Raynald Pineault
Biographic Data
| ID | 309876 |
|---|---|
| NAME | Raynald Pineault |
| GIVEN NAMES | Raynald |
| FAMILY NAME | Pineault |
| SIGNATURE | PINEAULT R |
| AFFILIATIONS | Université de Montréal |
| ORCID | 0000-0003-0115-7993 |
| VERIFIED | Yes |
| TOTAL WORKS | 29 |
| TOTAL CITATIONS | 10 |
| AUTHOR COUNT | 29 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1976 |
| LATEST PUBLICATION YEAR | 2017 |
| H-INDEX | 2 |
Do Gender-Predominant Primary Health Care Organizations Have an Impact on Patient Experience of Care, Use of Services, and Unmet Needs
Physicians' gender can have an impact on many aspects of patient experience of care. Organization processes through which the influence of gender is exerted have not been fully explored. The aim of this article is to compare primary health care (PHC) organizations in which female or male doctors are predominant regarding organization and patient characteristics, and to assess their influence on experience of care, preventive care delivery, use of…
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 …
The impact of primary healthcare reform on equity of utilization of services in the province of Quebec
Differences favoring the rich in affiliation to family doctor and likelihood of visit to PHC facility likely represent inequities in access to PHC which remained stable or deteriorated after the reform. New models of PHC organizations do not appear to have improved equity. We believe that an equity-focused approach is needed in order to address persisting inequities
Conceptual and Methodological Challenges in Producing Research Syntheses for Decision-and Policy-Making
This article presents and discusses five challenges encountered in conducting a knowledge synthesis on primary healthcare, commissioned by the Canadian Health Services Research Foundation. These challenges are (1) conceptualizing, defining and operationalizing complex interventions; (2) integrating quantitative and qualitative studies and assessing strength of evidence; (3) incorporating expert opinions and decision-makers’ viewpoints; (4) produc…
Evaluating Service Organization Models
Based on the example of the evaluation of service organization models, this article shows how a configurational approach overcomes the limits of traditional methods which for the most part have studied the individual components of various models considered independently of one another. These traditional methods have led to results (observed effects) that are difficult to interpret. The configurational approach, in contrast, is based on the hypoth…
A model and typology of collaboration between professionals in healthcare organizations
The model and the typology make it possible to analyze collaboration and identify areas for improvement. Researchers can use the indicators to determine the intensity of collaboration and link it to clinical outcomes. Professionals and administrators can use the model to perform a diagnostic of collaboration and implement interventions to intensify it.
Facteurs psychosociaux influençant l’intention des femmes infectées par le VIH d’avoir un enfant
Cette étude documente les facteurs qui influencent l'intention d'avoir un enfant parmi 12 femmes en âge de procréer infectées par le virus de l'immunodéficience humaine (VIH) dans les trois prochaines années. Trois de ces femmes ont l'intention d'avoir un enfant. Leur intention est influencée par leurs croyances et leurs attitudes positives envers le fait d'avoir un enfant, l'influence positive du conjoint, l'absence des enfants auprès d'elle, la…
Analyse descriptive des urgences psychiatriques dans la région du Montréal métropolitain
Cet article résume la première partie d'une recherche descriptive sur les urgences psychiatriques dans la région métropolitaine de Montréal. Tout d'abord, nous exposons le contexte dans lequel se situe l'étude et les objectifs poursuivis ; dans un deuxième temps, nous effectuons une brève description des principaux aspects méthodologiques de la recherche. Dans un troisième temps, nous présentons les données relatives au nombre d'urgences psychiat…
La relation chômage-santé
Les auteurs ont entrepris en 1984 une importante étude sur les multiples interrelations entre le chômage et la santé. La méthodologie retenue est prospective, longitudinale, avec groupe contrôle. Ils présentent d'abord une synthèse des travaux effectués puis exposent les résultats obtenus jusqu'à maintenant. Ces résultats vont dans le sens des quatre hypothèses posées a priori. Cependant, ces résultats ne sont pas définitifs. L'analyse se poursui…
Les urgences psychiatriques dans la région du Montréal métropolitain
Le thème du présent numéro vise à caractériser la situation des femmes à l'égard de certains aspects de la santé mentale. C'est une occasion de présenter certaines données d'une recherche sur les urgences psychiatriques effectuée dans la région du Montréal métropolitain. Cet article comporte trois parties. Dans une première partie, on décrira d'une manière générale les patients considérés comme « urgences psychiatriques » dans la région de Montré…
The diversity of prevention and health promotion services offered by Quebec Community Health Centres
Research has shown that preventive and health promotion (PHP) services offered by community health centres are often vulnerable in times of health reform or budgetary cutbacks. The present study was conducted in Québec, Canada, approximately 10 years after the start of a major transformation of health care services. The objectives were: (1) to examine the diversity of infant/toddler prevention and health promotion services offered by centres loca…
Conditions d'implantation d'une réforme. Institutionnalisation des champs impliqués dans le traitement du sida
L'évolution des structures et des connaissances pousse les systèmes sociosanitaires à modifier leurs régulations; aussi, mieux comprendre les processus favorisant ou contrant les changements planifiés est-il important. Cet article vise à intégrer la notion de champ à l'analyse institutionnelle du changement. Cette notion définie par Pierre Bourdeau est particulièrement utile pour cerner la dynamique de l'implantation d'une réforme, comme l'illust…
Health System Reform in Montreal
Pierre Tousignant, Lee Soderstrom, Jean-Pierre Lavoie, Terry Kaufman, Raynald Pineault, Dominique Nadeau, Health System Reform in Montreal: Impact on the Use of Day Surgery and on Surgical Patients and Their Caregivers, Canadian Public Policy / Analyse de Politiques, Vol. 30, No. 2 (Jun., 2004), pp. 209-230
Accessibility, continuity and appropriateness
A trend toward the reduction in the length of hospital stays has been widely observed. This increasing shift is particularly evident in perinatal care. A stay of less than 48 hours after delivery has been shown to have no negative effects on the health of either the mother or the baby as long as they receive an adequate follow-up. This implies a close integration between hospital and community health services. The present article addresses the fo…
La prévention et la promotion de la santé en périnatalité-enfance-jeunesse
Utilization of a Specialized Clinic Following an Ecological Accident
On August 23, 1988, a fire broke out in a warehouse storing PCBs, forcing the evacuation of 5,500 citizens. Three days later, a specialized clinic was opened to examine and reassure the population. Seventy percent of the evacuated people showed up at the clinic. The aim of this case-control study was to identify the determinants of utilization of this clinic among the evacuated population. Cases and controls were sampled from the cohort of the ev…
Factors influencing the practice of vaginal birth after cesarean section
OBJECTIVES. Vaginal birth after cesarean has been recommended for most women with previous cesarean sections for the past 10 years. This practice, however, has not yet been generalized because high variations can still be observed among countries, hospitals, and physicians. METHODS. A case-control study involving 635 case patients and 2593 control patients was carried out to determine which characteristics of the physician, the patient, or the ho…
Organizational and environmental determinants of the performance of public health units
Évaluation des effets d’un système d’information clinique sur l’activite médico-hospitalière
We have analyzed the impact of a clinical information system designed to give feedback on profiles of medical practice in two hospitals. The system was planned to use group influence to induce change among deviant physicians. The information system failed to modify the physician’s practice profiles. A large part of this failure is linked to the small variation recorded in utilization patterns among physicians. Medical practice appears to be quite…
Assessing Quebec's Multi-Component Program to Reduce Emergency Room Overcrowding
Pierre Boyle, Raynald Pineault, , Assessing Quebec's Multi-Component Program to Reduce Emergency Room Overcrowding, Canadian Public Policy / Analyse de Politiques, Vol. 18, No. 2 (Jun., 1992), pp. 189-202
Structural and Political Models of Analysis of the Introduction of an Innovation in Organizations
This article presents the results of a study on the introduction of sessional fees remuneration for physicians working in Quebec long-term care hospitals. More generally, this research was concerned with the determinants of the capacity of an organization to implement an innovation. Both a political and a structural model of analysis were empirically probed. We found strong support for the political model and moderate support for the structural m…
La performance des départements de santé communautaire du Québec
Francois Champagne, Nicole Leduc, Jean-Louis Denis, Raynald Pineault, La performance des départements de santé communautaire du Québec: le point de vue du réseau, Canadian Public Policy / Analyse de Politiques, Vol. 17, No. 2 (Jun., 1991), pp. 155-172
Système de soins et modalités de rémunération
Cet article présente un cadre conceptuel pour l'analyse des stimulants rattachés aux modalités de paiement des professionnels de la santé, notamment des médecins. Dans une première partie, la dynamique du système de soins est exposée et les particularités fondamentales des services de santé sont décrites. Dans une deuxième partie, une typologie des modalités de paiement est proposée qui prend en compte, non seulement l'objet de la rémunération, m…
A new index of utilization of ambulatory medical care
The Influence of Medical School Programs on Physicians?? Attitudes Toward Universal Access to Medical Care
The extent to which medical education influences physicians' attitudes toward the issue of universal access to medical care was studied. Data were obtained from a survey of graduates from three medical schools with differing orientations. The first school could be described as traditional and highly research-oriented; the second as also traditional but more middle-of-the-road in its curriculum content; and the third as more social and primary car…
Accessibility, continuity and appropriateness
A trend toward the reduction in the length of hospital stays has been widely observed. This increasing shift is particularly evident in perinatal care. A stay of less than 48 hours after delivery has been shown to have no negative effects on the health of either the mother or the baby as long as they receive an adequate follow-up. This implies a close integration between hospital and community health services. The present article addresses the fo…
Organizational and environmental determinants of the performance of public health units
Conditions d'implantation d'une réforme. Institutionnalisation des champs impliqués dans le traitement du sida
L'évolution des structures et des connaissances pousse les systèmes sociosanitaires à modifier leurs régulations; aussi, mieux comprendre les processus favorisant ou contrant les changements planifiés est-il important. Cet article vise à intégrer la notion de champ à l'analyse institutionnelle du changement. Cette notion définie par Pierre Bourdeau est particulièrement utile pour cerner la dynamique de l'implantation d'une réforme, comme l'illust…
La prévention et la promotion de la santé en périnatalité-enfance-jeunesse
Factors influencing the practice of vaginal birth after cesarean section
OBJECTIVES. Vaginal birth after cesarean has been recommended for most women with previous cesarean sections for the past 10 years. This practice, however, has not yet been generalized because high variations can still be observed among countries, hospitals, and physicians. METHODS. A case-control study involving 635 case patients and 2593 control patients was carried out to determine which characteristics of the physician, the patient, or the ho…
The Effect of Prepaid Group Practice on Physicians?? Utilization Behavior
The study is concerned with the practice of physicians in a prepaid group practice setting. Specifically, it is concerned 1) with investigating the extent of variation in physician behavior concerning use of clinical resources, that is, office visits and telephone calls, and technical resources, that is, x-rays and laboratory procedures, and 2) with determining the factors that account for such variation. The universe of this study consists of al…
Response to Dr. Weil
The Effect of Medical Training Factors on Physician Utilization Behavior
The purpose of this study is to determine the influence of medical school, teaching hospital, and specialization on physicians' use of clinical and technical resources. The universe of the study consists of 34 internists practicing in the prepaid gorup practice setting of Kaiser in Portland, Oregon. The data reported here show that physicians trained in medical schools and hospitals with a scientific medical orientation generally use fewer such r…
Randomized Clinical Trial of One-day Surgery
One hundred and eighty-two patients undergoing tubal ligation, hernia repair, or meniscectomy were randomly assigned to either one-day or inpatient surgery. The study's objective is to compare these two modes of care with regard to patient satisfaction, clinical outcomes, and costs of the episode of care. A significantly higher proportion of one-day patients than their hospitalized counterparts found their stay to be too short and would prefer ho…
The Influence of Medical School Programs on Physicians?? Attitudes Toward Universal Access to Medical Care
The extent to which medical education influences physicians' attitudes toward the issue of universal access to medical care was studied. Data were obtained from a survey of graduates from three medical schools with differing orientations. The first school could be described as traditional and highly research-oriented; the second as also traditional but more middle-of-the-road in its curriculum content; and the third as more social and primary car…
A new index of utilization of ambulatory medical care
Système de soins et modalités de rémunération
Cet article présente un cadre conceptuel pour l'analyse des stimulants rattachés aux modalités de paiement des professionnels de la santé, notamment des médecins. Dans une première partie, la dynamique du système de soins est exposée et les particularités fondamentales des services de santé sont décrites. Dans une deuxième partie, une typologie des modalités de paiement est proposée qui prend en compte, non seulement l'objet de la rémunération, m…
Structural and Political Models of Analysis of the Introduction of an Innovation in Organizations
This article presents the results of a study on the introduction of sessional fees remuneration for physicians working in Quebec long-term care hospitals. More generally, this research was concerned with the determinants of the capacity of an organization to implement an innovation. Both a political and a structural model of analysis were empirically probed. We found strong support for the political model and moderate support for the structural m…
La performance des départements de santé communautaire du Québec
Francois Champagne, Nicole Leduc, Jean-Louis Denis, Raynald Pineault, La performance des départements de santé communautaire du Québec: le point de vue du réseau, Canadian Public Policy / Analyse de Politiques, Vol. 17, No. 2 (Jun., 1991), pp. 155-172
Évaluation des effets d’un système d’information clinique sur l’activite médico-hospitalière
We have analyzed the impact of a clinical information system designed to give feedback on profiles of medical practice in two hospitals. The system was planned to use group influence to induce change among deviant physicians. The information system failed to modify the physician’s practice profiles. A large part of this failure is linked to the small variation recorded in utilization patterns among physicians. Medical practice appears to be quite…
Assessing Quebec's Multi-Component Program to Reduce Emergency Room Overcrowding
Pierre Boyle, Raynald Pineault, , Assessing Quebec's Multi-Component Program to Reduce Emergency Room Overcrowding, Canadian Public Policy / Analyse de Politiques, Vol. 18, No. 2 (Jun., 1992), pp. 189-202
Factors influencing the practice of vaginal birth after cesarean section
OBJECTIVES. Vaginal birth after cesarean has been recommended for most women with previous cesarean sections for the past 10 years. This practice, however, has not yet been generalized because high variations can still be observed among countries, hospitals, and physicians. METHODS. A case-control study involving 635 case patients and 2593 control patients was carried out to determine which characteristics of the physician, the patient, or the ho…
Organizational and environmental determinants of the performance of public health units
Utilization of a Specialized Clinic Following an Ecological Accident
On August 23, 1988, a fire broke out in a warehouse storing PCBs, forcing the evacuation of 5,500 citizens. Three days later, a specialized clinic was opened to examine and reassure the population. Seventy percent of the evacuated people showed up at the clinic. The aim of this case-control study was to identify the determinants of utilization of this clinic among the evacuated population. Cases and controls were sampled from the cohort of the ev…
Accessibility, continuity and appropriateness
A trend toward the reduction in the length of hospital stays has been widely observed. This increasing shift is particularly evident in perinatal care. A stay of less than 48 hours after delivery has been shown to have no negative effects on the health of either the mother or the baby as long as they receive an adequate follow-up. This implies a close integration between hospital and community health services. The present article addresses the fo…
La prévention et la promotion de la santé en périnatalité-enfance-jeunesse
Health System Reform in Montreal
Pierre Tousignant, Lee Soderstrom, Jean-Pierre Lavoie, Terry Kaufman, Raynald Pineault, Dominique Nadeau, Health System Reform in Montreal: Impact on the Use of Day Surgery and on Surgical Patients and Their Caregivers, Canadian Public Policy / Analyse de Politiques, Vol. 30, No. 2 (Jun., 2004), pp. 209-230
The diversity of prevention and health promotion services offered by Quebec Community Health Centres
Research has shown that preventive and health promotion (PHP) services offered by community health centres are often vulnerable in times of health reform or budgetary cutbacks. The present study was conducted in Québec, Canada, approximately 10 years after the start of a major transformation of health care services. The objectives were: (1) to examine the diversity of infant/toddler prevention and health promotion services offered by centres loca…
Conditions d'implantation d'une réforme. Institutionnalisation des champs impliqués dans le traitement du sida
L'évolution des structures et des connaissances pousse les systèmes sociosanitaires à modifier leurs régulations; aussi, mieux comprendre les processus favorisant ou contrant les changements planifiés est-il important. Cet article vise à intégrer la notion de champ à l'analyse institutionnelle du changement. Cette notion définie par Pierre Bourdeau est particulièrement utile pour cerner la dynamique de l'implantation d'une réforme, comme l'illust…
Analyse descriptive des urgences psychiatriques dans la région du Montréal métropolitain
Cet article résume la première partie d'une recherche descriptive sur les urgences psychiatriques dans la région métropolitaine de Montréal. Tout d'abord, nous exposons le contexte dans lequel se situe l'étude et les objectifs poursuivis ; dans un deuxième temps, nous effectuons une brève description des principaux aspects méthodologiques de la recherche. Dans un troisième temps, nous présentons les données relatives au nombre d'urgences psychiat…
La relation chômage-santé
Les auteurs ont entrepris en 1984 une importante étude sur les multiples interrelations entre le chômage et la santé. La méthodologie retenue est prospective, longitudinale, avec groupe contrôle. Ils présentent d'abord une synthèse des travaux effectués puis exposent les résultats obtenus jusqu'à maintenant. Ces résultats vont dans le sens des quatre hypothèses posées a priori. Cependant, ces résultats ne sont pas définitifs. L'analyse se poursui…
Les urgences psychiatriques dans la région du Montréal métropolitain
Le thème du présent numéro vise à caractériser la situation des femmes à l'égard de certains aspects de la santé mentale. C'est une occasion de présenter certaines données d'une recherche sur les urgences psychiatriques effectuée dans la région du Montréal métropolitain. Cet article comporte trois parties. Dans une première partie, on décrira d'une manière générale les patients considérés comme « urgences psychiatriques » dans la région de Montré…
A model and typology of collaboration between professionals in healthcare organizations
The model and the typology make it possible to analyze collaboration and identify areas for improvement. Researchers can use the indicators to determine the intensity of collaboration and link it to clinical outcomes. Professionals and administrators can use the model to perform a diagnostic of collaboration and implement interventions to intensify it.
Facteurs psychosociaux influençant l’intention des femmes infectées par le VIH d’avoir un enfant
Cette étude documente les facteurs qui influencent l'intention d'avoir un enfant parmi 12 femmes en âge de procréer infectées par le virus de l'immunodéficience humaine (VIH) dans les trois prochaines années. Trois de ces femmes ont l'intention d'avoir un enfant. Leur intention est influencée par leurs croyances et leurs attitudes positives envers le fait d'avoir un enfant, l'influence positive du conjoint, l'absence des enfants auprès d'elle, la…
Evaluating Service Organization Models
Based on the example of the evaluation of service organization models, this article shows how a configurational approach overcomes the limits of traditional methods which for the most part have studied the individual components of various models considered independently of one another. These traditional methods have led to results (observed effects) that are difficult to interpret. The configurational approach, in contrast, is based on the hypoth…
Medicine (17 works) · Political science (13 works) · Family medicine (9 works) · Psychology (9 works) · Environmental health (8 works) · Health care (7 works) · Healthcare Systems and Practices (7 works) · Nursing (7 works) · Primary Care and Health Outcomes (7 works) · Computer Science (6 works)