Mylaine Breton
Datos Biográficos
| ID | 291831 |
|---|---|
| NOMBRE | Mylaine Breton |
| NOMBRES | Mylaine |
| APELLIDO | Breton |
| FIRMA | BRETON M |
| AFILIACIONES | Université de Sherbrooke |
| ORCID | 0000-0001-5713-9618 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 49 |
| TOTAL DE CITAS | 65 |
| TOTAL COMO AUTOR | 49 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2009 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Developing shared values and vision
Background: The global burden associated with chronic diseases (CD) continues to complexify and to grow worldwide. Integrated care is recognized as a key solution to better meet the needs of people living with CD and to improve health system efficiency. Policymakers responsible for organization of health services for CD are confronted with many difficult choices, especially with the widening gap between the population’s needs and the system’s cap…
Development of an organizational typology of interprofessional primary care teams in Quebec, Canada
Expériences de soins en télésanté lors de la pandémie de Covid-19
La pandémie de COVID-19 a engendré de profonds changements dans les modalités de prestation des soins de santé, notamment l’adoption rapide de la télésanté. Bien que certaines études aient exploré les avantages et les défis liés à la télésanté en contexte de pandémie, peu d’études se sont penchées sur les expériences de soins en télésanté d’individus vivant avec des troubles de santé mentale et des maladies physiques chroniques. Cet article propo…
Profiling patterns of patient experiences of access and continuity at team-based primary healthcare clinics (Canada)
These results highlight individual social and health characteristics associated with increased risk of experiencing healthcare access difficulties, such as immigration status and education level and/or continuity difficulties when having a chronic condition and poor perceived mental health. Facilitating appointment booking for recently arrived immigrants and patients with low education, integrating interprofessional collaboration practices for pa…
When Bothering is Part of Professional Practice
In Western healthcare systems, increasing numbers of nurse practitioners are practicing in primary care organizations, and their integration onto interprofessional teams can be somewhat bumpy. In this article, we rely on the institutional theory of organizational communication to investigate the situated communication challenges faced by NPs as they integrate onto primary health care teams (RQ1), and how these local challenges manifested institut…
Strategies used throughout the scaling-up process of eConsult – Multiple case study of four Canadian Provinces
BACKGROUND: eConsult is a model of asynchronous communication connecting primary care providers to specialists to discuss patient care. This study aims to analyze the scaling-up process and identify strategies used to support scaling-up efforts in four provinces in Canada. METHODS: We conducted a multiple case study with four cases (ON, QC, MB, NL). Data collection methods included document review (n = 93), meeting observations (n = 65) and semi-…
Governance in times of turbulence
In Quebec, the notion of pathway integrates social and health dimensions, user-centered and is conceived as an intertwining of several episodes of care and services over long periods with an intersectoral perspective. A reform in Quebec's health system 2015 put the implementation of such pathways at the agenda. We conducted a developmental evaluation to study the implementation of integrated care pathways in 3 healthcare organizations and their n…
How to Better Integrate Social Determinants of Health into Primary Healthcare
This paper aims to identify challenges and opportunities related to the integration of social determinants of health (SDH) into primary healthcare at an international symposium in Orford, Quebec, Canada. A descriptive qualitative approach was conducted. Three focus groups on different topics were led by international facilitators. Two research team members took notes during the focus groups. All the material was analyzed using a thematic analysis…
Integration through primary healthcare teams
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Provider and Manager Perspectives on the Use of an Integrated Clinical Pathway for Community-Dwelling Older Adults
Given the importance of ICPs in advancing clinical integration, it is critical to continuously adjust their design to align with providers' realities in order to optimize their potential in real life contexts
Shifting paradigms
Frameworks for understanding integrated care risk underemphasizing the complexities of the development of integrated care in a local context. The objectives of this article are to (1) present a novel strategy for conceptualizing integrated care as developing through a series of milestones at the organizational level, and (2) present a typology of milestones empirically generated through the analysis of four cases of integrated community-based pri…
Assessing primary care organization and performance
BACKGROUND AND OBJECTIVES: Many frameworks describing primary care (PC) organization exist. This study proposes a consolidated framework based on the synthesis of published frameworks for the assessment of primary care organization and performance. APPROACH: We conducted a review of the literature to identify relevant existing frameworks that aimed to describe PC organization or/and monitor its activities. First, we extracted all domains from the…
Control rooms in publicly-funded health systems
BACKGROUND: As part of reforms in 2015, the Ministry of Health and Social Services in Quebec, Canada mandated the national implementation of control rooms, making health system actors accountable for implementing value-based performance management. OBJECTIVE: To explore how do organizational actors appropriate control rooms as managerial tools to influence value-based performance in health systems. DESIGN: Multi-site organizational ethnographic c…
Designing centralized waiting lists for attachment to a primary care provider
Access to a regular primary care provider is essential to quality care. In Canada, where 15 % of patients are unattached (i.e., without a regular provider), centralized waiting lists (CWLs) help attach patients to a primary care provider (family physician or nurse practitioner). Previous studies reveal mechanisms needed for CWLs to work, but focus mostly on CWLs for specialized health care. We aim to better understand how to design CWLs for unatt…
Facilitating Integration Through Team-Based Primary Healthcare
Heterogeneity of the implementation of PHC teams across Canadian provinces provides an opportunity to learn and improve interprofessional care and integrated health services across jurisdictions
Facilitating integrated care through primary healthcare teams
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
How the design and implementation of centralized waiting lists influence their use and effect on access to healthcare - A realist review
CONTEXT: Many health systems have centralized waiting lists (CWLs), but there is limited evidence on CWL effectiveness and how to design and implement them. AIM: To understand how CWLs' design and implementation influence their use and effect on access to healthcare. METHODS: We conducted a realist review (n = 21 articles), extracting context-intervention-mechanism-outcome configurations to identify demi-regularities (i.e., recurring patterns of …
Comparing International Models of Integrated Care
There is value to using a common template to provide guidance in international comparison of models of integrated care. We discuss the applicability of the approach to support scale and spread of integrated care internationally
Organizational Ethnographic Case Studies
A growing body of literature suggests combining organizational ethnography and case study design as a new methodology for investigating complex organizational phenomena in health care contexts. However, the arguments supporting the potential of organizational ethnographic case studies to improve the process and increase the impact of qualitative research in health care is currently underdeveloped. In this article, we aim to explore the methodolog…
Multiple perspectives analysis of the implementation of an integrated care model for older adults in Quebec
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Integrated Care Pathways and Networks
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Macro-level institutional entrepreneurship in the implementation of integrated care models for older adults in a top-down and bottom-up context
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Multiple Perspectives Analysis of the Implementation of an Integrated Care Model for Older Adults in Quebec
Mandated system-wide integration appears to have structural, organizational, functional, and normative transformations, but its clinical changes are more uncertain in view of the observed divergent perspectives of actors. It will be interesting to explore if the systemic changes are precursors of clinical changes or, on the contrary, explains the lack of clinical changes
Designing a survey assessing the scale and spread of integrated care in the iCoach project
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Engaging in international case comparison
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
The reciprocal dynamics of organizing and sense‐making in the implementation of major public‐sector reforms
Drawing on a longitudinal study from the early years of implementation of health‐care networks in Quebec, this article describes how public‐sector managers deal with complex challenges when both organizational structures and organizational strategies are radically transformed simultaneously. The new organizations studied had to completely re‐shuffle roles and responsibilities of their management teams while making sense of their new mandate of de…
Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand
The aim of this paper is to set the foundation for subsequent empirical studies of the "Implementing models of primary care for older adults with complex needs" project, by introducing and presenting a brief descriptive comparison of the nine case studies in Quebec, Ontario and New Zealand. Each case is described based on key dimensions of Rainbow model of Valentijn and al (2013) with a focus on "meso level" integration. Meso level integration is…
Multiple Perspectives Analysis of the Implementation of an Integrated Care Model for Older Adults in Quebec
Mandated system-wide integration appears to have structural, organizational, functional, and normative transformations, but its clinical changes are more uncertain in view of the observed divergent perspectives of actors. It will be interesting to explore if the systemic changes are precursors of clinical changes or, on the contrary, explains the lack of clinical changes
Organizational Ethnographic Case Studies
A growing body of literature suggests combining organizational ethnography and case study design as a new methodology for investigating complex organizational phenomena in health care contexts. However, the arguments supporting the potential of organizational ethnographic case studies to improve the process and increase the impact of qualitative research in health care is currently underdeveloped. In this article, we aim to explore the methodolog…
Management continuity in local health networks
Some aspects of care coordination among professionals and organizations are noticed by patients and may be valid indicators to assess care coordination
Shifting paradigms
Frameworks for understanding integrated care risk underemphasizing the complexities of the development of integrated care in a local context. The objectives of this article are to (1) present a novel strategy for conceptualizing integrated care as developing through a series of milestones at the organizational level, and (2) present a typology of milestones empirically generated through the analysis of four cases of integrated community-based pri…
Comparing International Models of Integrated Care
There is value to using a common template to provide guidance in international comparison of models of integrated care. We discuss the applicability of the approach to support scale and spread of integrated care internationally
Incorporating Public Health More Closely Into Local Governance of Health Care Delivery
Providers’ Perspectives on the Implementation of Mandated Local Health Networks for Older People in Québec
Structural and organisational factors were necessary conditions for the implementation of administrative components of integration, with great variability in the implementation of some clinical components
A sociogram is worth a thousand words
This article proposes an innovative method for the visual analysis of narrative data that involves three steps: transforming narrative data into relational data, creating two-mode networks displayed with graph optimization algorithms derived from social network analysis (SNA), and visually analyzing sociograms. We argue that understanding how actors and their opinions constitute a network-like structure opens up promising avenues for interpreting…
How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand
Community-based primary health care describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for community-based primary health care have stimulated local initiatives and influenced the design of policy solutions. However, the wa…
Managerial strategies for integrated care
Introduction: The implementation of integrated care involves efforts to engage health care providers in a vision of health care delivery that includes coordination and collaboration for the care of individual clients. The processes by which health care providers engage with an organizational vision for integrated care, and the challenges associated with encouraging health care providers to adopt integrated practices remain under-explored in the r…
Facilitating Integration Through Team-Based Primary Healthcare
Heterogeneity of the implementation of PHC teams across Canadian provinces provides an opportunity to learn and improve interprofessional care and integrated health services across jurisdictions
Mapping for Conceptual Clarity
This work represents a first step towards development of a fully formed conceptual framework that includes key domains, concepts, and mechanisms of implementing integrated community-based primary health care
The reciprocal dynamics of organizing and sense‐making in the implementation of major public‐sector reforms
Drawing on a longitudinal study from the early years of implementation of health‐care networks in Quebec, this article describes how public‐sector managers deal with complex challenges when both organizational structures and organizational strategies are radically transformed simultaneously. The new organizations studied had to completely re‐shuffle roles and responsibilities of their management teams while making sense of their new mandate of de…
Incorporating Public Health More Closely Into Local Governance of Health Care Delivery
Management continuity in local health networks
Some aspects of care coordination among professionals and organizations are noticed by patients and may be valid indicators to assess care coordination
Why Is Bigger Not Always Better in Primary Health Care Practices? The Role of Mediating Organizational Factors
Size of primary health care (PHC) practices is often used as a proxy for various organizational characteristics related to provision of care. The objective of this article is to identify some of these organizational characteristics and to determine the extent to which they mediate the relationship between size of PHC practice and patients' experience of care, preventive services, and unmet needs. In 2010, we conducted population and organization …
Navigating the Challenges of Building Integrated Care Models
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Managerial strategies for integrated care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Effective Organizational Leadership in the Implementation of Integrated Care; Lessons from 9 cases in the iCoach Project
Introduction: Policy makers in many countries are encouraging the development of integrated care strategies and the development of new models of integrated care. These new models require changes at a clinical or service level, organizational level and system level with strong leadership necessary at all three levels. Despite the key role of leadership in these efforts, there has been only limited study of what organizational leadership approach i…
On the Margins and Not the Mainstream
Healthcare system reforms are pushing beyond primary care to more holistic, integrated models of community based primary health care (CBPHC) to better meet the needs of aging populations and their carers. Across the world CBPHC is at varying stages of evolution and no standard model exists. In order to scale up and spread successful models of care it is important to study what works well and why to support broader efforts to implement, scale-up a…
How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand
Community-based primary health care describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for community-based primary health care have stimulated local initiatives and influenced the design of policy solutions. However, the wa…
Managerial strategies for integrated care
Introduction: The implementation of integrated care involves efforts to engage health care providers in a vision of health care delivery that includes coordination and collaboration for the care of individual clients. The processes by which health care providers engage with an organizational vision for integrated care, and the challenges associated with encouraging health care providers to adopt integrated practices remain under-explored in the r…
What does one learn from the implementation of a mandated integrated network for older adults across three different settings in Quebec
Context: In 2004, Quebec mandated its 94 Health and social services centers to lead in the implementation of local integrated health networks. The Health and social services centers, which were created by the fusion of some public establishments (local community health centers, long term care facilities and acute care hospitals in some cases), provide a broad range of health and social services to their populations. To ensure the provision of a c…
Providers perspectives on mandated local health networks for older adults in the province of Quebec, Canada
Background: In 2004, the government of Quebec made major reforms in the organisation of its health system by implementing Local Health Networks (LHNs) focused on the needs of various sub-populations. Informed by two prominent pilot projects (1, 2), the Ministry of Health and Social Services aimed at improving the continuity, coherence, quality and efficiency of health and social services by mandating the implementation of LHNs for older people wi…
Mapping for conceptual clarity
Background: Studying implementation of integrated models of community-based primary health care takes a “whole systems” multidisciplinary approach to capture micro (patient/carer and provider), meso (organization) and macro (system/policy) factors. In new research studying the implementation of these integrated models intended to improve care for older adults with complex care needs, our project team adopted four theoretical perspectives to captu…
Implementing Community Based Primary Healthcare for Older Adults with Complex Needs in Quebec, Ontario and New-Zealand
The aim of this paper is to set the foundation for subsequent empirical studies of the "Implementing models of primary care for older adults with complex needs" project, by introducing and presenting a brief descriptive comparison of the nine case studies in Quebec, Ontario and New Zealand. Each case is described based on key dimensions of Rainbow model of Valentijn and al (2013) with a focus on "meso level" integration. Meso level integration is…
A comparison of the policy and institutional environment relevant to community-based primary health care in Ontario, Quebec and New Zealand
Introduction: Community-based primary health care (CBPHC) describes a model of service provision that is oriented to the population health needs and wants of service users and communities, and has particular relevance to supporting the growing proportion of the population with multiple chronic conditions. Internationally, aspirations for CBPHC have stimulated local initiatives and influenced the design of policy solutions. However, the ways in wh…
Area deprivation and attachment to a general practitioner through centralized waiting lists
Our findings suggest that there are socio-economic inequities in attachment to a GP through centralized waiting lists. Policy makers should take these findings into consideration to adjust centralized waiting list processes to avoid further exacerbation of health inequities
Factors associated with multiple barriers to access to primary care
A greater understanding of the multiple barriers to access to PC across the stages of the care-seeking process may help to inform planning and performance monitoring of disparities in access. Variation across countries may reveal organisational and system drivers of access, and inform efforts to improve access to PC for vulnerable groups. The cumulative nature of these barriers remains to be assessed
The challenges of implementing advanced access for residents in family medicine in Quebec. Do promising strategies exist
To meet the challenges of implementing AA, decision-makers should consider exposing residents to AA during academic training and clinical internships, involving them in team work on arrival, engaging them as key actors in the implementation and in intra- and inter-professional collaborative models
Mapping for Conceptual Clarity
This work represents a first step towards development of a fully formed conceptual framework that includes key domains, concepts, and mechanisms of implementing integrated community-based primary health care
Various views of the same elephant
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Population-based approach and integration of services
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Implementing integrated Care for Older Adults with Complex Health needs
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Providers’ Perspectives on the Implementation of Mandated Local Health Networks for Older People in Québec
Structural and organisational factors were necessary conditions for the implementation of administrative components of integration, with great variability in the implementation of some clinical components
A sociogram is worth a thousand words
This article proposes an innovative method for the visual analysis of narrative data that involves three steps: transforming narrative data into relational data, creating two-mode networks displayed with graph optimization algorithms derived from social network analysis (SNA), and visually analyzing sociograms. We argue that understanding how actors and their opinions constitute a network-like structure opens up promising avenues for interpreting…
Multiple perspectives analysis of the implementation of an integrated care model for older adults in Quebec
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Health care (37 obras) · Political science (34 obras) · Computer Science (31 obras) · Medicine (27 obras) · Integrated care (22 obras) · Business (21 obras) · Primary Care and Health Outcomes (21 obras) · Interprofessional Education and Collaboration (20 obras) · Nursing (20 obras) · Public relations (18 obras)