Simone Dahrouge
Biographic Data
| ID | 5543645 |
|---|---|
| NAME | Simone Dahrouge |
| GIVEN NAMES | Simone |
| FAMILY NAME | Dahrouge |
| SIGNATURE | DAHROUGE S |
| AFFILIATIONS | Élisabeth Bruyère Hospital |
| ORCID | 0000-0001-6488-8086 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Leveraging a partnership of decisionmakers, patients, caregivers, and clinicians to co-design community-driven health initiatives to address brain-heart interconnected conditions
Background: Individuals at risk of, or living with, cardiac conditions such as heart failure are at increased risk of mental health conditions such as depression and anxiety, and vice versa. There is a need to establish better processes for supporting communities to understand gaps in their care delivery systems for brain-heart interconnected conditions and for the co-design, implementation and evaluation of community-driven health initiatives su…
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 …
Adopting a lay navigator training programme in primary care
Introduction: There is growing interest in the role and use of patient navigators within the health care system. Currently, qualifications and training expectations documented in the literature vary tremendously depending on context and patient population. This paper details the theoretical and pedagogical principles used to develop, implement and evaluate a training programme for lay patient navigators working in a primary care setting. Methods:…
Patient perspectives on quality of care for depression and anxiety in primary health care teams
BACKGROUND: Widespread policy reforms in Canada, the United States and elsewhere over the last two decades strengthened team models of primary care by bringing together family physicians and nurse practitioners with a range of mental health and other interdisciplinary providers. Understanding how patients with depression and anxiety experience newer team-based models of care delivery is essential to explore whether the intended impact of these re…
Inequities in the delivery of mental health care
As the first point of contact for individuals experiencing mental health difficulties, primary care plays an important role in addressing population mental health care needs. In Ontario, the successful integration of mental health in primary care has been hindered by the lack of strategic direction, and inconsistent resourcing for mental health care. Achieving health equity may be stunted by the structural variations for mental health care across…
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
Equity of primary care service delivery for low income “sicker” adults across 10 OECD countries
Inequities in quality PC for low and middle income groups exist on at least one dimension in all countries, including some that in theory provide universal access. More research is needed to fully understand equity in the PC sector
A Comprehensive Assessment of Family Physician Gender and Quality of Care
BACKGROUND: Studies evaluating primary care quality across physician gender are limited to primary and secondary prevention. OBJECTIVES: Investigate the relationship between family physician gender and quality of primary care using indicators that cover 5 key dimensions of primary care. RESEARCH DESIGN: Cross-sectional analysis using linked health administrative datasets (April 1, 2008 to March 31, 2010). SUBJECTS: All family physicians working i…
Comparative Efficiency Assessment of Primary Care Service Delivery Models Using Data Envelopment Analysis
This paper compares the relative productive efficiencies of four models of primary care service delivery using the data envelopment analysis method on 130 primary care practices in Ontario, Canada. A quality-controlled measure of output and two input scenarios are employed: one with full-time-equivalent labour inputs and the other with total expenditures. Regression analysis controls for the mix of patients in the practice population. Overall, we…
An evaluation of gender equity in different models of primary care practices in Ontario
The observed differences in the type of health promotion subjects discussed are likely an appropriate response to the differential healthcare needs between genders. Chronic disease care is non equitable in FFS but not in capitation based models. We recommend that efforts to monitor and address gender based differences in the delivery of chronic disease management in primary care be pursued
A Theory-Based Evaluation Framework for Primary Care
Primary care reform has triggered a flood of demonstration projects across Canada that need to be evaluated. This presents a challenge to an evaluator who is uncertain about how to convince clinical investigators to think beyond traditional research designs toward using evaluation approaches. The purpose of this article is to describe the application and benefits of using a theory-based evaluation framework for a large evaluation of four unique m…
Comparative Efficiency Assessment of Primary Care Service Delivery Models Using Data Envelopment Analysis
This paper compares the relative productive efficiencies of four models of primary care service delivery using the data envelopment analysis method on 130 primary care practices in Ontario, Canada. A quality-controlled measure of output and two input scenarios are employed: one with full-time-equivalent labour inputs and the other with total expenditures. Regression analysis controls for the mix of patients in the practice population. Overall, we…
A Theory-Based Evaluation Framework for Primary Care
Primary care reform has triggered a flood of demonstration projects across Canada that need to be evaluated. This presents a challenge to an evaluator who is uncertain about how to convince clinical investigators to think beyond traditional research designs toward using evaluation approaches. The purpose of this article is to describe the application and benefits of using a theory-based evaluation framework for a large evaluation of four unique m…
An evaluation of gender equity in different models of primary care practices in Ontario
The observed differences in the type of health promotion subjects discussed are likely an appropriate response to the differential healthcare needs between genders. Chronic disease care is non equitable in FFS but not in capitation based models. We recommend that efforts to monitor and address gender based differences in the delivery of chronic disease management in primary care be pursued
Comparative Efficiency Assessment of Primary Care Service Delivery Models Using Data Envelopment Analysis
This paper compares the relative productive efficiencies of four models of primary care service delivery using the data envelopment analysis method on 130 primary care practices in Ontario, Canada. A quality-controlled measure of output and two input scenarios are employed: one with full-time-equivalent labour inputs and the other with total expenditures. Regression analysis controls for the mix of patients in the practice population. Overall, we…
A Comprehensive Assessment of Family Physician Gender and Quality of Care
BACKGROUND: Studies evaluating primary care quality across physician gender are limited to primary and secondary prevention. OBJECTIVES: Investigate the relationship between family physician gender and quality of primary care using indicators that cover 5 key dimensions of primary care. RESEARCH DESIGN: Cross-sectional analysis using linked health administrative datasets (April 1, 2008 to March 31, 2010). SUBJECTS: All family physicians working i…
Equity of primary care service delivery for low income “sicker” adults across 10 OECD countries
Inequities in quality PC for low and middle income groups exist on at least one dimension in all countries, including some that in theory provide universal access. More research is needed to fully understand equity in the PC sector
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
Adopting a lay navigator training programme in primary care
Introduction: There is growing interest in the role and use of patient navigators within the health care system. Currently, qualifications and training expectations documented in the literature vary tremendously depending on context and patient population. This paper details the theoretical and pedagogical principles used to develop, implement and evaluate a training programme for lay patient navigators working in a primary care setting. Methods:…
Patient perspectives on quality of care for depression and anxiety in primary health care teams
BACKGROUND: Widespread policy reforms in Canada, the United States and elsewhere over the last two decades strengthened team models of primary care by bringing together family physicians and nurse practitioners with a range of mental health and other interdisciplinary providers. Understanding how patients with depression and anxiety experience newer team-based models of care delivery is essential to explore whether the intended impact of these re…
Inequities in the delivery of mental health care
As the first point of contact for individuals experiencing mental health difficulties, primary care plays an important role in addressing population mental health care needs. In Ontario, the successful integration of mental health in primary care has been hindered by the lack of strategic direction, and inconsistent resourcing for mental health care. Achieving health equity may be stunted by the structural variations for mental health care across…
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 …
Leveraging a partnership of decisionmakers, patients, caregivers, and clinicians to co-design community-driven health initiatives to address brain-heart interconnected conditions
Background: Individuals at risk of, or living with, cardiac conditions such as heart failure are at increased risk of mental health conditions such as depression and anxiety, and vice versa. There is a need to establish better processes for supporting communities to understand gaps in their care delivery systems for brain-heart interconnected conditions and for the co-design, implementation and evaluation of community-driven health initiatives su…
Medicine (10 works) · Primary Care and Health Outcomes (9 works) · Health care (7 works) · Nursing (7 works) · Political science (6 works) · Health services research (5 works) · Primary care (5 works) · Family medicine (4 works) · Healthcare Policy and Management (4 works) · Psychology (4 works)