Santé et Services sociaux Québec.
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Lunch hour conferences 2015

Integration of Personalized Healthcare in Quebec’s Healthcare System: Context and Key Issues

January 29, 2015

Daniel Bouthillier, Director-General, Regroupement en soins de santé personnalisés au Québec
(Coalition for Personalized Healthcare in Quebec)

Nicole Beaudry, Secretary-General, Commission de l’éthique en science et en technologie
(Commission on Ethics in Science and Technology)

Personalized healthcare, also called "personalized medicine", is based on a better understanding of patients and their genetic profile, environment, behavior, medical history and certain metabolic characteristics in order to identify and prioritize appropriate healthcare services more accurately. Indeed, it has the potential to radically change the practice of medicine as well as health management approaches by allowing for individualized diagnosis, treatment and prevention of diseases with a genetic component.

Speakers will present the Regroupement en soins de santé personnalisés au Québec, a non-profit organization created in 2011 following a consultation of over 140 Quebec leaders in life sciences and health technologies. The situation of personalized healthcare in Quebec will be discussed, including the opportunities, impacts and tools of such approach as well as the results of a survey of physicians on the integration of personalized healthcare in medical practice in Quebec.

Subsequently, there will be a presentation of the Commission de l’éthique en science et en technologie’s review on personalized healthcare entitled “Personalized Healthcare: Caution and Guidelines”. The Commission seeks to ensure that the integration of personalized healthcare in Quebec’s healthcare system is respectful of the society’s values and adapted to the State’s limited resources. The main legal, ethical and socio-economic challenges posed by the introduction of personalized healthcare will also be outlined. Finally, the Commission’s recommendations will be discussed.

This lunch hour talk is intended for managers, health professionals and other actors from different sectors concerned by this topic.

Men's Health: How Are Men Doing in Quebec?

April 22, 2015

Gilles Tremblay, Ph.D., social worker, professor at the School of Social Work and head of Masculinités et Société, Université Laval
Jacques Roy, Ph.D., sociologist and researcher for Masculinités et Société, Université Laval (Masculinities and Society, Laval University)

Men have an average life expectancy of four years less than women and outnumber the latter with regards to 14 of the 15 leading causes of death in Canada. Furthermore, teenage boys represent the majority of young people in rehabilitation centers while adult men account for approximately 90% of the prison population as well as a large proportion of people benefiting from addiction services. Yet, it is only recently that more attention has been paid to male gender in the field of health and social services.

"Men’s Perceptions of their Psychosocial and Health Needs in Quebec" is a large concerted research project launched in 2012 in line with governmental priorities and based on four components:

  1. a meta-synthesis of 65 studies conducted in the province of Quebec and involving men;
  2. an update of public data providing an overview of men’s health along with their use of health and social services;
  3. a survey of 2,084 Quebec men in collaboration with SOM;
  4. focus groups targeting most vulnerable groups of men.

This presentation will identify the main results of the project’s first three stages and discuss overall preliminary results.

This lunch hour talk is intended for managers, health professionals and other actors from different sectors concerned by this topic.

The Challenge of Integrating Spirituality when Providing Healthcare and Social Services

June 9, 2015

Guy Jobin, Ph. D., Chair in Religion, Spirituality and Health, Department of Theology and Religious Sciences,
Université Laval

Pierre R. Gagnon, md, FRCPC, psychiatrist specialised in psycho-oncology,
CHU de Québec – Université Laval, Hôtel-Dieu de Québec

For thirty years, spirituality has interested the worlds of medicine and health institution management. Initially a concern within palliative care settings, the impact of spirituality on health has now caught the interest of other sectors such as oncology, geriatrics, mental health and nephrology. The fact that a large number of caregivers pay attention to the impact of an illness on the spiritual experience of patients and their families is closely linked to the bio-psycho-social model of care. Moreover, Quebec’s legislation on health and social services states that institutions must ensure the provision of quality health and social services that are continuous, accessible, safe and respectful of people’s rights and spiritual needs (art. 100).

Professionals from various fields, such as nurses, social workers, psychologists, occupational therapists and doctors, claim the capacity to intervene spiritually with patients and their relatives. Such interest raises several issues among clinicians and health care researchers: What spirituality are we talking about? Can spirituality be treated? What role can spirituality play in care relationships and institutions? How can spiritual support be provided in non-denominational schools? Who can provide it and based on what training and skills?

A conference on these challenges was organized on June 9th, 2015 by the Direction générale de la planification, de la performance et de la qualité and the Direction québécoise de cancérologie, both under Quebec’s Ministry of Health and Social Services. A cognitive-existential model of intervention for people with cancer was also described according to a comprehensive care perspective.

The reform of Health Systems : Inertia and Transformation

September 25, 2015

Jean-Louis Denis
Professor and chairholder of the Canada research chair on governance and transformation of health care organizations and systems, École nationale d’administration publique

The health systems in OECD countries cope with common challenges as regards of transforming and improving their performance. Mr Denis is a recognized professor in the areas of management and governance of organizations and health systems. His presentation will address issues surrounding health systems transformation capacity by referring to a research program  underway.

Particular attention will be paid to political, organizational and clinics capacities that increase the potential for transformation and improvement of health systems. The development and implementation of such capacities are crucial for the continuation of reforms that are undertaken. The change process management, closely linked to the transformation capacity, will also be part of the discussions.