Jean Macq
Dados Biográficos
| ID | 5495885 |
|---|---|
| NOME | Jean Macq |
| PRENOMES | Jean |
| SOBRENOME | Macq |
| ASSINATURA | MACQ J |
| AFILIAÇÕES | UCLouvain |
| ORCID | 0000-0003-2905-2683 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 46 |
| TOTAL DE CITAÇÕES | 7 |
| TOTAL COMO AUTOR | 46 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
How can policies impact the relational process of deprescription? A realist review protocol with an initial theory
Introduction Reducing low-value care by deprescribing is a priority. However, current policies often fail due to healthcare provider resistance, lack of incentives, and poor patient engagement. We believe this is due to insufficient focus on the relationships between key agents in the deprescribing process, making ‘one-size-fits-all’ interventions ineffective. Our goal is to understand ‘how, why, for whom, and in what contexts’ policies affect la…
Population stratification based on healthcare trajectories
This paper proposes a method to support population management by evaluating population needs using population stratification based on healthcare trajectories. Reimbursed healthcare consumption data for the first semester of 2017 contained within the inter-mutualist database were analysed to create healthcare trajectories for a subset of the population aged between 60 and 79 (N = 22,832) to identify (1) the nature of health events, (2) key transit…
Maturity of Integrated Care in Belgium
Introduction: As integrated care (IC) has been on the Belgian policy agenda for almost a decade, it was requested by the federal minister of health to perform a maturity check of IC, as perceived by the stakeholders and patients. To serve as input for a new inter-federal plan, we were asked to identify actions for further implementation of IC. Methods: The perception of the professionals was assessed using the Scirocco tool, which gauges the matu…
Description of care pathways for benzodiazepine and sedative hypnotic discontinuation in older adults
Introduction: Benzodiazepines and sedative hypnotics (BSHs) may represent a threat to patient safety, especially among older adults. The project BE-SAFE (Implementing a patient-centred and evidence-based intervention to reduce BEnzodiazepine and sedative-hypnotic use to improve patient SAFEty and quality of care) is a 5-year research project funded through the Horizon Europe Research Programme (Grant agreement n° 101057123). Its goal is to improv…
Community health workers as bridge builders towards integrated care
In response to COVID-19 pandemic, which exacerbated the access to care challenges for people living in socio-economic vulnerable circumstances, the Belgian Federal Government gave the National Institute for Sickness and Disability Insurance (NIHDI) and the National InterMutualist College (Intermut) the task to introduce community health workers (CHWs) throughout Belgium. CHWs are “frontline public health worker[s] who [are] a trusted member of a …
Towards local health system development in Wallonia
Since 2008 Belgium has been developing a more integrated care system. Today, the Belgian healthcare system is undergoing significant reform at national and sub-national levels. In primary care, at the federal level, the New Deal for general practice aims to improve the organisation of general practice and a new inter-federal plan for integrated care is currently under development. At the regional level, there are many initiatives. In Wallonia sev…
Developing evaluation capacities in integrated care projects
The capacity of self-assessment, to learn from experience, to make information-based decisions, and to adapt over time are essential drivers of success for any project aiming at healthcare system change. Yet, many of those projects are managed by healthcare providers' teams with little evaluation capacity. In this article, we describe the support mission delivered by an interdisciplinary scientific team to 12 integrated care pilot projects in Bel…
Why do some community health centres teams engage in a QI program whereas others do not? A specific case
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
How to operationalize the function of case manager at the level of the first aid and care line in Wallonia and Brussels
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 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Comparative analysis of the health status of the population in six health zones in South Kivu
Armed conflicts have a significantly negative impact on people's perceived health, particularly in crisis health zones. In this area, we must accentuate actions aiming to strengthen people's psychosocial well-being
The direct cost of disability of community-dwelling older persons in Belgium
Current policies aim to promote and develop community-based support of disabled elderly persons, yet knowledge of the cost implications is insufficient. Thus, we aimed to estimate, for three disability profiles and three presence levels of the main informal carer (none, non-cohabitant, cohabitant), the cost of formal and informal support currently provided at home in Belgium. In this cross-sectional study, a sample of 5,642 disabled elderly perso…
Are people most in need utilising health facilities in post-conflict settings? A cross-sectional study from South Kivu, eastern DR Congo
Background: The disruptive effect of protracted socio-political instability and conflict on the health systems is likely to exacerbate inequities in health service utilisation in conflict-recovering contexts.Objective: To examine whether the level of healthcare need is associated with health facility utilisation in post-conflict settings.Methods: We conducted a cross-sectional study among adults with diabetes, hypertension, mothers of infants wit…
Evaluating Large-Scale Integrated Care Projects
The objective of this study is to deliver policy recommendations on strategies and best practices to improve care integration in Belgium and to implement a sustainable monitoring system that serves both policy makers and the stakeholders within the ICPs. Some challenges due to the large scale of the project and the multiple stakeholders involved may impede the successful implementation of this proposal
A new look at population health through the lenses of cognitive, functional and social disability clustering in eastern DR Congo
Health clustering derived from WHODAS domains has the potential to suitably classify individuals based on the level of health needs and dependency. It may be a powerful lever for targeting appropriate healthcare service provision and setting priorities based on vulnerability rather than solely presence of disease
Interprofessional collaboration between general practitioners and home nurses in Belgium
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 co-creation in the design and use of a dashboard to develop a population health approach
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)
Participative methods to mobilise a whole-system change towards integrated care for chronic care in Belgium
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 links between co-creation during conception in the restructuring of care organization and appropriate loco-regional network governance? Initial mechanisms identified in Belgian “integreo” projects
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
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)
Stratification and characterisation of complex medico-psychosocial conditions at primary health care level in Eastern DR Congo
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)
How to evaluate a Nationwide Whole System Change in Health Care towards Integrated Care for people with Chronic Conditions? Part I
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)
Improving person centered care in district health systems of Sud Kivu in DRC
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)
How to evaluate a Nation-wide Whole System Change in Health Care towards Integrated Care for people with Chronic Conditions? Part II
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 systematic review of questionnaires used to measure the time spent on family care for frail older people
Time spent on family care of frail older people is difficult to substantiate because of its complex nature. The aim of this study is to check the content validity of existing questionnaires measuring the time spent on caring. Comparing the activities mentioned in the questionnaires with those from other data sources (three validated scales measuring the functional limitations in day-to-day activities and a qualitative study) enabled identificatio…
Enhancing loco-regional adaptive governance for integrated chronic care through agent based modelling (ABM)
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)
Abolition of user fees
Inadequate health financing is one of the major challenges health systems in low-income countries currently face. Health financing reforms are being implemented with an increasing interest in policies that abolish user fees. Data from three nationally representative surveys conducted in Uganda in 1999/2000, 2002/03 and 2005/06 were used to investigate the impact of user fee abolition on the attainment of universal coverage objectives. An increase…
Evaluating Large-Scale Integrated Care Projects
The objective of this study is to deliver policy recommendations on strategies and best practices to improve care integration in Belgium and to implement a sustainable monitoring system that serves both policy makers and the stakeholders within the ICPs. Some challenges due to the large scale of the project and the multiple stakeholders involved may impede the successful implementation of this proposal
Tackling tuberculosis patients' internalized social stigma through patient centred care
This study provides initial evidences that it is possible to act on TB patients' internalized stigma, in contexts where at least patient centered home visits and TB clubs are successfully implemented. This is important as, indeed, TB care should also focus on the TB patient's wellbeing and not solely on TB epidemics control
Abolition of user fees
Inadequate health financing is one of the major challenges health systems in low-income countries currently face. Health financing reforms are being implemented with an increasing interest in policies that abolish user fees. Data from three nationally representative surveys conducted in Uganda in 1999/2000, 2002/03 and 2005/06 were used to investigate the impact of user fee abolition on the attainment of universal coverage objectives. An increase…
Research, evidence and policymaking
This study refined an initial MRT on KT in policymaking in the health sector in Uganda that was based on a literature review. It provides a framework that can be used in empirical research of the process of KT on specific policy issues
Interventions to delay institutionalization of frail older persons
This research will provide knowledge on the functional status of frail older persons who are still living at home. This is important information to identify determinants of risk for institutionalization. The identification of effective home care projects in delaying institutionalization will be useful to inform and empower home care providers, policy and related decision makers to manage and improve home care services
The interface between the national tuberculosis control programme and district hospitals in Cameroon
Tuberculosis remains a major public health problem in sub-Saharan Africa. District hospitals (DHs) play a central role in district-based health systems, and their relation with vertical programmes is very important. Studies on the impact of vertical programmes on DHs are rare. This study aims to fill this gap. Its purpose is to analyse the interaction between the National Tuberculosis Control Programme (NTCP) and DHs in Cameroon, especially its e…
The effect of innovative home care projects on the perceived burden of informal caregivers
Purpose/objectives: The Belgian National Institute for Health and Disability Insurance (NIHDI) is interested in delaying institutionalization of older persons. Informal caregivers play an important role in maintaining the health, well-being, functional performance and quality of life of older people living at home. The aim of this paper is to identify whether innovative projects in home care are statistically associated with decreasing the inform…
Informal caregiver involvement in innovative home care projects in Belgium
Introduction: Continuity of care is essential when trying to avoid untimely institutionalization of the frail elderly. Either continuously or occasionally, multiple care providers are involved in the integrated care for a community-dwelling frail older person. In this coming and going of care providers over time, the informal caregiver usually remains the constant factor. In 2009 the Belgian Federal Government launched a call for innovative proje…
Support for informal caregivers
INTRODUCTION 9 -- 1 1 BACKGROUND 9 -- 1 2 OBJECTIVES AND SCOPE 10 -- 1 3 METHODS 11 -- 1 4 STRUCTURE OF THE REPORT 11 -- 2 RESEARCH ON CAREGIVERS IN BELGIUM 12 -- 2 1 SURVEYS IDENTIFIED USED IN STUDIES ON INFORMAL CARE IN BELGIUM 12 -- 2 2 INFORMAL CARE IN BELGIUM: RESULTS FROM REPRESENTATIVE POPULATION BASED SURVEY 13 -- 2 2 1 Characteristics of national or regional representative population based surveys 13 -- 2 3 CAREGIVER’S EXPERIENCES AND IM…
Health systems performance assessment in low-income countries
BACKGROUND: The study aimed at developing a set of attributes for a 'good' health system performance assessment (HSPA) framework from literature and experiences in different contexts and using the attributes for a structured approach to lesson learning for low-income countries (LICs). METHODS: Literature review to identify relevant attributes for a HSPA framework; attribute validation for LICs in general, and for Uganda in particular, via a high-…
Case management’s effectiveness to yield positive outcomes for frail older persons living at home
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
The key actors maintaining elders in functional autonomy in Bobo-Dioulasso (Burkina Faso)
It is likely that the absence of formal care and support structure likely shortens the lifespan of severely disabled older people. Stakeholders have not yet looked at this possibility. The stakeholders should seriously think about: 1) how to establish the third level of actors who can fulfill the needs to maintain elders in functional autonomy that are not satisfied by others (family members or the older individuals themselves), and 2) how to rei…
Can case management be an asset to home care interventions in order to delay institutionalization of frail older persons? A Belgian longitudinal study
Background / Objective: In the international literature, case management is often found to be a valuable way of organizing home care services and providing continuity of care. However, not many studies have provided evidence that case management can be effective in delaying institutionalization of older persons. The Belgian federal government is interested in funding home care projects that attain this goal. Twenty two case management projects wi…
Analyzing Katana referral hospital as a complex adaptive system
This study deals with the adaptation of Katana referral hospital in Eastern Democratic Republic of Congo in a changing environment that is affected for more than a decade by intermittent armed conflicts. His objective is to generate theoretical proposals for addressing differently the analysis of hospitals governance in the aims to assess their performance and how to improve that performance. The methodology applied approach uses a case study usi…
Strategies to engage general practitioners in integrated care for frail older persons
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…
Integrating acute malnutrition interventions into national health systems
This study provided useful information to inform policy makers and guide strategic planning to improve integration of acute malnutrition interventions in Niger. The proposed method of assessing the extent of integration and monitoring progress may be adapted and used in Niger and other low-income countries that are integrating or intending to integrate acute malnutrition interventions
Interprofessional collaboration between general physicians and emergency department services in Belgium
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…
Understanding factors that influence the integration of acute malnutrition interventions into the national health system in Niger
Since 2007 to address a high burden, integration of acute malnutrition has been promoted in Niger. This paper studies factors that influenced the integration process of acute malnutrition into the Niger national health system.We used qualitative methods of observation, key informant interviews and focus group discussions at national level, two districts and nine communities selected through convenience sampling, as well as document review. A fram…
A comparison of hierarchical cluster analysis and league table rankings as methods for analysis and presentation of district health system performance data in Uganda
In 2003, the Uganda Ministry of Health introduced the district league table for district health system performance assessment. The league table presents district performance against a number of input, process and output indicators and a composite index to rank districts. This study explores the use of hierarchical cluster analysis for analysing and presenting district health systems performance data and compares this approach with the use of the …
A systematic review of questionnaires used to measure the time spent on family care for frail older people
Time spent on family care of frail older people is difficult to substantiate because of its complex nature. The aim of this study is to check the content validity of existing questionnaires measuring the time spent on caring. Comparing the activities mentioned in the questionnaires with those from other data sources (three validated scales measuring the functional limitations in day-to-day activities and a qualitative study) enabled identificatio…
Enhancing loco-regional adaptive governance for integrated chronic care through agent based modelling (ABM)
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)
Evaluation of the implementation of integrated care for people with chronic conditions
Introduction: It is now well-documented that the organisation of care delivery for adults living with chronic conditions is suboptimal. Therefore, many healthcare systems in OECD countries are implementing whole-system changes to try to improve the health, the individual healthcare experience and efficiency of the population (also known as “Triple Aim”). In Belgium, bottom up programmes of integrated care for people living with chronic conditions…
Interprofessional Collaboration between General Physicians and Emergency Department Teams in Belgium
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…
Evaluation of the effectiveness of complex health care interventions
Introduction: The aim is to present the evaluation of effectiveness of case management interventions, designed from the bottom-up, which have been implemented in Belgium since 2010 to support dependent elderly people at home. This type of intervention is an integrated care process which combines prevention, evaluation, custom designed multidisciplinary care plan, coordination of services and follow-up. Mixed methods are necessary for covering the…
Patients' perceptions of Continuity of care between Primary Care Physicians and Emergency departments in Belgium
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)
Stratification and characterisation of complex medico-psychosocial conditions at primary health care level in Eastern DR Congo
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)
Medicine (36 obras) · Nursing (25 obras) · Political science (23 obras) · Health care (20 obras) · Computer Science (17 obras) · Business (15 obras) · Environmental health (11 obras) · Global Maternal and Child Health (11 obras) · Interprofessional Education and Collaboration (11 obras) · Psychological intervention (11 obras)