-582004872
Cites: Soc Sci Med. 1991;32(8):853-662031202
Cites: J Am Med Womens Assoc. 1991 Mar-Apr;46(2):49-542033207
Cites: J Am Geriatr Soc. 1991 Nov;39(11):1100-41753049
Cites: Med Care. 1992 Jan;30(1):43-571729586
Cites: Arch Intern Med. 1992 Oct;152(10):2025-321417375
Cites: J Epidemiol Community Health. 1993 Dec;47(6):481-48120504
Cites: Inquiry. 1983 Fall;20(3):248-576226610
PubMed ID
10478159 View in PubMed
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6 records – page 1 of 1.