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Author Nicole Dubuc

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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, :]

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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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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: 0 times

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Development and validation of clinical profiles of patients hospitalized due to behavioral and psychological symptoms of dementia.

Claudia Ortoleva Bucher, Nicole Dubuc, Armin von Gunten, Lise Trottier, Diane Morin,

Patients hospitalized on acute psychogeriatric wards are a heterogeneous population. Cluster analysis is a useful statistical method for partitioning a sample of patients into well separated groups of patients who present common characteristics. Several patient profile studies exist, but they are not adapted to acutely hospitalized psychogeriatric patients with cognitive ... Read more >>

BMC Psychiatry (BMC psychiatry)
[2016, 16:261]

Cited: 1 time

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[From daily care to expert consensus: state of evidence of nursing interventions and their prioritization according to the clinical profiles of older people hospitalized due to behavioral and psychological symptoms of dementia].

Claudia Ortoleva Bucher, Nicole Dubuc, Armin Von Gunten, Diane Morin,

The description of the different profiles of somatic, psychiatric and socio-relational comorbidites of psychogeriatric inpatient hospitalized due to behavioral and psychological symptoms of dementia and their associated nursing interventions are poorly documented. This study aimed to describe the observations and interventions given to patients from the four LPCI clinical profiles ... Read more >>

Rech Soins Infirm (Recherche en soins infirmiers)
[2016, (124):75-96]

Cited: 1 time

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Measuring change in clinical profiles between hospital admission and discharge and predicting living arrangements at discharge for aged patients presenting behavioral and psychological symptoms of dementia.

Claudia Ortoleva Bucher, Nicole Dubuc, Armin von Gunten, Diane Morin,

BACKGROUND:The clinical courses of psychogeriatric inpatients presenting behavioral and psychological symptoms of dementia, between their admission and discharge, have been poorly documented. Based upon our previously elaborated profiles of psychogeriatric patients, this study aimed to describe these courses and to explore whether changing clinical profiles could predict living arrangements at ... Read more >>

Arch Gerontol Geriatr (Archives of gerontology and geriatrics)
[2016, 65:161-167]

Cited: 1 time

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Does regulating private long-term care facilities lead to better care? A study from Quebec, Canada.

Gina Bravo, Marie-France Dubois, Louis Demers, Nicole Dubuc, Danièle Blanchette, Karen Painter, Catherine Lestage, Cinthia Corbin,

In the province of Quebec, Canada, long-term residential care is provided by two types of facilities: publicly funded accredited facilities and privately owned facilities in which care is privately financed and delivered. Following evidence that private facilities were delivering inadequate care, the provincial government decided to regulate this industry. We ... Read more >>

Int J Qual Health Care (International journal for quality in health care : journal of the International Society for Quality in Health Care)
[2014, 26(3):330-336]

Cited: 1 time

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[Development and validation of a Quebec classification of private residences with services welcoming of older persons].

Catherine Lestage, Nicole Dubuc, Gina Bravo,

Private Residential Care Facilities (RCFs) fill the gap between independent community living and institutional settings for seniors. There are marked differences between RCFs which make them difficult to compare. To address this issue, the objective of this study was to develop and validate a classification of RCFs based on their ... Read more >>

Can J Aging (Canadian journal on aging = La revue canadienne du vieillissement)
[2014, 33(1):72-83]

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Development of integrated care pathways: toward a care management system to meet the needs of frail and disabled community-dwelling older people.

Nicole Dubuc, Lucie Bonin, André Tourigny, Luc Mathieu, Yves Couturier, Michel Tousignant, Cinthia Corbin, Nathalie Delli-Colli, Michel Raîche,

INTRODUCTION:The home care and services provided to older adults with the same needs are often inadequate and highly varied. Integrated care pathways (ICPs) can resolve these issues. The aim of this study was to develop the content of ICPs to follow-up frail and disabled community-dwelling older people. THEORY AND METHOD:A ... Read more >>

Int J Integr Care (International journal of integrated care)
[2013, 13:e017]

Cited: 6 times

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Identifying psychosocial variables for home care services and how to measure them.

Nathalie Delli-Colli, Nicole Dubuc, Réjean Hébert, Catherine Lestage, Marie-France Dubois,

A Delphi-type expert consultation founded on the RAND/UCLA Appropriateness method was used to select variables related to older adults and environment characteristics perceived essential in assessing psychosocial needs and that could influence the social work workload in home care services. After two rounds of consultation, the 60 experts reached a ... Read more >>

Home Health Care Serv Q (Home health care services quarterly)
[2013, 32(4):197-217]

Cited: 1 time

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[Development of decision support guidance of people in loss of autonomy in the care system in the Canton of Geneva's healthcare system].

Nicole Dubuc, Cinthia Corbin, Maryke Beaudry, Nathalie Delli-Colli, Michel Raîche,

AIM: The objective of this study is to use Iso-SMAF functional autonomy profiles (SMAF: French acronym for Functional autonomy measurement system) and other clinical and sociodemographic characteristics to develop algorithms that would support decision-making in orienting disabled people that would be adapted to current and future options available to a ... Read more >>

Sante Publique (Sante publique (Vandoeuvre-les-Nancy, France))
[2013, 25(2):179-192]

Cited: 1 time

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Efficacy of supervised Tai Chi exercises versus conventional physical therapy exercises in fall prevention for frail older adults: a randomized controlled trial.

Michel Tousignant, Hélène Corriveau, Pierre-Michel Roy, Johanne Desrosiers, Nicole Dubuc, Réjean Hébert,

PURPOSE: To compare the effectiveness of supervised Tai Chi exercises versus the conventional physical therapy exercises in a personalized rehabilitation program in terms of the incidence and severity of falls in a frail older population. METHOD: The participants were frail older adults living in the community, admitted to the day ... Read more >>

Disabil Rehabil (Disability and rehabilitation)
[2013, 35(17):1429-1435]

Cited: 29 times

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Yearly transitions of disability profiles in older people living at home.

Michel Raîche, Réjean Hébert, Marie-France Dubois, N'deye Rokhaya Gueye, Nicole Dubuc,

PURPOSE: Planning home services for older people requires extensive knowledge about the progression of disabilities. Disability-based case-mix classifications identify meaningful groups of older people; yet transitions between profiles are mostly unknown. METHODS: Disability was assessed annually over four years with the Functional Autonomy Measurement System (SMAF) in 1410 older people ... Read more >>

Arch Gerontol Geriatr (Archives of gerontology and geriatrics)
[2012, 55(2):399-405]

Cited: 12 times

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The effect of supervised Tai Chi intervention compared to a physiotherapy program on fall-related clinical outcomes: a randomized clinical trial.

Michel Tousignant, Hélène Corriveau, Pierre-Michel Roy, Johanne Desrosiers, Nicole Dubuc, Réjean Hébert, Valérie Tremblay-Boudreault, Audrée-Jeanne Beaudoin,

PURPOSE: To assess some fall-related clinical variables (balance, gait, fear of falling, functional autonomy, self-actualization and self-efficacy) that might explain the fact that supervised Tai Chi has a better impact on preventing falls compared to a conventional physiotherapy program. METHODS: The participants (152 older adults over 65 who were admitted ... Read more >>

Disabil Rehabil (Disability and rehabilitation)
[2012, 34(3):196-201]

Cited: 15 times

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Meeting the home-care needs of disabled older persons living in the community: does integrated services delivery make a difference?

Nicole Dubuc, Marie-France Dubois, Michel Raîche, N'Deye Rokhaya Gueye, Réjean Hébert,

BACKGROUND:The PRISMA Model is an innovative coordination-type integrated-service-delivery (ISD) network designed to manage and better match resources to the complex and evolving needs of elders. The goal of this study was to examine the impact of this ISD network on unmet needs among disabled older persons living in the community. ... Read more >>

BMC Geriatr (BMC geriatrics)
[2011, 11:67]

Cited: 12 times

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Impact of PRISMA, a coordination-type integrated service delivery system for frail older people in Quebec (Canada): A quasi-experimental study.

Réjean Hébert, Michel Raîche, Marie-France Dubois, N'Deye R Gueye, Nicole Dubuc, Michel Tousignant, ,

OBJECTIVES: To evaluate the impact of a coordination-type integrated service delivery (ISD) model on health, satisfaction, empowerment, and services utilization of frail older people. METHODS: Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) is a population-based, quasi-experimental study with three experimental and three comparison areas. From ... Read more >>

J Gerontol B Psychol Sci Soc Sci (The journals of gerontology. Series B, Psychological sciences and social sciences)
[2010, 65B(1):107-118]

Cited: 49 times

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Is there agreement between Canadian older adults and their primary informal caregivers on behaviour towards institutionalisation?

Marie-France Dubois, Nicole Dubuc, Chantal D Caron, Michel Raîche, Réjean Hébert,

We aimed to compare behaviour towards institutionalisation between frail older adults and their informal caregivers, and identify correlates of differential behaviour. In 2004, during the fourth wave of the longitudinal Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA) study (province of Québec, Canada), 86.7% of eligible ... Read more >>

Health Soc Care Community (Health & social care in the community)
[2009, 17(6):610-618]

Cited: 4 times

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Correlates of the perceived need for institutionalisation among older adults without cognitive impairment.

Marie-France Dubois, Nicole Dubuc, Michel Raîche, Chantal D Caron, Réjean Hébert,

BACKGROUND: While many studies investigate the factors that influence the institutionalisation of older persons, only a few consider one of its most important predictors, namely, the perceived need for institutionalisation. Also referred to as 'desire for institutionalisation', it has mainly been investigated for informal caregivers of older adults suffering from ... Read more >>

Gerontology (Gerontology)
[2008, 54(4):244-251]

Cited: 5 times

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The effectiveness of the PRISMA integrated service delivery network: preliminary report on methods and baseline data.

Réjean Hébert, Marie-France Dubois, Michel Raîche, Nicole Dubuc, ,

PURPOSE: The PRISMA study analyzes an innovative coordination-type integrated service delivery (ISD) system developed to improve continuity and increase the effectiveness and efficiency of services, especially for older and disabled populations. The objective of the PRISMA study is to evaluate the effectiveness of this system to improve health, empowerment and ... Read more >>

Int J Integr Care (International journal of integrated care)
[2008, 8:e03]

Cited: 6 times

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The social support experiences of major junior ice hockey players in a physically removed region of Canada.

Timothy V Dubé, Robert J Schinke, David J Hancock, Nicole G Dubuc,

The present report from a larger project overviews the sources and types of social support resourced by 10 major junior athletes while they performed out of one physically removed Canadian region. Retrospective interviews and content analysis were conducted during three stages (3, 3, and 4 respondents). The data were segmented ... Read more >>

J Sports Sci Med (Journal of sports science & medicine)
[2007, 6(4):393-400]

Cited: 0 times

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Identifying characteristics of residential care facilities relevant to the placement process of seniors.

Catherine Lestage, Nicole Dubuc, Gina Bravo,

OBJECTIVE: To identify which characteristics of the physical and organizational environments of residential care facilities (RCFs) need to be known to support the placement process of seniors with cognitive and physical disabilities. DESIGN: We used a 2-round postal Delphi survey based on the RAND/UCLA Appropriateness Method with 2 groups of ... Read more >>

J Am Med Dir Assoc (Journal of the American Medical Directors Association)
[2008, 9(2):95-101]

Cited: 5 times

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[Journey of the combatants. Interview by Veronique Robert].

Carolyn Pepler, Francine Ducharme, Nicole Dubuc,

Perspect Infirm (Perspective infirmiere : revue officielle de l'Ordre des infirmieres et infirmiers du Quebec)
[2008, 5(4):25-27]

Cited: 0 times

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Validation study of a social functioning scale: The social-SMAF (social-Functional Autonomy Measurement System).

Eugénie Pinsonnault, Nicole Dubuc, Johanne Desrosiers, Nathalie Delli-Colli, Réjean Hébert,

This article aims to describe the validation studies of a social functioning scale developed recently to be possibly added to the SMAF. One hundred and one older adults presenting moderate to severe disabilities and living in two long-term care institutions (LTCI) participated in the validation studies. For the interrater reliability, ... Read more >>

Arch Gerontol Geriatr (Archives of gerontology and geriatrics)
[2009, 48(1):40-44]

Cited: 4 times

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Disability-based classification system for older people in integrated long-term care services: the Iso-SMAF profiles.

Nicole Dubuc, Réjean Hébert, Johanne Desrosiers, Martin Buteau, Lise Trottier,

This study was conducted to develop and evaluate a disability-based classification system for management of long-term care (LTC) needs in an integrated service delivery system. We collected cross-sectional data on 29 items of the Functional Autonomy Measurement System (SMAF) from a stratified multistage sampling of 1977 elderly people with disabilities ... Read more >>

Arch Gerontol Geriatr (Archives of gerontology and geriatrics)
[2006, 42(2):191-206]

Cited: 28 times

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