Full Text Journal Articles by
Author Maud Christine Chouinard

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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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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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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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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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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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Patients, caregivers and health-care professionals' experience with an interdisciplinary intervention for people with multimorbidity in primary care: A qualitative study.

Patrice Alain Ngangue, Catherine Forgues, Tu Nguyen, Maxime Sasseville, Frances Gallagher, Christine Loignon, Moira Stewart, Judith Belle Brown, Maud-Christine Chouinard, Martin Fortin,

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 ... Read more >>

Health Expect (Health expectations : an international journal of public participation in health care and health policy)
[2020, 23(2):318-327]

Cited: 1 time

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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):]

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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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Strategies for engaging patients and families in collaborative care programs for depression and anxiety disorders: A systematic review.

Matthew Menear, Michèle Dugas, Emmanuelle Careau, Maud-Christine Chouinard, Maman Joyce Dogba, Marie-Pierre Gagnon, Michel Gervais, Michel Gilbert, Janie Houle, Nick Kates, Sarah Knowles, Neasa Martin, Donald E Nease, Hervé Tchala Vignon Zomahoun, France Légaré,

BACKGROUND:Patients and families are often referred to as important partners in collaborative mental health care (CMHC). However, how to meaningfully engage them as partners remains unclear. We aimed to identify strategies for engaging patients and families in CMHC programs for depression and anxiety disorders. METHODS:We updated a Cochrane review of ... Read more >>

J Affect Disord (Journal of Affective Disorders)
[2020, 263:528-539]

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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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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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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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Chronic disease prevention and management programs in primary care: Realist synthesis of 6 programs in Quebec.

Aline Ramond-Roquin, Maud-Christine Chouinard, Bayero Boubacar Diallo, Tarek Bouhali, Sylvie Provost, Martin Fortin,

OBJECTIVE:To identify the mechanisms associated with success and failure of chronic disease prevention and management (CDPM) programs, as well as their key contexts. DESIGN:Realist synthesis. SETTING:Six primary care CDPM programs funded between 2011 and 2013 in Quebec. PARTICIPANTS:Patients, health providers, program leaders, and other stakeholders involved in CDPM programs. METHODS:A ... Read more >>

Can Fam Physician (Canadian family physician Medecin de famille canadien)
[2019, 65(8):559-566]

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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]

Cited: 0 times

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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]

Cited: 0 times

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Integration of chronic disease prevention and management services into primary care (PR1MaC): findings from an embedded qualitative study.

Martin Fortin, Maud-Christine Chouinard, Bayero Boubacar Diallo, Tarek Bouhali,

BACKGROUND:The PR1MaC study was conducted to evaluate the integration of Chronic Disease Prevention and Management services into primary care practices and was reported effective. The aim of this study was to further explore the effects of the PR1MaC intervention on patients and their family. METHODS:We conducted a qualitative study embedded ... Read more >>

BMC Fam Pract (BMC family practice)
[2019, 20(1):7]

Cited: 1 time

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Case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs: an implementation and realist evaluation protocol.

Catherine Hudon, Maud-Christine Chouinard, Kris Aubrey-Bassler, Frederick Burge, Shelley Doucet, Vivian R Ramsden, Magaly Brodeur, Paula L Bush, Yves Couturier, Marie-France Dubois, Line Guénette, France Légare, Paul Morin, Thomas G Poder, Marie-Ève Poitras, Pasquale Roberge, Ruta Valaitis, Shirley Bighead, Cameron Campbell, Martine Couture, Breanna Davis, Élaine Deschenes, Lynn Edwards, Sarah Gander, Gilles Gauthier, Patricia Gauthier, Richard J Gibson, Julie Godbout, Geneviève Landry, Christine Longjohn, Norma Rabbitskin, Denis A Roy, Judy Roy, Véronique Sabourin, Tara Sampalli, Amanda Saulnier, Claude Spence, Jennifer Splane, Mike Warren, Joanne Young, Pierre Pluye,

INTRODUCTION:Significant evidence in the literature supports case management (CM) as an effective intervention to improve care for patients with complex healthcare needs. However, there is still little evidence about the facilitators and barriers to CM implementation in primary care setting. The three specific objectives of this study are to: (1) ... Read more >>

BMJ Open (BMJ open)
[2018, 8(11):e026433]

Cited: 2 times

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The Patient Experience of Integrated Care Scale: A Validation Study among Patients with Chronic Conditions Seen in Primary Care.

Heithem Joober, Maud-Christine Chouinard, Jenny King, Mireille Lambert, Émilie Hudon, Catherine Hudon,

Introduction:Valid and comprehensive instruments to measure integrated care are required to capture patient experience and improve quality of patient care. This study aimed to validate the Patient Experience of Integrated Care Scale (PEICS), among patients with chronic conditions seen in primary care. Methods:One hundred and fifty-nine (159) French-speaking adults with ... Read more >>

Int J Integr Care (International journal of integrated care)
[2018, 18(4):1]

Cited: 0 times

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Nursing activities for patients with chronic disease in family medicine groups: A multiple-case study.

Marie-Eve Poitras, Maud-Christine Chouinard, Martin Fortin, Ariane Girard, Sue Crossman, Frances Gallagher,

Family Medicine Groups (FMGs) are the most recently developed primary care organizations in Quebec (Canada). Nurses within FMGs play a central role for patients with chronic diseases (CD). However, this complex role and the nursing activities related to this role vary across FMGs. Inadequate knowledge of nursing activities limits the ... Read more >>

Nurs Inq (Nursing inquiry)
[2018, 25(4):e12250]

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Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study.

Catherine Hudon, Maud-Christine Chouinard, Marie-France Dubois, Pasquale Roberge, Christine Loignon, Éric Tchouaket, Mireille Lambert, Émilie Hudon, Fatoumata Diadiou, Danielle Bouliane,

PURPOSE:This study aimed to evaluate the effects of the V1SAGES case management intervention (Vulnerable Patients in Primary Care: Nurse Case Management and Self-management Support) for frequent users of health care services with chronic disease and complex care needs on psychological distress and patient activation. METHODS:We used a 2-phase sequential mixed ... Read more >>

Ann Fam Med (Annals of family medicine)
[2018, 16(3):232-239]

Cited: 1 time

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The relationship between health literacy and patient activation among frequent users of healthcare services: a cross-sectional study.

Éva Marjorie Couture, Maud-Christine Chouinard, Martin Fortin, Catherine Hudon,

BACKGROUND:Frequent users of healthcare services are a vulnerable population that deserves attention due to high costs and negative outcomes such as lower quality of life and higher mortality. Healthcare systems should offer interventions tailored to their needs and to their level of health literacy, including strategies to promote activation. The ... Read more >>

BMC Fam Pract (BMC family practice)
[2018, 19(1):38]

Cited: 5 times

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CHALLENGES AND NEXT STEPS FOR PRIMARY CARE RESEARCH.

Catherine Hudon, Maud-Christine Chouinard, Elizabeth Bayliss, Stephanie Nothelle, Nicolas Senn, Effrat Shadmi,

Ann Fam Med (Annals of family medicine)
[2018, 16(1):85-86]

Cited: 2 times

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Nursing Activities for Patients With Chronic Disease in Primary Care Settings: A Practice Analysis.

Marie-Eve Poitras, Maud-Christine Chouinard, Frances Gallagher, Martin Fortin,

Nurses in primary care organizations play a central role for patients with chronic disease. Lack of clarity in role description may be associated with underutilization of nurse competencies that could benefit the growing population of patients with chronic disease.The purpose of the research was to describe nursing activities in primary ... Read more >>

Nurs Res (Nursing research)
[2018, 67(1):35-42]

Cited: 1 time

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Nursing Practice in Primary Care and Patients' Experience of Care.

Roxane Borgès Da Silva, Isabelle Brault, Raynald Pineault, Maud-Christine Chouinard, Alexandre Prud'homme, Danielle D'Amour,

PURPOSE:Nurses are identified as a key provider in the management of patients in primary care. The objective of this study was to evaluate patients' experience of care in primary care as it pertained to the nursing role. The aim was to test the hypothesis that, in primary health care organizations ... Read more >>

J Prim Care Community Health (Journal of primary care & community health)
[2018, 9:2150131917747186]

Cited: 1 time

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