Full Text Journal Articles by
Author Catherine Hudon

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Experience of being a frequent user of primary care and emergency department services: a qualitative systematic review and thematic synthesis.

Magaly Brodeur, Eva Margo-Dermer, Maud-Christine Chouinard, Catherine Hudon,

BACKGROUND:Frequent users of healthcare services are often categorised as 'heavy-cost patients'. In the recent years, many jurisdictions have attempted to implement different public policies to optimise the use of health services by frequent users. However, throughout this process, little attention has been paid to their experience as patients. OBJECTIVE:To thematically ... Read more >>

BMJ Open (BMJ open)
[2020, 10(9):e033351]

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Understanding Barriers to and Facilitators of Case Management in Primary Care: A Systematic Review and Thematic Synthesis.

Matthew Hacker Teper, Isabelle Vedel, Xin Qiang Yang, Eva Margo-Dermer, Catherine Hudon,

PURPOSE:Despite evidence on the benefits of case management for the care of patients with complex needs in primary care, implementing the program-necessary to achieve its benefits-has been challenging worldwide. Evidence on factors affecting implementation remains disparate. Accordingly, the objective of this systematic review was to identify barriers to and facilitators ... Read more >>

Ann Fam Med (Annals of family medicine)
[2020, 18(4):355-363]

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Protocol for a mixed-method analysis of implementation of case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs.

Alya Danish, Maud-Christine Chouinard, Kris Aubrey-Bassler, Fred Burge, Shelley Doucet, Vivian R Ramsden, Mathieu Bisson, Monique Cassidy, Brian Condran, Mireille Lambert, Carla Penney, Véronique Sabourin, Mike Warren, Catherine Hudon,

INTRODUCTION:Case management (CM) in a primary care setting is a promising approach to integrating and improving healthcare services and outcomes for patients with chronic conditions and complex care needs who frequently use healthcare services. Despite evidence supporting CM and interest in implementing it in Canada, little is known about how ... Read more >>

BMJ Open (BMJ open)
[2020, 10(6):e038241]

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Case Management in Primary Care for Frequent Users of Health Care Services: A Realist Synthesis.

Catherine Hudon, Maud-Christine Chouinard, Kris Aubrey-Bassler, Nazeem Muhajarine, Fred Burge, Paula Louise Bush, Alya Danish, Vivian R Ramsden, France Légaré, Line Guénette, Paul Morin, Mireille Lambert, Fiona Fick, Olivia Cleary, Véronique Sabourin, Mike Warren, Pierre Pluye,

PURPOSE:Case management (CM) is a promising intervention for frequent users of health care services. Our research question was how and under what circumstances does CM in primary care work to improve outcomes among frequent users with chronic conditions? METHODS:We conducted a realist synthesis, searching MEDLINE, CINAHL, Embase, and PsycINFO (1996 ... Read more >>

Ann Fam Med (Annals of family medicine)
[2020, 18(3):218-226]

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Uncovering social and psychosocial health factors through participatory qualitative research with low-income adults in a suburb of Montreal, Quebec.

Caroline H-Y Wang, Christine Loignon, Catherine Hudon,

OBJECTIVES:The association between social status and health is well established, but the psychosocial factors and mechanisms underlying this association are not fully understood. This study aims to identify and describe social and psychosocial factors that may harm the health of low-income adults. DESIGN:Participatory qualitative research using a problem-posing method based ... Read more >>

BMJ Open (BMJ open)
[2020, 10(2):e030193]

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Healthcare utilization after a first hospitalization for COPD: a new approach of State Sequence Analysis based on the '6W' multidimensional model of care trajectories.

Alain Vanasse, Josiane Courteau, Mireille Courteau, Mike Benigeri, Yohann M Chiu, Isabelle Dufour, Simon Couillard, Pierre Larivée, Catherine Hudon,

BACKGROUND:Published methods to describe and visualize Care Trajectories (CTs) as patterns of healthcare use are very sparse, often incomplete, and not intuitive for non-experts. Our objectives are to propose a typology of CTs one year after a first hospitalization for Chronic Obstructive Pulmonary Disease (COPD), and describe CT types and ... Read more >>

BMC Health Serv Res (BMC health services research)
[2020, 20(1):177]

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Risk of Frequent Emergency Department Use Among an Ambulatory Care Sensitive Condition Population: A Population-based Cohort Study.

Catherine Hudon, Josiane Courteau, Yohann M Chiu, Maud-Christine Chouinard, Marie-France Dubois, Nicole Dubuc, Nicolas Elazhary, Francois Racine-Hemmings, Isabelle Dufour, Alain Vanasse,

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 ... Read more >>

Med Care (Medical care)
[2020, 58(3):248-256]

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Understanding parental concerns related to their child's development and factors influencing their decisions to seek help from health care professionals: Results of a qualitative study.

Chantal Camden, Rosalie Dostie, Lea Heguy, Cheyenne Gauvin, Catherine Hudon, Lisa Rivard, Isabelle Gaboury,

BACKGROUND:Early identification of children at risk of developmental delay is crucial to promote healthy development. Assessing parental concerns about development is often part of identification processes. However, we currently do not understand well how and why parents become concerned and how and why they access early identification and intervention services. ... Read more >>

Child Care Health Dev (Child: care, health and development)
[2020, 46(1):9-18]

Cited: 1 time

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Evaluation of the implementation and associated effects of advanced access in university family medicine groups: a study protocol.

Mylaine Breton, Lara Maillet, Arnaud Duhoux, Sabina Abou Malham, Isabelle Gaboury, Luiza Maria Manceau, Catherine Hudon, Isabel Rodrigues, Jeannie Haggerty, Nassera Touati, Marie-Claude Beaulieu, Christine Loignon, Marie-Thérèse Lussier, Isabelle Vedel, Jalila Jbilou, France Légaré,

BACKGROUND:Timely access in primary health care is one of the key issues facing health systems. Among many interventions developed around the world, advanced access is the most highly recommended intervention designed specifically to improve timely access in primary care settings. Based on greater accessibility linked with patients' relational continuity and ... Read more >>

BMC Fam Pract (BMC family practice)
[2020, 21(1):41]

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Persistent frequent emergency department users with chronic conditions: A population-based cohort study.

Yohann Moanahere Chiu, Alain Vanasse, Josiane Courteau, Maud-Christine Chouinard, Marie-France Dubois, Nicole Dubuc, Nicolas Elazhary, Isabelle Dufour, Catherine Hudon,

BACKGROUND:Frequent emergency department users are patients cumulating at least four visits per year. Few studies have focused on persistent frequent users, who maintain their frequent user status for multiple consecutive years. This study targets an adult population with chronic conditions, and its aims are: 1) to estimate the prevalence of ... Read more >>

PLoS ONE (PloS one)
[2020, 15(2):e0229022]

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Frequent emergency department use by older adults with ambulatory care sensitive conditions: A population-based cohort study.

Isabelle Dufour, Yohann Chiu, Josiane Courteau, Maud-Christine Chouinard, Nicole Dubuc, Catherine Hudon,

AIM:To identify factors associated with frequent emergency department (ED) use among older adults with ambulatory care sensitive conditions. METHODS:This was a retrospective cohort study using databases from the Régie de l'assurance maladie du Québec. We included community-dwelling individuals aged ≥65 years in the Province of Quebec (Canada), who consulted in ED ... Read more >>

Geriatr Gerontol Int (Geriatrics & gerontology international)
[2020, 20(4):317-323]

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Conducting gender-based analysis of existing databases when self-reported gender data are unavailable: the GENDER Index in a working population.

Anaïs Lacasse, M Gabrielle Pagé, Manon Choinière, Marc Dorais, Bilkis Vissandjée, Hermine Lore Nguena Nguefack, Joel Katz, Oumar Mallé Samb, Alain Vanasse, ,

OBJECTIVES:Growing attention has been given to considering sex and gender in health research. However, this remains a challenge in the context of retrospective studies where self-reported gender measures are often unavailable. This study aimed to create and validate a composite gender index using data from the Canadian Community Health Survey ... Read more >>

Can J Public Health (Canadian journal of public health = Revue canadienne de sante publique)
[2020, 111(2):155-168]

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Experience of being a frequent user of primary care and emergency department services: a qualitative systematic review and thematic synthesis

Magaly Brodeur, Eva Margo-Dermer, Maud-Christine Chouinard, Catherine Hudon,

Background Frequent users of healthcare services are often categorised as ‘heavy-cost patients’. In the recent years, many jurisdictions have attempted to implement different public policies to optimise the use of health services by frequent users. However, throughout this process, little attention has been paid to their experience as patients. Objective ... Read more >>

BMJ Open (BMJ open)
[2020, 10(9):]

Cited: 0 times

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Decisional needs assessment of patients with complex care needs in primary care.

Marie-Eve Poitras, Catherine Hudon, Isabelle Godbout, Mathieu Bujold, Pierre Pluye, Vanessa T Vaillancourt, Béatrice Débarges, Annie Poirier, Karina Prévost, Claude Spence, France Légaré,

RATIONALE:Patients with complex care needs who frequently use health services often face challenges in managing their health and with integrated care, leading to frequent decision making. These complex care needs require a good understanding of health issues and their impact on daily life. As the decisional needs of this particular ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, 26(2):489-502]

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Chronic pain and frequent use of emergency department: A systematic review.

Andréa Dépelteau, François Racine-Hemmings, Émilie Lagueux, Catherine Hudon,

INTRODUCTION:Emergency department (ED) overcrowding is an important issue in healthcare worldwide. A small group of patients account for a disproportionate number of ED visits and a few studies have suggested that chronic pain (CP) sufferers may be part of that group. The aim of this study was to review all ... Read more >>

Am J Emerg Med (The American Journal of Emergency Medicine)
[2020, 38(2):358-363]

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Evaluating complex interventions in real context: Logic analysis of a case management program for frequent users of healthcare services.

Catherine Hudon, Maud-Christine Chouinard, Astrid Brousselle, Mathieu Bisson, Alya Danish,

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) ... Read more >>

Eval Program Plann (Evaluation and program planning)
[2020, 79:101753]

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The French adaptation and validation of the Partners in Health (PIH) scale among patients with chronic conditions seen in primary care.

Émilie Hudon, Maud-Christine Chouinard, Cynthia Krieg, Mireille Lambert, Heithem Joober, Sharon Lawn, David Smith, Sylvie Lambert, Catherine Hudon,

OBJECTIVE:Measuring self-management helps identify the degree of participation of people in the management of their chronic conditions and guides clinicians in determining person-centred priorities for providing support. The Partners in Health scale, a self-report generic questionnaire, was developed to capture the self-management of patients with chronic conditions. This study aimed ... Read more >>

PLoS ONE (PloS one)
[2019, 14(10):e0224191]

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Implementing advanced access to primary care in an academic family medicine network: Participatory action research.

Catherine Hudon, Mireille Luc, Marie-Claude Beaulieu, Mylaine Breton, Isabelle Boulianne, Louise Champagne, Sandra Conway, Nick Côté, Jean-François Deshaies, Marylène Fillion, Philippe Villemure,

OBJECTIVE:To support the implementation of the advanced access model in a network of family medicine academic settings, and to identify solutions to teaching advanced access to family medicine residents. DESIGN:Participatory action research study using descriptive methods. SETTING:A network of 11 academic family medicine settings, mostly located in the province of ... Read more >>

Can Fam Physician (Canadian family physician Medecin de famille canadien)
[2019, 65(9):641-647]

Cited: 1 time

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Characteristics of Case Management in Primary Care Associated With Positive Outcomes for Frequent Users of Health Care: A Systematic Review.

Catherine Hudon, Maud-Christine Chouinard, Pierre Pluye, Reem El Sherif, Paula Louise Bush, Benoît Rihoux, Marie-Eve Poitras, Mireille Lambert, Hervé Tchala Vignon Zomahoun, France Légaré,

PURPOSE:Case management (CM) interventions are effective for frequent users of health care services, but little is known about which intervention characteristics lead to positive outcomes. We sought to identify characteristics of CM that yield positive outcomes among frequent users with chronic disease in primary care. METHODS:For this systematic review of ... Read more >>

Ann Fam Med (Annals of family medicine)
[2019, 17(5):448-458]

Cited: 3 times

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Scaling up eConsult for access to specialists in primary healthcare across four Canadian provinces: study protocol of a multiple case study.

Mylaine Breton, Mélanie Ann Smithman, Clare Liddy, Erin Keely, Gerard Farrell, Alexander Singer, Catherine Lamoureux-Lamarche, Maxine Dumas Pilon, Véronique Nabelsi, Isabelle Gaboury, Marie-Pierre Gagnon, Carolyn Steele Gray, Jay Shaw, Catherine Hudon, Kris Aubrey-Bassler, Justin Gagnon, Élizabeth Côté-Boileau, Paula Louise Bush,

BACKGROUND:Canada has been referred to as the land of 'perpetual pilot projects'. Effective innovations often remain small in scale, with limited impact on health systems. Several innovations have been developed in Canada to tackle important challenges such as poor access to services and excessive wait times - one of the ... Read more >>

Health Res Policy Syst (Health research policy and systems)
[2019, 17(1):83]

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Factors associated with frequent use of emergency-department services in a geriatric population: a systematic review.

Isabelle Dufour, Maud-Christine Chouinard, Nicole Dubuc, Jérémie Beaudin, Sarah Lafontaine, Catherine Hudon,

BACKGROUND:Frequent geriatric users of emergency departments (EDs) constitute a small group of individuals accounting for a disproportionately high number of ED visits. In addition to overcrowding, this situation might result in a less appropriate response to health needs and negative health impacts. Geriatric patients turn to EDs for a variety ... Read more >>

BMC Geriatr (BMC geriatrics)
[2019, 19(1):185]

Cited: 2 times

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Statistical tools used for analyses of frequent users of emergency department: a scoping review.

Yohann Chiu, François Racine-Hemmings, Isabelle Dufour, Alain Vanasse, Maud-Christine Chouinard, Mathieu Bisson, Catherine Hudon,

OBJECTIVE:Frequent users represent a small proportion of emergency department users, but they account for a disproportionately large number of visits. Their use of emergency departments is often considered suboptimal. It would be more efficient to identify and treat those patients earlier in their health problem trajectory. It is therefore essential ... Read more >>

BMJ Open (BMJ open)
[2019, 9(5):e027750]

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Characteristics of self-management among patients with complex health needs: a thematic analysis review.

Annie-Pier Gobeil-Lavoie, Maud-Christine Chouinard, Alya Danish, Catherine Hudon,

OBJECTIVE:There is a gap of knowledge among healthcare providers on characteristics of self-management among patients with chronic diseases and complex healthcare needs. Consequently, the objective of this paper was to identify characteristics of self-management among patients with chronic diseases and complex healthcare needs. DESIGN:Thematic analysis review of the literature. METHODS:We ... Read more >>

BMJ Open (BMJ open)
[2019, 9(5):e028344]

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2018 Canadian Consortium on Neurodegeneration in Aging (CCNA) Science Day Abstracts (Montréal, Québec - October 1–2, 2018).

Can Geriatr J (Canadian geriatrics journal : CGJ)
[2019, 22(1):34-48]

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Challenges of adopting the role of care manager when implementing the collaborative care model for people with common mental illnesses: A scoping review.

Ariane Girard, Édith Ellefsen, Pasquale Roberge, Jean-Daniel Carrier, Catherine Hudon,

This review aimed to identify the main factors influencing the adoption of the role of care manager (CM) by nurses when implementing the collaborative care model (CCM) for common mental illnesses in primary care settings. A total of 19 studies met the inclusion criteria, reporting on 14 distinct interventions implemented ... Read more >>

Int J Ment Health Nurs (International journal of mental health nursing)
[2019, 28(2):369-389]

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