Jean-Frédéric Levesque
Biographic Data
| ID | 5513363 |
|---|---|
| NAME | Jean-Frédéric Levesque |
| GIVEN NAMES | Jean-Frédéric |
| FAMILY NAME | Levesque |
| SIGNATURE | LEVESQUE J |
| AFFILIATIONS | University of New South Wales, Sydney, Australia |
| VERIFIED | No |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 10 |
| WORKS AS AUTHOR | 14 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 1 |
Community Health Navigator assisted transition of care from hospital to community
Background: Internationally, the roles of Community Health Workers, also known as Community Health Navigators (CHNs), have been developed as an intervention to improve the transition of people to their homes following a hospital admission. Generally, CHNs are trusted members of the communities they serve. This trusting relationship enables them to serve as a link between health services, social services and the community to facilitate access and …
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…
Improving access to primary health care
All the interventions were a low-cost incremental attempt to address unmet health care needs of vulnerable populations. Change is possible; sustaining change may be more challenging. Access to PHC requires attention to both patient abilities and provider characteristics. The logic model proved to be a valuable heuristic tool for defining the objectives of the interventions, evaluating their impacts, and learning from the comparison of 'cases
Does healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries
We showed that those at higher risk of social vulnerability are more likely to report problematic access and also have low scores on ability to seek, reach, pay, and engage with healthcare. Equity-oriented healthcare interventions should pay particular attention to enhancing people's abilities to access care in addition to modifying organizational processes and structures that reinforce social systems of discrimination or exclusion
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…
Equity of access to primary healthcare for vulnerable populations
A wide range of innovations improving access to PHC were identified. The access framework was useful in uncovering the disparity between supply- and demand-side dimensions and pinpointing areas which could benefit from further attention to close the equity gap for vulnerable populations in accessing PHC services that correspond to their needs
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
Development of a measure of health care affordability applicable in a publicly funded universal health care system
Minimal evidence of response shift in the absence of a catalyst
An exploration of rural–urban differences in healthcare-seeking trajectories
Patient-centred access to health care
A Non-Parametric Approach to Selection Bias
Introduction Within Canada, Quebecers experience the greatest barriers in accessing primary care with over 25% of the population without a regular family physician and the highest rate of emergency department (ED) use. Family Medicine Groups (FMGs) were introduced in 2002 to provide greater access to care, namely for individuals with chronic conditions such as diabetes. Some key characteristics of the FMG organizational reform are: (1) it is base…
Emergency Department Visits and Primary Care Among Adults With Chronic Conditions
BACKGROUND: An emergency department (ED) visit may be a marker for limited access to primary medical care, particularly among those with ambulatory care sensitive chronic conditions (ACSCC). OBJECTIVES: In a population with universal health insurance, to examine the relationships between primary care characteristics and location of last general physician (GP) contact (in an ED vs. elsewhere) among those with and without an ACSCC. RESEARCH DESIGN:…
Emergency Department Visits and Primary Care Among Adults With Chronic Conditions
BACKGROUND: An emergency department (ED) visit may be a marker for limited access to primary medical care, particularly among those with ambulatory care sensitive chronic conditions (ACSCC). OBJECTIVES: In a population with universal health insurance, to examine the relationships between primary care characteristics and location of last general physician (GP) contact (in an ED vs. elsewhere) among those with and without an ACSCC. RESEARCH DESIGN:…
Patient-centred access to health care
A Non-Parametric Approach to Selection Bias
Introduction Within Canada, Quebecers experience the greatest barriers in accessing primary care with over 25% of the population without a regular family physician and the highest rate of emergency department (ED) use. Family Medicine Groups (FMGs) were introduced in 2002 to provide greater access to care, namely for individuals with chronic conditions such as diabetes. Some key characteristics of the FMG organizational reform are: (1) it is base…
Minimal evidence of response shift in the absence of a catalyst
An exploration of rural–urban differences in healthcare-seeking trajectories
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
Development of a measure of health care affordability applicable in a publicly funded universal health care system
Equity of access to primary healthcare for vulnerable populations
A wide range of innovations improving access to PHC were identified. The access framework was useful in uncovering the disparity between supply- and demand-side dimensions and pinpointing areas which could benefit from further attention to close the equity gap for vulnerable populations in accessing PHC services that correspond to their needs
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 …
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…
Does healthcare inequity reflect variations in peoples’ abilities to access healthcare? Results from a multi-jurisdictional interventional study in two high-income countries
We showed that those at higher risk of social vulnerability are more likely to report problematic access and also have low scores on ability to seek, reach, pay, and engage with healthcare. Equity-oriented healthcare interventions should pay particular attention to enhancing people's abilities to access care in addition to modifying organizational processes and structures that reinforce social systems of discrimination or exclusion
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…
Improving access to primary health care
All the interventions were a low-cost incremental attempt to address unmet health care needs of vulnerable populations. Change is possible; sustaining change may be more challenging. Access to PHC requires attention to both patient abilities and provider characteristics. The logic model proved to be a valuable heuristic tool for defining the objectives of the interventions, evaluating their impacts, and learning from the comparison of 'cases
Community Health Navigator assisted transition of care from hospital to community
Background: Internationally, the roles of Community Health Workers, also known as Community Health Navigators (CHNs), have been developed as an intervention to improve the transition of people to their homes following a hospital admission. Generally, CHNs are trusted members of the communities they serve. This trusting relationship enables them to serve as a link between health services, social services and the community to facilitate access and …
Medicine (12 works) · Health care (10 works) · Primary Care and Health Outcomes (10 works) · Nursing (9 works) · Environmental health (8 works) · Family medicine (7 works) · Healthcare Policy and Management (7 works) · Political science (7 works) · Population (7 works) · Public health (6 works)