Maud‐Christine Chouinard
Dados Biográficos
| ID | 6775029 |
|---|---|
| NOME | Maud‐Christine Chouinard |
| PRENOMES | Maud‐Christine |
| SOBRENOME | Chouinard |
| ASSINATURA | CHOUINARD M C |
| AFILIAÇÕES | Université de Montréal |
| ORCID | 0000-0001-8114-9146 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 2 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2018 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
The Use of Interviews in Realist Evaluation
Realist evaluation is a theory-driven approach used to explore how and why an intervention is effective. One method for collecting qualitative data is realist interviewing. While guidance exists on designing and conducting realist interviews, this guidance can be difficult to apply when several team members are involved. The aim of this study is to report on the collective experience of a research team applying the principles of realist interview…
External Facilitation When Implementing Complex Interventions for Integrated Care
Background and aim. Implementing complex interventions for integrated care often presents significant challenges in achieving the expected results. The involvement of external facilitators who provide training and support for healthcare providers and managers can strengthen implementation strategies, foster cooperation among diverse partners, and ultimately improve the patient experience of integrated care. However, the mechanisms occurring durin…
Addressing the complexity of biopsychosocial needs to improve equity
Background and aim: Those living in challenging socio-economic circumstances are more susceptible to mental and physical health issues, as well as unmet health and social needs (complex needs). Proper assessment is essential to enable more effective management of these issues, planning of appropriate integrated care, and reduction of health inequities. Validated questionnaires to assess the complexity of needs are available (e.g. INTERMED), but t…
Developing a competency framework for care coordination using an organizational participatory approach
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…
Planning the scale-up of integrated care programs
BACKGROUND: Adults with complex needs require health and social services from a variety of providers. Appropriate care for these people calls for integrated care. However, few studies have assessed the organizational conditions conducive to implementing integrated care programs in preparation for scale-up. OBJECTIVE: This study aimed to 1) implement a case management program as part of an integrated care program initiative for adults with complex…
Integrated care around people with complex needs’ life project
Background: Eighteen percent of people in primary healthcare face interacting challenges among the physical, mental, and social dimensions of health, experiencing the most complex needs, and resulting in decreased quality of life as well as increased disability and mortality risk. The organization of services for this population calls for integrated care. 2. Objective: To report on the development and evaluation of the V1SAGES Approach over the l…
Towards improved training for nurses in care coordination
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
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…
Case management for individuals with complex care needs
Introduction: Case management (CM) is an effective integrated model of care for patients with chronic conditions and complex care needs, given the focus on improving patient engagement in healthcare and improving self-management skills. While CM often leads to positive outcomes, little is known about the factors which promote or hinder implementation. Objective: This study seeks to examine factors which facilitated and hindered the implementation…
Integrated case management between primary care clinics and hospitals for people with complex needs who frequently use healthcare services in Canada
INTRODUCTION: Case management (CM) is recognized to improve care integration and outcomes of people with complex needs who frequently use healthcare services, but challenges remain regarding interaction between primary care clinics and hospitals. This study aimed to implement and evaluate an integrated CM program for this population where nurses in primary care clinics worked with a hospital case manager. METHODS: A multiple embedded case study w…
Patient engagement in health implementation research
INTRODUCTION: Growing evidence supports patient engagement (PE) in health implementation research to improve the quality, relevance and uptake of research. However, more guidance is needed to plan and operationalize PE before and throughout the research process. The aim of the study was to develop a logic model illustrating the causal links between context, resources, activities, outcomes and impact of PE in an implementation research programme. …
Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs
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
Reconciling validity and challenges of patient comfort and understanding
BACKGROUND: Patient-reported outcome measures (PROMs) are widely recognized as important tools for achieving a patient-centred approach in health research. While PROMs are subject to several stages of validation during development, even questionnaires with robust psychometric properties may challenge patient comfort and understanding. AIM: Building on the experience of patient engagement in the PriCARE research programme, this paper outlines the …
Patient and researcher experiences of patient engagement in primary care health care research
BACKGROUND: Studies have highlighted common challenges and barriers to patient engagement in research, but most were based on patient partners' or academic researchers' experiences. A better understanding of how both groups differentially experience their partnership could help identify strategies to improve collaboration in patient engagement research. AIM: This study aimed to describe and compare patient partners' and academic researchers' expe…
Measuring Health Literacy in Primary Healthcare
The BHLS-FCv demonstrated acceptable psychometric properties and could be used in a population with chronic conditions in primary care
Integrated case management between hospitals and primary care clinics for frequent users of healthcare services
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 in primary healthcare for patients with complex needs
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
Case Management Programs for Improving Integrated Care for Frequent Users of Healthcare Services
This study underscores the necessity of an experienced, knowledgeable and well-trained case manager with interpersonal skills to optimize CMP implementation such that patients are more proactive in their care and their outcomes improve
Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare
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…
Evaluating the content of a patient-reported outcome measure for people with multimorbidity
Evaluating complex interventions in real context
Case management programs for frequent users of healthcare services are complex interventions which implementation and application are challenging to evaluate. The aim of this article was to conduct a logic analysis to evaluate a case management program for frequent users of healthcare services. The study proceeded in three phases: 1) establishing causal links between the program's components by the construction of a logic model, 2) developing an …
Patients, caregivers and health‐care professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care
BACKGROUND: Multimorbidity challenges the health-care system and requires innovative approaches. In 2015, a 4-month patient-centred interdisciplinary pragmatic intervention was implemented in primary care with the aim of supporting self-management for patients with multimorbidity. OBJECTIVE: To explore the perceptions and experiences of health-care professionals, patients and their caregivers with a 4-month patient-centred interdisciplinary pragm…
Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs
The objective was to report on issues related to patients with complex care needs and recommendations identified by 160 key participants at a summit in Quebec City about better integration of primary health care services for patients with chronic diseases and complex care needs. A descriptive qualitative approach was used. While focus groups were led by a facilitator, a rapporteur noted highlights and a research team member took independent notes…
Risk of Frequent Emergency Department Use Among an Ambulatory Care Sensitive Condition Population
BACKGROUND: A small fraction of patients use a disproportionately large amount of emergency department (ED) resources. Identifying these patients, especially those with ambulatory care sensitive conditions (ACSC), would allow health care professionals to enhance their outpatient care. OBJECTIVE: The objectives of the study were to determine predictive factors associated with frequent ED use in a Quebec adult population with ACSCs and to compare s…
The Patient Experience of Integrated Care Scale
The PEICS showed good psychometric properties. This scale could be used in a population with chronic conditions followed in primary care to measure patient experience of integrated care
Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs
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
Case Management Programs for Improving Integrated Care for Frequent Users of Healthcare Services
This study underscores the necessity of an experienced, knowledgeable and well-trained case manager with interpersonal skills to optimize CMP implementation such that patients are more proactive in their care and their outcomes improve
The Patient Experience of Integrated Care Scale
The PEICS showed good psychometric properties. This scale could be used in a population with chronic conditions followed in primary care to measure patient experience of integrated care
Evaluating complex interventions in real context
Case management programs for frequent users of healthcare services are complex interventions which implementation and application are challenging to evaluate. The aim of this article was to conduct a logic analysis to evaluate a case management program for frequent users of healthcare services. The study proceeded in three phases: 1) establishing causal links between the program's components by the construction of a logic model, 2) developing an …
Patients, caregivers and health‐care professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care
BACKGROUND: Multimorbidity challenges the health-care system and requires innovative approaches. In 2015, a 4-month patient-centred interdisciplinary pragmatic intervention was implemented in primary care with the aim of supporting self-management for patients with multimorbidity. OBJECTIVE: To explore the perceptions and experiences of health-care professionals, patients and their caregivers with a 4-month patient-centred interdisciplinary pragm…
Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs
The objective was to report on issues related to patients with complex care needs and recommendations identified by 160 key participants at a summit in Quebec City about better integration of primary health care services for patients with chronic diseases and complex care needs. A descriptive qualitative approach was used. While focus groups were led by a facilitator, a rapporteur noted highlights and a research team member took independent notes…
Risk of Frequent Emergency Department Use Among an Ambulatory Care Sensitive Condition Population
BACKGROUND: A small fraction of patients use a disproportionately large amount of emergency department (ED) resources. Identifying these patients, especially those with ambulatory care sensitive conditions (ACSC), would allow health care professionals to enhance their outpatient care. OBJECTIVE: The objectives of the study were to determine predictive factors associated with frequent ED use in a Quebec adult population with ACSCs and to compare s…
Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare
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…
Evaluating the content of a patient-reported outcome measure for people with multimorbidity
Reconciling validity and challenges of patient comfort and understanding
BACKGROUND: Patient-reported outcome measures (PROMs) are widely recognized as important tools for achieving a patient-centred approach in health research. While PROMs are subject to several stages of validation during development, even questionnaires with robust psychometric properties may challenge patient comfort and understanding. AIM: Building on the experience of patient engagement in the PriCARE research programme, this paper outlines the …
Patient and researcher experiences of patient engagement in primary care health care research
BACKGROUND: Studies have highlighted common challenges and barriers to patient engagement in research, but most were based on patient partners' or academic researchers' experiences. A better understanding of how both groups differentially experience their partnership could help identify strategies to improve collaboration in patient engagement research. AIM: This study aimed to describe and compare patient partners' and academic researchers' expe…
Measuring Health Literacy in Primary Healthcare
The BHLS-FCv demonstrated acceptable psychometric properties and could be used in a population with chronic conditions in primary care
Integrated case management between hospitals and primary care clinics for frequent users of healthcare services
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 in primary healthcare for patients with complex needs
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
Case Management Programs for Improving Integrated Care for Frequent Users of Healthcare Services
This study underscores the necessity of an experienced, knowledgeable and well-trained case manager with interpersonal skills to optimize CMP implementation such that patients are more proactive in their care and their outcomes improve
Integrated case management between primary care clinics and hospitals for people with complex needs who frequently use healthcare services in Canada
INTRODUCTION: Case management (CM) is recognized to improve care integration and outcomes of people with complex needs who frequently use healthcare services, but challenges remain regarding interaction between primary care clinics and hospitals. This study aimed to implement and evaluate an integrated CM program for this population where nurses in primary care clinics worked with a hospital case manager. METHODS: A multiple embedded case study w…
Patient engagement in health implementation research
INTRODUCTION: Growing evidence supports patient engagement (PE) in health implementation research to improve the quality, relevance and uptake of research. However, more guidance is needed to plan and operationalize PE before and throughout the research process. The aim of the study was to develop a logic model illustrating the causal links between context, resources, activities, outcomes and impact of PE in an implementation research programme. …
Nursing Care Coordination in Primary Healthcare for Patients with Complex Needs
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 scale-up of integrated care programs
BACKGROUND: Adults with complex needs require health and social services from a variety of providers. Appropriate care for these people calls for integrated care. However, few studies have assessed the organizational conditions conducive to implementing integrated care programs in preparation for scale-up. OBJECTIVE: This study aimed to 1) implement a case management program as part of an integrated care program initiative for adults with complex…
Integrated care around people with complex needs’ life project
Background: Eighteen percent of people in primary healthcare face interacting challenges among the physical, mental, and social dimensions of health, experiencing the most complex needs, and resulting in decreased quality of life as well as increased disability and mortality risk. The organization of services for this population calls for integrated care. 2. Objective: To report on the development and evaluation of the V1SAGES Approach over the l…
Towards improved training for nurses in care coordination
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
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…
Case management for individuals with complex care needs
Introduction: Case management (CM) is an effective integrated model of care for patients with chronic conditions and complex care needs, given the focus on improving patient engagement in healthcare and improving self-management skills. While CM often leads to positive outcomes, little is known about the factors which promote or hinder implementation. Objective: This study seeks to examine factors which facilitated and hindered the implementation…
The Use of Interviews in Realist Evaluation
Realist evaluation is a theory-driven approach used to explore how and why an intervention is effective. One method for collecting qualitative data is realist interviewing. While guidance exists on designing and conducting realist interviews, this guidance can be difficult to apply when several team members are involved. The aim of this study is to report on the collective experience of a research team applying the principles of realist interview…
External Facilitation When Implementing Complex Interventions for Integrated Care
Background and aim. Implementing complex interventions for integrated care often presents significant challenges in achieving the expected results. The involvement of external facilitators who provide training and support for healthcare providers and managers can strengthen implementation strategies, foster cooperation among diverse partners, and ultimately improve the patient experience of integrated care. However, the mechanisms occurring durin…
Addressing the complexity of biopsychosocial needs to improve equity
Background and aim: Those living in challenging socio-economic circumstances are more susceptible to mental and physical health issues, as well as unmet health and social needs (complex needs). Proper assessment is essential to enable more effective management of these issues, planning of appropriate integrated care, and reduction of health inequities. Validated questionnaires to assess the complexity of needs are available (e.g. INTERMED), but t…
Developing a competency framework for care coordination using an organizational participatory approach
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…
Health care (19 obras) · Medicine (19 obras) · Chronic Disease Management Strategies (15 obras) · Interprofessional Education and Collaboration (15 obras) · Nursing (15 obras) · Political science (13 obras) · Psychology (13 obras) · Computer Science (11 obras) · Integrated care (10 obras) · Primary Care and Health Outcomes (9 obras)