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Lunch hour conferences 2016


Adapted access: an innovation to improve access to first line health services at the appropriate time

January 26, 2015

By:
Mylaine Breton, Ph. D, professor and researcher, Centre de recherche de l’Hôpital Charles LeMoyne, Université de Sherbrooke, Campus de Longueuil

Alexis Guilbert-Couture, trainer for adapted access, Direction de l’organisation des services de première ligne intégrée, Ministère de la Santé et des Services sociaux, Québec

Access to first line health services is a contemporary challenge for a large number of countries of the Organization for Economic Cooperation and Development. Commonwealth Fund’s data regularly compare the performance of many countries. This comparison is done with numerous indicators related to health services’ accessibility, including the access to a first line professional at the appropriate time.

Innovations are put in place to improve access at the appropriate time of which the adapted access is the most important realization. Adapted access was developed in the United States of America and implanted in a lot of countries. In Québec, it’s only recently that family physicians have adopted this innovation. The team met physicians who had participated to the first trainings jointly provided by the ministry of Health and Social services along with the Federation of the general physicians of Quebec.

In addition, the team met health care professionals working in family practice units which have been among the first one to implement adapted access. The intent was to learn about the perceptions of frontline practitioners about adapted access. The presentation briefly summarises the results of these two research projects and recalls general guidelines of improved access as well as the challenges met during its implementation. This presentation is intended for managers, professionals, administrative staff and other partners involved in the field.


Ministerial initiative on the Alzheimer's disease and other major neurocognitive disorders: an approach inspired by clinical and organizational best practices

February 24th, 2016

By:
Pierre Bouchard, co-responsible of the project, Direction générale des services de santé et de médicine universitaire, Ministère de la Santé et des Services sociaux (MSSS), Québec

Hélène Van Nieuwenhuyse, co-responsible of the project, Direction générale des services sociaux, MSSS, Québec

Dr Isabelle Vedel, public health physician and Assistant Professor, Department of Family Medicine, McGill University, Montréal

Yves Couturier, Ph D, professor, Département de service social, Université de Sherbrooke and chairholder of the Chaire de recherche du Canada sur les pratiques professionnelles d'intégration des services en gérontologie, Sherbrooke

Health systems have to adapt themselves quickly to the ageing of the population and to the considerable increase of the number of people suffering from the Alzheimer's disease or from other major neurocognitive disorders. These chronic diseases engender particularly complex needs.

In answer to this large-scale concern, the MSSS launched in 2013 the deployment of 19 projects of the Ministerial initiative on the Alzheimer's disease and other major neurocognitive disorders. The projects targeted groups of family medicine (GMF) in fourteen regions of the province of Quebec. More than 40 GMF, 20 health and social services centers and 16 bodies of diverse natures were involved in this vast operation which was the first phase of the ministerial initiative. This phase aimed initially at enhancing in GMF the identification, the evaluation, the diagnosis and the care of the affected people and their close relations. Of duration of two years, these 19 projects lead to the identification of clinical and organizational best practices which allow better primary care coverage, and afterward in all the continuum of services.

Inspired from an expert report (Rapport Bergman), the approach recommended in Quebec bets on the exercise of an asserted ministerial leadership, a strategy and ways which establish an innovative model of change management applicable to the organization of clinical services.

This innovation was the object of an evaluative research led by an independent research team. This research includes two imbricated studies: a quantitative study, which measured the effects of the ministerial initiative on the quality of the care offered to the patients in the GMF and a qualitative study which identified the best practices of change management. A synthesis of the results available as well as the next steps planned for the second phase of this initiative will be presented and will be the object of discussions with the assembly.

This presentation is intended for managers, professionals, administrative staff and other partners involved in the field.


The violence lived by the Quebeckers before the age of 16 years and the health in the adulthood: what are the links?

May 4th, 2016

By :

Mrs. Jasline Flores, coordinator of the programme d’enquêtes en organisation des services, Direction des statistiques de santé, Institut de la statistique du Québec

Mrs. Julie Laforest, scientific advisor, prévention de la violence, Sécurité et prévention des traumatismes, Institut national de santé publique du Québec

Mrs. Katrina Joubert, research agent, programme d’analyses secondaires de données en santé et en enquêtes spéciales, Institut de la statistique du Québec

In the province of Quebec, few data are available to measure the scale of the violence lived during the childhood, and it is true in spite of the consequences known on the physical, cognitive, emotional and social development of the people. This presentation follows upon the recent publication of a bulletin of the collection Zoom santé of the Institut de la statistique du Québec concerning the violence and the health. This publication presents prevalence of the exposure to the violence between adults, and physical and sexual violence undergone before the age of 16 years. The links between this life experience and certain indicators connected to the state of mental and physical health in the adulthood are also explained.

The presentation will allow to expose three striking facts 1) that the violence arrives early into the life of the Quebeckers, because approximately 1,77 million people of 18 and more years old (28 %) underwent at least a shape of violence before the age of 16 years; 2) that the fact of having been exposed during the childhood and the adolescence to the one or other one of the studied forms of violence is associated with the state of mental health (mental disorders or mental problems related to consumption of substances, to suicidal ideations and to suicide attempts); and 3) that the frequency of the exposure to these violent acts during the childhood and the adolescence does not need to be raised so that these problems arise in the adulthood, but so that the accumulation of these experiences compromises more the well-being of the people later in life.

This presentation is intended for managers, professionals, administrative staff and other partners involved in the field.


Live together at the time of globalization: perceived discrimination, emotional difficulties and support to violent radicalization.

November 2nd, 2016

By:
Mrs. Cécile Rousseau, full professor, Psychiatry Department, McGill University and scientific director of SHERPA, Research center of CIUSSS du Centre-Ouest-de-l’Île-de-Montréal

This conference will present a research on the determinants of support to violent radicalization among collegians of Quebec. 1894 students answered this online survey done in 8 Cegeps (winter and spring 2016).

The results suggest that, altogether, the support to violent radicalization remains weak and that the majority of the students consider that the "live together in Cegeps" is doing well. However, racist and resentful words are frequently reported, underlining the importance to continue to intervene in this domain. The men, the young people of less than 25 years old, the students not referring to a religion, the students native of Quebec and the second generation migrants are the most susceptible to support the violent radicalization. Past personal or familial experiences of violence, perceived discrimination and symptoms of depression are associated to an increase of the support to violent radicalization. A stronger religiosity, a better social support and a solid collective identity appear to be factors of protection.

The implications for training, prevention and intervention in Cegeps’, education’s, health and social services’ circles serving young clienteles will be discussed.

This presentation is intended for managers, professionals, administrative staff and other partners involved in the field.



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