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Marlène Karam

Biographic Data

ID6775028
NAMEMarlène Karam
GIVEN NAMESMarlène
FAMILY NAMEKaram
SIGNATUREKARAM M
AFFILIATIONSUCLouvain
ORCID0000-0001-5277-2000
VERIFIEDYes
TOTAL WORKS15
TOTAL CITATIONS1
AUTHOR COUNT15
EDITOR COUNT0
FIRST PUBLICATION YEAR2015
LATEST PUBLICATION YEAR2026
H-INDEX1
  • Do nurse practitioners-lead clinics increase primary care access for all? A longitudinal study in Québec, Canada

    Open Access•Arnaud Duhoux, Émilie Dufour et al.•ARTICLE•International Journal of…•2026

    Background : Nurse practitioners (NPs) are a growing workforce with significant potential to improve access to primary care services across the life course and across diseases and conditions. However, in interprofessional primary care settings, some nurses experience practice limitations, reducing their contribution to the response to primary care population needs. Approach : In 2022, the province of Quebec, Canada, opened its first “NP-clinics” …

  • Developing a competency framework for care coordination using an organizational participatory approach

    Open Access•Marlène Karam, Arnaud Duhoux et al.•ARTICLE•International Journal of…•2026

    Background: Enhancing care coordination is recognized as a crucial pillar for integrated, continuous, and patient-centered primary care. This requires specialized knowledge and specific skills. However, current training programs in care coordination rarely rely on a competency framework specific to coordination. Instead, they often depend on books, scientific articles, and a few theoretical models. The few existing competency frameworks are prima…

  • Towards improved training for nurses in care coordination

    Open Access•Marlène Karam, Caroline Larue et al.•ARTICLE•International Journal of…•2025

    Background: Millions of people globally live with complex health and social care needs that go beyond the services typically provided by a healthcare system. Consequently, developed countries, including Canada, have invested in health and social care coordination to address these needs and improve individuals' experiences within these systems. Despite nurses being increasingly relied upon for care coordination, their knowledge of coordination pri…

  • Elicit an initial program theory on the scale-up of integrated care programs

    Open Access•Mireille Lambert, Catherine Hudon et al.•ARTICLE•International Journal of…•2025

    Background: Realist synthesis is a comprehensive method of review for evaluating complex programs such as integrated models of care. The first step of the synthesis is to clarify the scope of the review and to explore existing theories in the literature related to targeted programs. The aim is to elicit an initial program theory in the form of context (C), mechanism (M) and outcome (O) configurations, which serve as a reference model for data col…

  • Care coordination across health care and social services sectors

    Open Access•Marlène Karam•ARTICLE•International Journal of…•2023

    Introduction: This project is the result of a partnership between a research team including a patient partner, a clinical setting, and patients. The Nursing Department of the Integrated Health and Social Services Center (IHSSC) in Laval (Quebec, Canada) has implemented several care coordination functions for several years for patients with complex needs. These functions include those of liaison nurses in geriatrics, palliative care, home care and…

  • Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs

    Open Access•Marlène Karam, Maud‐Christine Chouinard et al.•ARTICLE•International Journal of…•2023•Cited by: 1•References: 3

    The homogeneity or heterogeneity of patients' complex needs shapes their care trajectory and the intensity of their care coordination needs. As the complexity of these needs grows, so does the necessity to build the care coordinators' capacity for integrated care

  • Planning the Evaluation of Patient Engagement in the PriCare Research Program

    Alya Danish, Marlène Karam et al.•ARTICLE•Canadian Journal of Program…•2022

    The involvement of patients, their families, or their representatives is becoming increasingly common in health-care research. However, theoretical justification of patient engagement (PE) and consistent guidance on how to include patients as key stakeholders on research teams are still lacking. This paper describes how the PriCare group integrates PE into its program’s governance structure and uses a program logic perspective to engage patients …

  • Care coordination in primary healthcare for patients with complex needs

    Open Access•Marlène Karam, Maud‐Christine Chouinard et al.•ARTICLE•International Journal of…•2022

    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

  • Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare

    Open Access•Marlène Karam, Maud-Christine Chouinard et al.•ARTICLE•International Journal of…•2021

    INTRODUCTION: Millions of people worldwide have complex health and social care needs. Care coordination for these patients is a core dimension of integrated care and a key responsibility for primary healthcare. Registered nurses play a substantial role in care coordination. This review draws on previous theoretical work and provides a synthesis of care coordination interventions as operationalized by nurses for complex patient populations in prim…

  • Interprofessional collaboration between general practitioners and home nurses in Belgium

    Open Access•Marlène Karam, Christiane Duchesnes et al.•ARTICLE•International Journal of…•2019

    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)

  • Patients' perceptions of Continuity of care between Primary Care Physicians and Emergency departments in Belgium

    Open Access•Marlène Karam, Anne-Sophie Lambert et al.•ARTICLE•International Journal of…•2018

    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)

  • Enhancing loco-regional adaptive governance for integrated chronic care through agent based modelling (ABM)

    Open Access•Jean Macq, Hedwig Deconinck et al.•ARTICLE•International Journal of…•2017

    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)

  • Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium

    Open Access•Marlène Karam, Sandra Tricas-Saura et al.•ARTICLE•International Journal of…•2017•References: 4

    This study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of collaboration, which are highly valued by individuals involved, comprise mutual acquaintanceship and trust, shared power and objectives. The organization…

  • Interprofessional collaboration between general physicians and emergency department services in Belgium

    Open Access•Marlène Karam, Sandra Maria Tricas et al.•ARTICLE•International Journal of…•2016

    Introduction: The use of emergency department (ED) services has known a significant rise in the past decade. Organizational factors, such as the models of after-hours primary medical care services, and the shortage of general practitioners (GPs) could explain this phenomena. But also demographic and societal elements combined with the problem of patient’s ‘inappropriate visits to the ED. In order to ensure continuity of care for patients, collabo…

  • Strategies to engage general practitioners in integrated care for frail older persons

    Open Access•Thérèse Van Durme, Marlène Karam et al.•ARTICLE•International Journal of…•2015

    Case management is one of the interventions believed to foster integrated clinical care for people with complex care needs, as is often the case of frail, community-dwelling older persons. Evidence shows that one of the cornerstones of case management is strong inter-professional collaboration between the case manager and the beneficiary’s own general practitioner (GP). Despite the positive outcomes found in many studies in terms of higher qualit…

  • Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs

    Open Access•Marlène Karam, Maud‐Christine Chouinard et al.•ARTICLE•International Journal of…•2023•Cited by: 1•References: 3

    The homogeneity or heterogeneity of patients' complex needs shapes their care trajectory and the intensity of their care coordination needs. As the complexity of these needs grows, so does the necessity to build the care coordinators' capacity for integrated care

  • Strategies to engage general practitioners in integrated care for frail older persons

    Open Access•Thérèse Van Durme, Marlène Karam et al.•ARTICLE•International Journal of…•2015

    Case management is one of the interventions believed to foster integrated clinical care for people with complex care needs, as is often the case of frail, community-dwelling older persons. Evidence shows that one of the cornerstones of case management is strong inter-professional collaboration between the case manager and the beneficiary’s own general practitioner (GP). Despite the positive outcomes found in many studies in terms of higher qualit…

  • Interprofessional collaboration between general physicians and emergency department services in Belgium

    Open Access•Marlène Karam, Sandra Maria Tricas et al.•ARTICLE•International Journal of…•2016

    Introduction: The use of emergency department (ED) services has known a significant rise in the past decade. Organizational factors, such as the models of after-hours primary medical care services, and the shortage of general practitioners (GPs) could explain this phenomena. But also demographic and societal elements combined with the problem of patient’s ‘inappropriate visits to the ED. In order to ensure continuity of care for patients, collabo…

  • Enhancing loco-regional adaptive governance for integrated chronic care through agent based modelling (ABM)

    Open Access•Jean Macq, Hedwig Deconinck et al.•ARTICLE•International Journal of…•2017

    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)

  • Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium

    Open Access•Marlène Karam, Sandra Tricas-Saura et al.•ARTICLE•International Journal of…•2017•References: 4

    This study aimed to assess interprofessional collaboration between general physicians and emergency departments in the French speaking regions of Belgium. Eight group interviews were conducted both in rural and urban areas, including in Brussels. Findings showed that the relational components of collaboration, which are highly valued by individuals involved, comprise mutual acquaintanceship and trust, shared power and objectives. The organization…

  • Patients' perceptions of Continuity of care between Primary Care Physicians and Emergency departments in Belgium

    Open Access•Marlène Karam, Anne-Sophie Lambert et al.•ARTICLE•International Journal of…•2018

    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)

  • Interprofessional collaboration between general practitioners and home nurses in Belgium

    Open Access•Marlène Karam, Christiane Duchesnes et al.•ARTICLE•International Journal of…•2019

    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)

  • Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare

    Open Access•Marlène Karam, Maud-Christine Chouinard et al.•ARTICLE•International Journal of…•2021

    INTRODUCTION: Millions of people worldwide have complex health and social care needs. Care coordination for these patients is a core dimension of integrated care and a key responsibility for primary healthcare. Registered nurses play a substantial role in care coordination. This review draws on previous theoretical work and provides a synthesis of care coordination interventions as operationalized by nurses for complex patient populations in prim…

  • Planning the Evaluation of Patient Engagement in the PriCare Research Program

    Alya Danish, Marlène Karam et al.•ARTICLE•Canadian Journal of Program…•2022

    The involvement of patients, their families, or their representatives is becoming increasingly common in health-care research. However, theoretical justification of patient engagement (PE) and consistent guidance on how to include patients as key stakeholders on research teams are still lacking. This paper describes how the PriCare group integrates PE into its program’s governance structure and uses a program logic perspective to engage patients …

  • Care coordination in primary healthcare for patients with complex needs

    Open Access•Marlène Karam, Maud‐Christine Chouinard et al.•ARTICLE•International Journal of…•2022

    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

  • Care coordination across health care and social services sectors

    Open Access•Marlène Karam•ARTICLE•International Journal of…•2023

    Introduction: This project is the result of a partnership between a research team including a patient partner, a clinical setting, and patients. The Nursing Department of the Integrated Health and Social Services Center (IHSSC) in Laval (Quebec, Canada) has implemented several care coordination functions for several years for patients with complex needs. These functions include those of liaison nurses in geriatrics, palliative care, home care and…

  • Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs

    Open Access•Marlène Karam, Maud‐Christine Chouinard et al.•ARTICLE•International Journal of…•2023•Cited by: 1•References: 3

    The homogeneity or heterogeneity of patients' complex needs shapes their care trajectory and the intensity of their care coordination needs. As the complexity of these needs grows, so does the necessity to build the care coordinators' capacity for integrated care

  • Towards improved training for nurses in care coordination

    Open Access•Marlène Karam, Caroline Larue et al.•ARTICLE•International Journal of…•2025

    Background: Millions of people globally live with complex health and social care needs that go beyond the services typically provided by a healthcare system. Consequently, developed countries, including Canada, have invested in health and social care coordination to address these needs and improve individuals' experiences within these systems. Despite nurses being increasingly relied upon for care coordination, their knowledge of coordination pri…

  • Elicit an initial program theory on the scale-up of integrated care programs

    Open Access•Mireille Lambert, Catherine Hudon et al.•ARTICLE•International Journal of…•2025

    Background: Realist synthesis is a comprehensive method of review for evaluating complex programs such as integrated models of care. The first step of the synthesis is to clarify the scope of the review and to explore existing theories in the literature related to targeted programs. The aim is to elicit an initial program theory in the form of context (C), mechanism (M) and outcome (O) configurations, which serve as a reference model for data col…

  • Do nurse practitioners-lead clinics increase primary care access for all? A longitudinal study in Québec, Canada

    Open Access•Arnaud Duhoux, Émilie Dufour et al.•ARTICLE•International Journal of…•2026

    Background : Nurse practitioners (NPs) are a growing workforce with significant potential to improve access to primary care services across the life course and across diseases and conditions. However, in interprofessional primary care settings, some nurses experience practice limitations, reducing their contribution to the response to primary care population needs. Approach : In 2022, the province of Quebec, Canada, opened its first “NP-clinics” …

  • Developing a competency framework for care coordination using an organizational participatory approach

    Open Access•Marlène Karam, Arnaud Duhoux et al.•ARTICLE•International Journal of…•2026

    Background: Enhancing care coordination is recognized as a crucial pillar for integrated, continuous, and patient-centered primary care. This requires specialized knowledge and specific skills. However, current training programs in care coordination rarely rely on a competency framework specific to coordination. Instead, they often depend on books, scientific articles, and a few theoretical models. The few existing competency frameworks are prima…

Medicine (12 works) · Health care (11 works) · Political science (11 works) · Interprofessional Education and Collaboration (9 works) · Psychology (9 works) · Integrated care (8 works) · Nursing (8 works) · Computer Science (7 works) · Chronic Disease Management Strategies (6 works) · Business (5 works)

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