Richard Fleet
Datos Biográficos
| ID | 4889287 |
|---|---|
| NOMBRE | Richard Fleet |
| NOMBRES | Richard |
| APELLIDO | Fleet |
| FIRMA | FLEET R |
| AFILIACIONES | Université Laval |
| ORCID | 0000-0003-2732-7655 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAS | 1 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1998 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 1 |
Exploring family physicians’ mental health referrals via centralized referral systems in Quebec, Canada
Background Centralized referral mechanisms anchored in primary care have been implemented to facilitate timely and appropriate access to health care in Quebec, Canada, like via Centre de répartition des demandes de services (CRDS), a regionally centralized referral system used by family physicians (FPs) for new requests to specialty care, including psychiatric services. CRDS for psychiatry was implemented in 2019, where local centralized referral…
Leveraging Innovation to Improve Rural and Remote Emergency Health Services in British Columbia
Background: Almost twenty percent of BC population live in rural settings; yet accessing healthcare, particularly emergency health services (EHSs), is challenging for rural and remote populations as they continue to experience systemic inequities, higher incidence of chronic illnesses, and lower access to healthcare services. Access to EHSs is essential for integrated health services for these populations. Despite the challenges, healthcare provi…
Barriers and Facilitators to Point-of-Care Ultrasound Use in Rural Australia
This study explores the barriers and facilitators to point-of-care ultrasound (POCUS) use and adoption in rural healthcare since POCUS is a useful resource for rural clinicians to overcome the challenges associated with limited on-site clinical support, such as limited diagnostic imaging services and infrastructure. A qualitative descriptive study was employed, interviews with ten rural clinicians were conducted, and the data were analysed using …
How Can Health Systems Better Prepare for the Next Pandemic? Lessons Learned From the Management of Covid-19 in Quebec (Canada)
The magnitude of the COVID-19 pandemic challenged societies around our globalized world. To contain the spread of the virus, unprecedented and drastic measures and policies were put in place by governments to manage an exceptional health care situation while maintaining other essential services. The responses of many governments showed a lack of preparedness to face this systemic and global health crisis. Drawing on field observations and availab…
Incidence of panic disorder in patients with non-cardiac chest pain and panic attacks
This study documented the 6-month incidence of panic disorder and its predictors in emergency department patients with panic attacks and non-cardiac chest pain. The assessment included a validated structured interview to identify panic attacks and questionnaires measuring the potential predictors of panic disorder. Presence of panic disorder was assessed 6 months later. The incidence of panic disorder was 10.1 percent ( n = 14/138). Anxiety sensi…
Physical activity and disability in patients with noncardiac chest pain
Background Noncardiac chest pain (NCCP) is one of the leading reasons for emergency department visits and significantly limits patients’ daily functioning. The protective effect of physical activity has been established in a number of pain problems, but its role in the course of NCCP is unknown. This study aimed to document the level of physical activity in patients with NCCP and its association with NCCP-related disability in the 6 months follow…
Artificial intelligence in health care
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 health inequalities in low- and middle-income countries (LMICs). However, because most AI-based health applications are developed and implemented in high-income countries, their use in LMICs contexts is recent and there is a lack of robust local e…
Piloting the “Rural Emergency 360” project in two emergency departments in Quebec, Canada
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)
Rural emergency care 360°
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)
A closer look at the relationships between panic attacks, emergency department visits and non-cardiac chest pain
This study examined the prevalence of emergency department visits prompted by panic attacks in patients with non-cardiac chest pain. A validated structured telephone interview was used to assess panic attacks and their association with the emergency department consultation in 1327 emergency department patients with non-cardiac chest pain. Patients reported at least one panic attack in the past 6 months in 34.5 per cent (95% confidence interval: 3…
Factors associated with pain level in non-cardiac chest pain patients with comorbid panic disorder
Panic disorder (PD) is highly prevalent in patients with non-cardiac chest pain (NCCP). This study aims to explore the role of psychological factors (PD intensity, anxiety sensitivity, heart-related fear, attention and avoidance) common to NCCP and PD in predicting chest pain levels in patients with both conditions. This association was investigated in emergency department patients with NCCP and PD receiving either evidence-based treatment of PD …
Nonfearful Panic Disorder
Two-Year Follow-Up Status of Emergency Department Chest Pain Patients With Panic Disorder
Fleet, R. P.; Dupuis, G.; Martel, J. P.; Marchand, A.; Beitman, B. D. Author Information
A closer look at the relationships between panic attacks, emergency department visits and non-cardiac chest pain
This study examined the prevalence of emergency department visits prompted by panic attacks in patients with non-cardiac chest pain. A validated structured telephone interview was used to assess panic attacks and their association with the emergency department consultation in 1327 emergency department patients with non-cardiac chest pain. Patients reported at least one panic attack in the past 6 months in 34.5 per cent (95% confidence interval: 3…
Two-Year Follow-Up Status of Emergency Department Chest Pain Patients With Panic Disorder
Fleet, R. P.; Dupuis, G.; Martel, J. P.; Marchand, A.; Beitman, B. D. Author Information
Nonfearful Panic Disorder
Factors associated with pain level in non-cardiac chest pain patients with comorbid panic disorder
Panic disorder (PD) is highly prevalent in patients with non-cardiac chest pain (NCCP). This study aims to explore the role of psychological factors (PD intensity, anxiety sensitivity, heart-related fear, attention and avoidance) common to NCCP and PD in predicting chest pain levels in patients with both conditions. This association was investigated in emergency department patients with NCCP and PD receiving either evidence-based treatment of PD …
Piloting the “Rural Emergency 360” project in two emergency departments in Quebec, Canada
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)
Rural emergency care 360°
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)
A closer look at the relationships between panic attacks, emergency department visits and non-cardiac chest pain
This study examined the prevalence of emergency department visits prompted by panic attacks in patients with non-cardiac chest pain. A validated structured telephone interview was used to assess panic attacks and their association with the emergency department consultation in 1327 emergency department patients with non-cardiac chest pain. Patients reported at least one panic attack in the past 6 months in 34.5 per cent (95% confidence interval: 3…
Physical activity and disability in patients with noncardiac chest pain
Background Noncardiac chest pain (NCCP) is one of the leading reasons for emergency department visits and significantly limits patients’ daily functioning. The protective effect of physical activity has been established in a number of pain problems, but its role in the course of NCCP is unknown. This study aimed to document the level of physical activity in patients with NCCP and its association with NCCP-related disability in the 6 months follow…
Artificial intelligence in health care
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 health inequalities in low- and middle-income countries (LMICs). However, because most AI-based health applications are developed and implemented in high-income countries, their use in LMICs contexts is recent and there is a lack of robust local e…
How Can Health Systems Better Prepare for the Next Pandemic? Lessons Learned From the Management of Covid-19 in Quebec (Canada)
The magnitude of the COVID-19 pandemic challenged societies around our globalized world. To contain the spread of the virus, unprecedented and drastic measures and policies were put in place by governments to manage an exceptional health care situation while maintaining other essential services. The responses of many governments showed a lack of preparedness to face this systemic and global health crisis. Drawing on field observations and availab…
Incidence of panic disorder in patients with non-cardiac chest pain and panic attacks
This study documented the 6-month incidence of panic disorder and its predictors in emergency department patients with panic attacks and non-cardiac chest pain. The assessment included a validated structured interview to identify panic attacks and questionnaires measuring the potential predictors of panic disorder. Presence of panic disorder was assessed 6 months later. The incidence of panic disorder was 10.1 percent ( n = 14/138). Anxiety sensi…
Barriers and Facilitators to Point-of-Care Ultrasound Use in Rural Australia
This study explores the barriers and facilitators to point-of-care ultrasound (POCUS) use and adoption in rural healthcare since POCUS is a useful resource for rural clinicians to overcome the challenges associated with limited on-site clinical support, such as limited diagnostic imaging services and infrastructure. A qualitative descriptive study was employed, interviews with ten rural clinicians were conducted, and the data were analysed using …
Exploring family physicians’ mental health referrals via centralized referral systems in Quebec, Canada
Background Centralized referral mechanisms anchored in primary care have been implemented to facilitate timely and appropriate access to health care in Quebec, Canada, like via Centre de répartition des demandes de services (CRDS), a regionally centralized referral system used by family physicians (FPs) for new requests to specialty care, including psychiatric services. CRDS for psychiatry was implemented in 2019, where local centralized referral…
Leveraging Innovation to Improve Rural and Remote Emergency Health Services in British Columbia
Background: Almost twenty percent of BC population live in rural settings; yet accessing healthcare, particularly emergency health services (EHSs), is challenging for rural and remote populations as they continue to experience systemic inequities, higher incidence of chronic illnesses, and lower access to healthcare services. Access to EHSs is essential for integrated health services for these populations. Despite the challenges, healthcare provi…
Medicine (12 obras) · Psychiatry (7 obras) · Anxiety (5 obras) · Business (5 obras) · Chest pain (5 obras) · Health care (5 obras) · Nursing (5 obras) · Panic (5 obras) · Political science (5 obras) · Psychology (5 obras)