291 results on '"Soins de santé"'
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2. ‘Everything I can do at home, I will do it at home’: the materialities, temporalities, and spatialities of telemedicine abortion care.
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Engle, Olivia
- Subjects
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MIFEPRISTONE , *ABORTION , *AFFECT (Psychology) , *ABORTION clinics , *DRUGS , *SYMPTOMS , *TELEMEDICINE - Abstract
The advent of telemedicine abortion in 2020 in the United States meant that abortion care was increasingly pushed out of clinical settings and into the home. Yet, within the context of abortion inequalities and restrictions in the US, there is often more focus on provision of and access to medication abortion via telemedicine than there is on what happens after the abortion pills are acquired. This paper brings together and advances scholarship in abortion, care, and home geographies to address this empirical gap by exploring the material, temporal and spatial dimensions of telemedicine abortion care at home, and examining how these dimensions shape the embodied, emotional, and affective experience of abortion care. Telemedicine abortion allows individuals to self-manage the timing, symptoms, and space of their abortion, thereby creating a caring atmosphere. A geographical perspective on telemedicine abortion reveals that taking the abortion pills at home shapes the experience of abortion care. [ABSTRACT FROM AUTHOR]
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- 2025
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3. Care ethics in transnational healthcare: attentiveness, competence, and responsibility in medical travel facilitation.
- Author
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Hartmann, Sarah
- Subjects
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ATTENTION , *NEGOTIATION , *ETHICS , *RESPONSIBILITY , *VIRTUE - Abstract
Travelling abroad and seeking healthcare beyond the national healthcare system is a reality for many patients, and a whole industry has evolved around medical travel over the last decades. Transnational healthcare is highly mediated, and different sorts of facilitators contribute to making medical travel more feasible and comfortable for international patients. However, the negotiation of different options, interests, and values around care is challenging, ethically complex, and compounded by the transnational context. This paper draws on care ethics to discuss the ways in which complexities around care are being negotiated through practices of medical travel facilitation between Oman and India. To do so, the paper analyses the process of selecting a healthcare provider abroad – one of the critical moments of mediating medical travel – in detail, with special attention to the ethical virtues of attentiveness, competence, and responsibility. The empirical data illustrates some of the ethical challenges around care, which are accentuated in transnational healthcare, and builds up a care ethic that allows for negotiations to be a situational and a collaborative effort towards a 'good enough' compromise. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Factors that Influence the Learning Curve: Evidence from Cost Behavior in Clinical Labs.
- Author
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KRISHNAN, RANJANI and RAMASUBRAMANIAN, HARI
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COST control ,INFORMATION technology ,BUDGET ,PANEL analysis ,LEARNING ability ,ORGANIZATIONAL learning ,ACADEMIC motivation - Abstract
Copyright of Contemporary Accounting Research is the property of Canadian Academic Accounting Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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5. Prevalence and regional distribution of obstructive sleep apnea in Canada: Analysis from the Canadian Longitudinal Study on Aging
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Rizzo, Dorrie, Baltzan, Marc, Sirpal, Sanjeev, Dosman, James, Kaminska, Marta, and Chung, Frances
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- 2024
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6. Pratique de l’auto-examen des seins et facteurs associés chez les professionnelles de la santé du Saint Paul’s Hospital Millennium Medical College d’Addis Abeba, en Éthiopie
- Author
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Meskerem Birru Desalegn and Muluneh Kidane Tufa
- Subjects
sein ,auto-examen des seins ,éthiopie ,soins de santé ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Contexte : Le cancer du sein est le cancer le plus fréquent chez les femmes; il constitue un problème de santé mondial. Il peut toutefois être gérable si le diagnostic est précoce et que les protocoles de traitement avancé (par chirurgie, chimiothérapie et radiothérapie) sont adéquats. L’auto-examen des seins a pour but de détecter la présence de bosses, de déformations ou de gonflements dans le sein, ce qui facilite le diagnostic précoce. Objectifs : L’étude, réalisée en 2022, avait pour but d’évaluer la pratique de l’auto-examen des seins et les facteurs associés chez les professionnelles de la santé travaillant au St. Paul’s Hospital Millennium Medical College d’Addis Abeba, en Éthiopie. Méthodologie : Une étude transversale a été menée en établissement, au St. Paul’s Hospital Millennium Medical College. Les participants ont été recrutées par échantillonnage aléatoire systématique et stratifié. Des infirmières ont recueilli les données à l’aide de questionnaires structurés, puis les ont analysées avec la version 20 du logiciel SPSS. Des analyses de régression logistique ont été appliquées pour évaluer les facteurs pertinents. Les variables libres pour lesquelles la valeur p était supérieure à 0,05 étaient considérées statistiquement significatives. Résultats : En tout, 400 personnes ont pris part à l’étude, ce qui correspond à un taux de réponse de 100 %. L’âge médian des participantes était de 28 ans, pour un écart interquartile de 6 ans. Environ les deux tiers (63,8 %) des participantes possédaient de bonnes connaissances au sujet de l’auto-examen des seins, 46,3 % avaient une attitude positive par rapport à la technique et 76,25 % disaient la mettre en pratique. Des associations significatives ont été observées entre la pratique de l’auto-examen des seins et des facteurs comme l’âge, le revenu mensuel et les connaissances sur l’auto-examen. Comparativement aux participantes âgées de 40 ans et plus, celles qui avaient entre 25 et 29 ans (rapport de cotes ajusté [RCA] = 0,10; IC à 95 % : 0,01, 0,88) et entre 35 et 39 ans (RCA = 0,09; IC à 95 % : 0,01, 0,92) étaient moins susceptibles de pratiquer l’auto-examen des seins; les femmes dont le revenu mensuel était inférieur à 5 250 birrs (RCA = 0,19; IC à 95 % : 0,035, 0,996) ou se situait entre 5 251 et 7 800 birrs (RCA = 0.,6; IC à 95 % : 0,032, 0,78) et entre 7 801 et 10 900 birrs (RCA = 0,18; IC 95 % : 0,04, 0,83) étaient moins susceptibles de pratiquer l’auto-examen des seins; les participantes ayant de bonnes connaissances au sujet de l’auto-examen (RCA = 2,08; IC à 95 % : 1,23, 3,53) étaient plus aptes à le pratiquer. Conclusion : L’étude a révélé qu’environ les trois quarts des professionnelles de la santé pratiquaient l’auto-examen des seins. Des associations statistiquement significatives ont été observées entre la mise en pratique de la technique et des facteurs comme l’âge, le revenu mensuel et les connaissances au sujet de l’auto-examen des seins.
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- 2024
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7. The Saudi Community View of the Use of Artificial Intelligence in Health Care.
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Albinsaad, Loai S., Alkhawajah, Amnah Ali, Abuageelah, Bandar M., Alkhalaf, Rabab A., Alfaifi, Mona H., Oberi, Imtenan Ali, Alnajjad, Ahmed I., Albalawi, Ibrahim A., Alessa, Mohammed Y., and Khan, Arshadullah
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SOCIAL media , *CONVENIENCE sampling (Statistics) , *MEDICAL technology , *ARTIFICIAL intelligence , *OPTIMISM - Abstract
Objectives: Artificial intelligence (AI) holds the promise to revolutionize the field of medicine and enhance the well-being of countless patients. Its capabilities span various areas, including disease prevention, accurate diagnosis, and the development of innovative treatments. Moreover, AI has the potential to streamline health-care delivery and lower expenses. The community should be aware of the potential applications of AI in health care, so that they can advocate for its development and adoption. Hence, the objective of this study is to assess the community's perspectives regarding the utilization of AI in health care. Methods: A cross-sectional, questionnaire-based study was conducted in Saudi Arabia during the period of June to October 2023. The questionnaire was distributed to people on various social media platforms using a convenience sampling method. The collected data were analyzed using Statistical Package for the Social Sciences. Results: The study included 771 individuals, with 42.5% having a positive outlook on the use of AI in health care, 31.8% having a neutral view, and 7.5% having a negative view. The only factor associated with a positive opinion was regional differences (P = 0.006). Moreover, participants who used medical apps or programs (P = 0.026), wearables (P = 0.027), felt more confident in using technology (P < 0.001), enjoyed using technology (P < 0.001), found it easier to familiarize themselves with new devices or programs (P < 0.001), and had more knowledge about AI (P < 0.001) had more positive opinions regarding the use of AI in health care. Conclusions: The study found that most Saudis, especially those who were familiar with the use of technology, support the use of AI in health care, with a positive or neutral view. Yet, targeted campaigns in certain regions are needed to educate the entire community about AI's potential benefits. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Describing the practice of breast self-examination and associated factors among female healthcare workers in Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
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Desalegn, Meskerem Birru and Tufa, Muluneh Kidane
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CROSS-sectional method ,MEDICAL personnel ,ACADEMIC medical centers ,EARLY detection of cancer ,SOCIOECONOMIC factors ,STATISTICAL sampling ,LOGISTIC regression analysis ,DESCRIPTIVE statistics ,ECONOMIC status ,AGE distribution ,BREAST self-examination ,WOMEN employees ,STATISTICS ,SOCIODEMOGRAPHIC factors ,DATA analysis software ,CONFIDENCE intervals ,PSYCHOSOCIAL factors ,EDUCATIONAL attainment - Abstract
Copyright of Canadian Oncology Nursing Journal is the property of Pappin Communications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
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9. Le leadership par l’entrepreneuriat
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Marino, Laure, Accad, Aila, Barr, Taura L., Hassmiller, Susan B., editor, and Pulcini, Joyce, editor
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- 2024
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10. Including Organizational Ethics in the Risk Management Process: Towards Improved Practices and Analysis.
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Bouchard, Laurie and Dion-Labrie, Marianne
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ORGANIZATIONAL ethics , *SOCIAL services , *SOCIAL structure , *TOTAL quality management , *SOCIAL clubs - Abstract
Risk management has played an important role in Quebec’s health and social services organizations for several years. This process is based on two guiding principles: the just culture and the no-blame concept and is an integral part of the Act respecting healthcare and social services. However, for all its usefulness, the current risk management process has certain limitations and criticisms. To overcome these weaknesses, the association of organizational ethics with the risk management process represents an interesting option. The use of organizational ethics concepts and tools overcomes the limitations of risk management and even optimizes it. Both are organizational processes with many common objectives and links, and both provide tools for decision-making. The combination of organizational ethics and risk management broadens the scope of risk management. To enable the best possible optimization, an analysis grid is proposed, and recommendations are made for the inclusion of ethics in risk management. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Vulnerability of Asylum Seekers and Undocumented Migrants in Toronto.
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UNDOCUMENTED immigrants ,REFUGEES ,IMMIGRANTS ,MASS migrations ,COUNTRIES ,MEDICAL care - Abstract
This article examines the underlying structural elements contributing to the vulnerability experienced by asylum seekers and undocumented migrants across two critical domains: refugee eligibility examination and accessibility of essential social services, particularly healthcare. By drawing insights from fieldwork conducted in Toronto between 2020 and 2022, this article investigates how migrants navigate and perceive vulnerability encountered both at the front-end of the refugee status determination and while trying to access social services. It discusses the perspectives of key stakeholders, including lawyers, representatives of immigrant-focused non-profit organizations, and municipal officials, shedding light on their experiences and insights regarding the challenges faced by migrants. Furthermore, this article critically evaluates Canada's adherence to the principles articulated in the 2018 United Nations Global Compacts on Migration and Refugees concerning the mitigation of vulnerability among migrant populations. Résumé: Cet article offre un examen des éléments structurels qui contribuent à la vulnérabilité vécue par les demandeurs d'asile et les migrants sans papiers dans deux domaines critiques, soit l'évaluation de l'admissibilité au statut de réfugié et l'accessibilité aux services sociaux essentiels notamment en matière de soins de santé. En s'appuyant sur un travail de terrain mené à Toronto entre 2020 et 2022, cet article étudie la façon dont les migrants perçoivent et vivent la vulnérabilité rencontrée, et ce, que ce soit lors de la détermination du statut de réfugié ou encore lorsqu'ils tentent de bénéficier de services sociaux. De plus, cet article discute des points de vue des principaux acteurs impliqués, notamment des avocats, des représentants d'organisations à but non lucratif axées sur les immigrants et des fonctionnaires municipaux, afin de faire la lumière sur leurs expériences et leurs observations concernant les défis auxquels sont confrontés les migrants. Plus largement, cet article offre un regard critique sur l'adhésion du Canada aux principes énoncés dans les Pactes mondiaux des Nations unies sur les réfugiés et les migrations (2018) relativement à l'atténuation de la vulnérabilité des populations migrantes. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Prévenir et agir sur les violences à caractère sexuel : lorsque la qualité des soins de santé dédiés aux personnes concernées se heurte au déficit de crédibilité.
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VALLÉE-OUIMET, SANDRINE, LABRECQUE-LEBEAU, LISANDRE, PARISEAU-LEGAULT, PIERRE, and BUJOLD, AUDREY
- Abstract
Quebec is moving towards the recognition of sexual violence (SV) as a public health issue considering the seriousness of its consequences on victims' health. This recognition is taking place in the context of waves of denunciation (e.g. #Metoo of 2017). The failure to make the phenomenon intelligible has the effect of unfairly affecting the credibility of SV victims, who are often not taken seriously by public institutions. Several authors have studied the impact of this credibility deficit in judicial contexts, but few have focused on the institutional process inherent in healthcare facility. Based on a systematic review of the literature on care practices for victims of SV, this article has two objectives. Firstly, we wish to contribute to the collective reflection on the prevention and care of SV victims, in order to better understand the epistemic injustices (EI) they experience. Secondly, we would like to suggest avenues of reflection for caregivers, to raise their awareness of EIs and promote support for victims and prevention of SV. [ABSTRACT FROM AUTHOR]
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- 2024
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13. Integrated Community Care Delivered by Public Health-Care and Social-Care Systems: Results from a Realist Synthesis.
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ALLAIRE, JEAN-FRANÇOIS, MORIN, PAUL, DORÉ, CHANTAL, HYPPOLITE, SHELLEY-ROSE, BADJI, MARIE SUZANNE, and ZOMAHOUN, HERVÉ TCHALA VIGNON
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COMMUNITY health services , *MEDICAL information storage & retrieval systems , *CINAHL database , *EVALUATION of human services programs , *EVALUATION of medical care , *SYSTEMATIC reviews , *MEDLINE , *SOCIAL networks , *PUBLIC health , *SOCIAL support , *QUALITY assurance , *INTEGRATED health care delivery , *HEALTH care teams , *PSYCHOLOGY information storage & retrieval systems - Abstract
Introduction: Integrated community care (ICC) is defined as an interweaving of healthcare and social-care interventions deployed in spatial and relational proximity using an interdisciplinary and cross-sectoral approach. Consideration of territory scale and time scale are at the center of ICC practices. Its deployment in public health and social care networks (HSCN) can be complex due to their broad mandate, the complexity of their management, and accountability. Therefore, we aimed to describe ICC delivered by public HSCN to determine how, why, for whom, and in what circumstances ICC works and produces outcomes. Methods: A realist synthesis was conducted consisting of five steps consistent with realist synthesis standards (RAMESES projects) to produce configurations of Context - Mechanism - Outcomes (CMOc) and development of a middle-range explanatory theory of why and how the identified outcomes may have occurred. Results: In total, 26 studies were selected and used, as evidence, to support--either partially or fully--the production of CMOc based on the initial program theory. Nine unique CMO configurations were identified based on the data analyses and team discussion. ICC middle-range theory is informed by the CMO configurations identified. Discussion: This realist synthesis allowed us to identify the central mechanisms of ICC delivered by public HSCN and to produce a middle range theory. ICC is based on a specific philosophy and deployed by a professional agency oriented toward a community agency within a local system of interdisciplinary and cross-sectoral action. Conclusion: Our middle-range theory will provide a solid analytical framework as a foundation for ICC implementation and future research. [ABSTRACT FROM AUTHOR]
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- 2024
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14. Détresse morale et conséquences psychologiques et fonctionnelles négatives chez les thérapeutes respiratoires canadiens ayant envisagé de quitter leur poste clinique pendant la pandémie de COVID-19.
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D'Alessandro-Lowe, Andrea M., Ritchie, Kimberly, Brown, Andrea, Easterbrook, Bethany, Yuanxin Xue, Pichtikova, Mina, Altman, Max, Beech, Isaac, Millman, Heather, Foster, Fatima, Hassall, Kelly, Levy, Yarden, Streiner, David L., Hosseiny, Fardous, Rodrigues, Sara, Heber, Alexandra, O'Connor, Charlene, Schielke, Hugo, Malain, Ann, and McCabe, Randi E.
- Abstract
Introduction. Les thérapeutes respiratoires ont été confrontés à des situations moralement difficiles tout au long de la pandémie de COVID-19, en particulier le fait d'avoir peu de ressources pour effectuer leur travail ou encore la participation à des appels vidéo avec les familles de patients mourants. La détresse morale (c'est-à-dire la détresse psychologique résultant de l'interdiction de suivre un plan d'action reconnu et approprié d'un point de vue éthique) est associée à une foule de conséquences psychologiques et fonctionnelles négatives (dépression, anxiété, symptômes du trouble de stress post-traumatique [TSPT], déficience fonctionnelle, etc.) et au fait d'envisager de quitter son poste. L'objectif de cette étude était de comprendre l'effet de la détresse morale et de ses conséquences psychologiques et fonctionnelles sur le fait que des thérapeutes respiratoires canadiens aient envisagé de quitter leur poste clinique pendant la pandémie de COVID-19. Méthodologie. Des thérapeutes respiratoires canadiens (N = 213) ont répondu à un sondage en ligne entre février et juin 2021. Des caractéristiques inividuelles de base (âge, sexe/genre, etc.) ont été recueillies, ainsi que des mesures psychométriques validées de la détresse morale, de la dépression, de l'anxiété, du stress, du TSPT, de la dissociation, de la déficience fonctionnelle, de la résilience et des expériences négatives vécues durant l'enfance. Résultats. Un thérapeute respiratoire sur quatre a déclaré envisager de quitter son poste en raison d'une détresse morale. Ceux qui envisageaient de le faire ont fait état de niveaux élevés de détresse morale et de conséquences psychologiques et fonctionnelles négatives comparativement aux thérapeutes respiratoires qui n'envisageaient pas de quitter leur poste. Plus de la moitié (54,5 %) de ceux qui envisageaient de quitter leur poste ont obtenu un score supérieur au seuil indiquant un diagnostic potentiel de TSPT. Le fait d'avoir déjà envisagé de quitter un poste auparavant en raison d'une détresse morale et le fait d'avoir effectivement quitté un poste antérieur augmentaient significativement la probabilité d'envisager de quitter son poste, tout comme la détresse morale liée au système et les symptômes de TSPT, mais la contribution de ces derniers facteurs était faible. Conclusion. Les thérapeutes respiratoires canadiens qui envisageaient de quitter leur poste en raison d'une détresse morale ont signalé des niveaux élevés de détresse et de conséquences psychologiques et fonctionnelles négatives. Il semble néanmoins peu probable que ces facteurs individuels soient les principaux facteurs pour lesquels ils envisageaient de quitter leur poste, car les effets en étaient faibles. D'autres recherches sont nécessaires pour cerner les facteurs organisationnels plus vastes susceptibles d'inciter les thérapeutes respiratoires canadiens à vouloir quitter leur poste. [ABSTRACT FROM AUTHOR]
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- 2023
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15. KNOWLEDGE AND ATTITUDES OF BACCALAUREATE SOCIAL WORK STUDENTS ABOUT INTERPROFESSIONAL COLLABORATION IN CANADA.
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Azulai, Anna and Vipond, Celina
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INTERPROFESSIONAL collaboration ,SOCIAL work education ,BACHELOR'S degree ,PROFESSIONAL education - Abstract
Copyright of Canadian Social Work Review / Revue Canadienne de Service Social is the property of Canadian Association for Social Work Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
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16. Professional Clinical Bioethics: The Next Generation.
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Potter, Jordan
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MEDICAL ethics committees , *BIOETHICS , *BIOETHICISTS , *PROFESSIONAL employees - Abstract
This commentary details the shortcomings of the traditional healthcare ethics committee model in modern healthcare and argues for the necessity of professional clinical bioethicists to better meet modern healthcare’s ethics needs. [ABSTRACT FROM AUTHOR]
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- 2024
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17. L’Adaptation des services à la Clinique santé ses réfugiés de Québec: Une réponse aux impacts de la pandémie de COVID-19 chez les personnes réfugiées
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Lucienne Martins-Borges, Mariá Boeira-Lodetti, Valérie Hamel-Genest, Marie-Elisa Fortin, Gabrielle Robert, Stéphanie Arsenault, and Lucille Langlois
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COVID-19 ,réfugiés ,soins de santé ,équité en santé ,impacts de la pandémie ,Communities. Classes. Races ,HT51-1595 - Abstract
Cet article a pour but de documenter l’adaptation des services de la Clinique santé des réfugiés de Québec pendant les première et deuxième vagues de la pandémie de COVID-19. En s’appuyant sur un devis de recherche qualitative, des entrevues semi-structurées ont été réalisées auprès des intervenantes et intervenants ayant travaillé à cette clinique. Les résultats ont été systématisés selon les thématiques suivantes : adaptation des services, outil de dépistage, déroulement des interventions, besoins des personnes réfugiées durant la pandémie et retombées de l’adaptation des services. La reconnaissance que les personnes réfugiées constituent une population vulnérable a été essentielle pour empêcher une rupture de l’offre de services, jouant ainsi un rôle de prévention.
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- 2023
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18. Démasquer le paternalisme latent en santé : apports du philosophe Ruwen Ogien
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Arthur Filleul, Marie-Josée Drolet, and Anne Hudon
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autonomie ,bioéthique ,éthique clinique ,injustice épistémique ,paternalisme ,soins de santé ,Ethics ,BJ1-1725 - Abstract
Le but de notre article est d’identifier ce qui, dans la pensée du philosophe libertaire et égalitaire Ruwen Ogien, permet de démasquer et de réinterroger le paternalisme latent qui perdure encore dans les pratiques des professionnels de la santé. Car bien que les avancées récentes des modèles de soins laissent plus de place à la voix des personnes soignées ainsi qu’à leur libre autodétermination, celles-ci n’ont pas mis fin au paternalisme en santé. Nous présentons ici les différents points clés de l’argumentaire d’Ogien visant à critiquer le paternalisme en santé, pour prendre conscience du paternalisme latent et constater que de celui-ci découlent des injustices épistémiques et sociales qu’il importe de renverser.
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- 2023
- Full Text
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19. Démasquer le paternalisme latent en santé: apports du philosophe Ruwen Ogien.
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Filleul, Arthur, Droletc, Marie-Josée, and Hudon, Anne
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MEDICAL personnel ,SOCIAL injustice ,PATERNALISM ,PHILOSOPHERS ,LIBERTARIANS - Abstract
Copyright of Canadian Journal of Bioethics / Revue canadienne de bioéthique is the property of Ecole de Sante Publique de l'Universite de Montreal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
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20. The association between household food insecurity and healthcare costs among Canadian children
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Clemens, Kristin K., Le, Britney, Anderson, Kelly K., Comeau, Jinette, Tarasuk, Valerie, and Shariff, Salimah Z.
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- 2024
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21. "Not a Major or Complicated Task": Activating Dugnad under COVID-19 and the Imagination of Equality in the Norwegian Welfare State.
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Gross, Lena
- Abstract
Copyright of Anthropologica is the property of CASCA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
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22. In plain view: Gender in the work of women healthcare chaplains.
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Sharma, Sonya and Reimer-Kirkham, Sheryl
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WOMEN clergy , *CHAPLAINS , *WOMEN employees , *GENDER , *INTERSECTIONALITY , *RELIGIOUS institutions - Abstract
In sociological studies of religion and chaplaincy, there is little research on how gender plays a role in structural inequalities and experiences of women chaplains. Through research on the work of women chaplains in public healthcare in Vancouver (Canada) and London (England) this qualitative study revealed that while they have opportunities for leadership and ministry in chaplaincy, they are often on the margins of the religious institutions they are affiliated with and the secular medical organisations that employ them. Simultaneously, they confront the social structuring of gender and race that can affect them being overlooked. By applying a lived religion and feminist intersectional analysis, this research focuses on an area of study that has received scant attention. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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23. Music professionalism promoting gerotranscendence: An instrumental case study of healthcare musicians in an eldercare hospital.
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Koivisto, Taru-Anneli and Laes, Tuulikki
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PROFESSIONALISM ,DEMOGRAPHIC surveys ,MEDICAL care ,HOSPITAL wards ,MUSIC education - Abstract
Copyright of International Journal of Music Education is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
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24. The economic impact of rural healthcare on rural economies: A rapid review.
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Button, Brenton L. G., Taylor, Kirstie, McArthur, Michael, Newbery, Sarah, and Cameron, Erin
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RURAL health services - Abstract
Introduction: One critical component of any rural community is its healthcare system. Rural healthcare systems are essential as rural communities have worse health outcomes when compared to urban areas. Rural healthcare systems might also have a positive impact on rural economies. In some rural areas, these health services are threatened with a reduction or closure. This rapid review was carried out to examine the impact of rural healthcare systems' declines on rural economies. Methods: We conducted a rapid review of peer-reviewed and grey literature sources on studies that examined the economic impact of rural healthcare on rural economies in Canada, Australia, Scandinavia and the United States of America (USA). We used a data extraction template adapted from the Centre for Reviews and Dissemination. Results: We found 17 research papers between two databases and nine websites. Articles examined various health professions (dentist, physician assistant and pharmacist), the inclusion of family physicians, a physician with an increased scope of practice (obstetrics and surgery), the impact of a rural primary care hospital, telemedicine, a distributed medical education programme and the health care sector. Conclusion: Rural healthcare seems to have a positive impact on jobs and labour-based wages in rural communities. There is a considerable need for research outside the USA. [ABSTRACT FROM AUTHOR]
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- 2022
- Full Text
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25. Worker Participation in a Time of COVID: A Case Study of Occupational Health and Safety Regulation in Ontario.
- Author
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Hall, Alan and Tucker, Eric
- Abstract
This study examines worker voice in the development and implementation of safety plans or protocols for covid -19 prevention among hospital workers, long-term care workers, and education workers in the Canadian province of Ontario. Although Ontario occupational health and safety law and official public health policy appear to recognize the need for active consultation with workers and labour unions, there were limited – and in some cases no – efforts by employers to meaningfully involve workers, worker representatives (reps), or union officials in assessing covid -19 risks and planning protection and prevention measures. The political and legal efforts of workers and unions to assert their right to participate and the outcomes of those efforts are also documented through archival evidence and interviews with worker reps and union officials. The article concludes with an assessment of weaknesses in the government promotion and protection of worker health and safety rights and calls for greater labour attention to the critical importance of worker health and safety representation. Cette étude examine la voix des travailleurs dans l'élaboration et la mise en œuvre de plans ou de protocoles de sécurité pour la prévention du covid-19 chez les travailleurs hospitaliers, les travailleurs de soins de longue durée et les travailleurs de l'éducation dans la province canadienne de l'Ontario. Bien que la loi ontarienne sur la santé et la sécurité au travail et la politique officielle de la santé publique semblent reconnaître la nécessité d'une consultation active avec les travailleurs et les syndicats, il y a eu des efforts limités – et dans certains cas aucuns efforts – deployés par les employeurs pour impliquer de manière significative les travailleurs, les représentants des travailleurs (délégués), ou des responsables syndicaux pour évaluer les risques liés au covid-19 et planifier les mesures de protection et de prévention. Les efforts politiques et juridiques des travailleurs et des syndicats pour affirmer leur droit de participer et les résultats de ces efforts sont également documentés par des preuves d'archives et des entretiens avec des délégués et des responsables syndicaux. L'article se termine par une évaluation des faiblesses de la promotion et de la protection par le gouvernement des droits des travailleurs en matière de santé et de sécurité et appelle à une plus grande attention des travailleurs à l'importance cruciale de la représentation en matière de santé et de sécurité des travailleurs. [ABSTRACT FROM AUTHOR]
- Published
- 2022
26. Alberta Rating Index for Apps: Study of Reliability and Validity.
- Author
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Azad-Khaneghah, Peyman, Roduta Roberts, Mary, and Liu, Lili
- Subjects
MENTAL illness treatment ,EXPERIMENTAL design ,RESEARCH evaluation ,CAREGIVERS ,FOCUS groups ,ANALYSIS of variance ,CONFIDENCE intervals ,MOBILE apps ,RESEARCH methodology ,RESEARCH methodology evaluation ,INTER-observer reliability ,COMPARATIVE studies ,MULTITRAIT multimethod techniques ,RESEARCH funding ,DESCRIPTIVE statistics ,STATISTICAL sampling ,DATA analysis software ,PSYCHIATRIC treatment - Abstract
Copyright of Canadian Journal of Occupational Therapy is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
27. Evaluating Knowledge, Practice, and Barriers to Informed Consent Among Professional and Staff Nurses in South Africa: An Empirical Study.
- Author
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Chima, Sylvester C.
- Subjects
- *
NURSES as patients , *NURSES , *MEDICAL personnel , *EMPIRICAL research , *PUBLIC hospitals - Abstract
Background: Informed consent (IC) is an ethical and legal obligation protected by constitutional rights to bodily integrity, well-being, and privacy in South Africa. The National Health Act 2003 codified IC regulations, requiring that all healthcare professionals inform patients about diagnosis, risks, benefits, options, and refusal rights while factoring in patients’ language and literacy levels. Objectives: This study’s primary aim was to determine the extent of South African professional/staff nurses’ compliance with current IC regulations and ascertain sociocultural impediments impacting proper IC practice. Methods: A cross-sectional survey using semi-structured questionnaires was used to evaluate knowledge and practice of IC among nurses in KwaZulu-Natal province. Data were analyzed using SPSS, v.21. Descriptive statistics, chi-squared tests, and content analysis were used to compare nursing domains. Results: Three hundred fifty-five (355) nurses, 92% females, with 1 to 41 years of professional experience, completed this study. Information disclosed by nurses to patients included diagnosis (77%), treatment benefits (71%), risks (69%), recommendations (65%), risks of refusal (80%), and right of refusal (67%). Nurses (80%) felt information disclosure was adequate, while 85% reported that patients understood disclosed information. Conclusions: Nurses practicing in local public hospitals had moderate knowledge of IC regulations. Practical implementation appeared deficient. Barriers to IC included language, workload, time constraints, lack of interpreters, and skewed gender norms in the nursing profession. Nurses require continuing professional education in healthcare law and ethics, a “corps of trained interpreters”, and gender transformation in the nursing profession to improve IC practice and overall quality of healthcare service delivery in South Africa. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
28. "It is just a lot to deal with": A qualitative study exploring the sexual and reproductive health needs of a sample of female sex workers in six locations in Southern Africa.
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Spyrelis, Alexandra and Ibisomi, Latifat
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HIV infections ,DISCRIMINATION (Sociology) ,SEX work ,INTERVIEWING ,COMMUNITIES ,SOCIAL stigma ,QUALITATIVE research ,SEXUALLY transmitted diseases ,SEX crimes ,THEMATIC analysis ,CONDOMS ,SEXUAL health ,REPRODUCTIVE health ,MEDICAL needs assessment ,POLICE ,SUB-Saharan Africans - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
29. Reminders of money increase patient empowerment.
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Whelan, Jodie and Goode, Miranda R.
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PATIENT participation ,CONSUMER behavior ,CUSTOMER experience ,DECISION making ,SICK leave ,AUTONOMY (Psychology) - Abstract
Copyright of Canadian Journal of Administrative Sciences (John Wiley & Sons, Inc.) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
30. Network Accountability in Healthcare: A Perspective from a First Nations Community in Canada*.
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Ufodike, Akolisa, Okafor, Oliver Nnamdi, and Opara, Michael
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FIRST Nations of Canada ,ACTOR-network theory - Abstract
Copyright of Accounting Perspectives is the property of Canadian Academic Accounting Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
31. Bias related to overweight and obesity among French psychiatrists: Results of a national survey.
- Author
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Sohier L, Ravet MS, Berger-Vergiat A, and Iceta S
- Abstract
Background: According to people with a higher weight, physicians are the second most stigmatizing group related to excess weight. As a result of these weight-related biases, the therapeutic relationship with the patient and the quality of care would be negatively affected. In addition, this stigma could negatively impact the clinical practice related to higher weight and avoidance of care., Objectives: The objective of this study was to assess the stigma of overweight and obesity among psychiatric residents and psychiatrists in France. Specifically, the study aimed to assess factors that may influence weight-related bias among psychiatrists, to explore the relevance of visual assessment of body mass index, and to determine how they this feature is integrated into their practice., Method: An online questionnaire including sociodemographic items, the Fat Phobia Scale, the Beliefs About Obese Persons Scale, the Body Shape Scales, and questions about their clinical practice was distributed via national professional mailing lists and social networks., Results: The survey was answered by 271 seniors or residents in psychiatry. The results indicated a moderate level of weight-related bias among psychiatrists as assessed by the Fat Phobia Scale which was higher in residents than in senior psychiatrists. Over a third of the respondents had no material to assess their patient's weight, and two thirds did not systematically assess overweight or obesity. Finally, the results demonstrate that psychiatrists failed to accurately evaluate overweight or obesity based on male or female silhouettes., Conclusion: It appears that measures should be taken to raise awareness among psychiatrists of the stigmatization of individuals living with a higher weight, as well as to enhance the quality of weight gain care in psychiatry., (Copyright © 2024 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.)
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- 2024
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32. The utilisation of sexual and reproductive healthcare services by male adolescents in South Africa.
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Shabani, Omari O. S.
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RESEARCH ,THERAPEUTICS ,MEN'S health ,NURSES' attitudes ,RESEARCH methodology ,ATTITUDE (Psychology) ,INTERVIEWING ,MEDICAL care use ,ADOLESCENT health ,QUALITATIVE research ,HEALTH literacy ,DESCRIPTIVE statistics ,JUDGMENT sampling ,STATISTICAL sampling ,DATA analysis ,THEMATIC analysis ,SEXUAL health ,REPRODUCTIVE health ,HEALTH promotion - Abstract
Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
33. Comment aider les jeunes atteints de psychose à éviter l'itinérance ?
- Author
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Deschênes, Julie Marguerite, Roy, Laurence, Girard, Nicolas, and Abdel-Baki, Amal
- Abstract
Copyright of Sante Mentale au Quebec is the property of Revue Sante Mentale au Quebec and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
34. Population Control in the "Global North"?: Canada's Response to Indigenous Reproductive Rights and Neo-Eugenics.
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Dyck, Erika and Lux, Maureen
- Subjects
- *
REPRODUCTIVE rights , *EUGENICS , *FEMINISM , *SOVEREIGNTY , *IMPERIALISM , *BIRTH control - Abstract
An historical analysis of reproductive politics in the Canadian North during the 1970s necessitates a careful reading of the local circumstances regarding feminism, sovereignty, language, colonialism, and access to health services, which differed regionally and culturally. These features were conditioned, however, by international discussions on family planning that fixated on the twinned concepts of unchecked population growth and poverty. Language from these debates crept into discussions about reproduction and birth control in northern Canada, producing the state's logic that, despite low population density, the endemic poverty in the North necessitated aggressive family planning measures. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
35. Evaluating a Pharmacist-Led Opioid Stewardship Initiative at an Urban Teaching Hospital.
- Author
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Chen, Anna, Legal, Michael, Shalansky, Stephen, Mihic, Tamara, and Su, Victoria
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PHARMACISTS ,OPIOIDS ,MEDICAL prescriptions ,DRUG therapy ,HOSPITALS - Abstract
Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
36. Utilisation des plantes médicinales pour prévenir et guérir les morsures de serpents: état des lieux et perspectives (synthèse bibliographique).
- Author
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Dossou, Ayékotchami Jacques and Fandohan, Adandé Belarmain
- Subjects
SCIENTIFIC literature ,DEVELOPING countries ,TRADITIONAL knowledge ,SNAKEBITES ,PLANT species ,SCIENTIFIC knowledge - Abstract
Copyright of Biotechnologie, Agronomie, Societe et Environnement is the property of Les Presses Agronomiques de Gembloux and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
37. (2017-2000) د ا رسة تحليلية لتمويل قطاع الرعاية الصحية في الج ا زئر خلال الفترة
- Author
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بومعراف الياس and صاولي مراد
- Abstract
Copyright of Journal of Economic Sciences, Management & Commercial Sciences (JESMCS) is the property of Association of Arab Universities and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
38. Health of Persons with Intellectual and Developmental Disabilities Transitioning into Community Homes from a Complex Care Residence in Canada.
- Author
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Chimney, Katherine, Kian, Soroush, Cameranesi, Margherita, McCombe, Lindsay, and Shooshtari, Shahin
- Subjects
- *
DEVELOPMENTAL disabilities , *INTELLECTUAL disabilities , *HEALTH services accessibility , *HEALTH equity , *COMMUNITIES - Abstract
Health of Persons with Intellectual and Developmental Disabilities Transitioning into Community Homes from a Complex Care Residence in Canada Community living of persons with intellectual and developmental disabilities (IDD) has been encouraged to reduce health disparities experienced by this population. This study aims to assess health and access to healthcare of 45 persons with IDD prior to their transition into community homes. Data were collected retrospectively by reviewing individual medical charts of persons with IDD. Selected health measures were based on the Comprehensive Health Assessment Program and the recently updated Canadian consensus health guidelines to provide a description of the pre-transition health of the study group. The health and healthcare use of the study population mostly met the current healthcare recommendations. There were limited data for several areas that we recommend being collected as part of routine practice. We also recommend routine use of standard tools available. This was the pre-transition phase of a longitudinal study. Similar data will be collected post-transition to explore changes in health status. [ABSTRACT FROM AUTHOR]
- Published
- 2020
39. Colonial Extractions: Oral Health Care and Indigenous Peoples in Canada, 1945–79.
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Carstairs, Catherine and Mosby, Ian
- Subjects
- *
ORAL health , *ABORIGINAL Canadians , *DENTAL extraction , *DENTURES ,CANADIAN politics & government - Abstract
Indigenous Peoples in Canada currently experience much higher rates of oral health problems than their non-Indigenous counterparts. A number of recent reports have shown that Indigenous children have very high rates of tooth decay, that large numbers of Indigenous people report experiencing ongoing and persistent pain in their mouths, and that significantly more Indigenous people than non-Indigenous Canadians have no teeth at all. These oral health inequalities are important, not just because they have a profound impact on Indigenous Peoples' quality of life but also because poor oral health is linked to other health issues that currently disproportionately impact Indigenous communities, including diabetes and heart disease. From 1945 to 1979, the federal government made only limited attempts to provide oral health care to Indigenous Peoples despite treaty promises of health care. The government did not believe that it had any obligation to provide oral health care, and as a result, the services provided were rushed, inadequate, inconsistent, and sometimes cruel. Indigenous Peoples experienced much higher levels of tooth extractions and lower rates of denture provision than was the case among non-Indigenous peoples in Canada, with ongoing consequences for their oral health today. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
40. Cost Savings of Housing First in a Non-Experimental Setting.
- Author
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Jadidzadeh, Ali, Falvo, Nick, and Dutton, Daniel J.
- Subjects
- *
COST control , *HOUSING , *CIVIL service , *RANDOMIZED controlled trials , *HOMELESSNESS - Abstract
We investigate the impact of supportive housing (Housing First, or HF) programs on public service utilization of people experiencing homelessness in Calgary, Alberta. We use data on clients between 2012 and 2016, and, using a pre–post design, we assess the interaction of each client with the health and justice systems. We estimate the savings for $1 spent on HF to be between $1.17 and $2.84. There are potential estimation biases, but our estimates are broadly consistent with evidence from randomized controlled trials. Our somewhat higher estimated returns may be attributed to the practice of program delivery and effectiveness of the triage system. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
41. Déterminants des coûts directs de la maladie en soins ambulatoires dans les ménages à Kinshasa : analyse comptable et économétrique
- Author
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Bukele, Théophane Kekemb, Mvunzi, Joel, Ngutu, Dieumerci Bolende, and Samba, Nzolani
- Subjects
Paiements directs ,soins de santé ,ABC ,regression ,RD Congo - Abstract
Contexte et objectif. Avec une grande majorité d’habitants sans couverture-maladie, l’inaccessibilité aux soins pour manque d’argent est un problème réel parmi les habitants de Kinshasa en raison des paiements directs. La présente étude a évalué le coût direct de la maladie du point de vue des ménages et identifié les facteurs déterminants dudit coût. Méthodes. Une enquête a été menée dans la commune de Limete auprès de 150 ménages choisis de manière aléatoire dans huit quartiers. Les données collectées ont été soumises d’abord à un traitement comptable, puis à l'analyse statistique et à l’analyse économétrique. Résultats. Le coût total direct moyen était de 145.258,88 CDF (environ 88 US $) par épisode-patient en ambulatoires. Dominés largement par les médicaments, les frais médicaux représentent 86,57 % du total (76 US $) contre 13,43 % de frais non médicaux (12 US $). Excepté la consultation, les autres frais médicaux influent positivement sur le total des frais médicaux. De même, tous les frais non médicaux, sauf les frais d’appel téléphonique, influent sur le total des frais non médicaux. Conclusion. Le coût médical en ambulatoire par patient-épisode est dominé à 65 % par les frais de médicaments mais dont l’impact sur le coût médical de la maladie reste plus faible. English title: Determinants of the direct costs of the disease in outpatient care in households in Kinshasa: accounting and econometric analysis Context and objective. With a large majority of residents without health coverage, the lack of access to care for lack of money is a real problem among Kinshasa residents due to out-of-pocket payments. The study aims to assess the direct cost of the disease from the point of view of households and to identify among the determining factors of this cost. Methods. A survey was conducted in the municipality of Limete among 150 randomly selected households in eight quarters. The data collected was first subjected to accounting processing, then to statistical analysis and econometric analysis. Results. The average total direct cost was 145,258.88 CDF (approximately 88 US $) per outpatient episode. Largely dominated by drug cost, medical costs represented 86.57 % of the total (US $ 76) against 13.43 % for non-medical costs (US $12). Apart from the consultation, the other medical costs had a positive influence on the total medical costs. Similarly, all non-medical expenses, except for phone calls, affected the total non-medical expenses. Conclusion. The outpatient medical cost per patient-episode is dominated by drug costs, but its impact on the medical cost of the disease remains lower. Keywords: out-of-pocket payments; healthcare; ABC; regression; DR Congo
- Published
- 2022
- Full Text
- View/download PDF
42. Addressing anti-Indigenous racism in Canadian health systems: multi-tiered approaches are required
- Author
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Browne, Annette J., Lavoie, Josée G., McCallum, Mary Jane Logan, and Canoe, Christa Big
- Published
- 2022
- Full Text
- View/download PDF
43. Unmasking Latent Paternalism in Healthcare: Contributions from the Philosopher Ruwen Ogien
- Author
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Filleul, Arthur, Drolet, Marie-Josée, Hudon, Anne, Filleul, Arthur, Drolet, Marie-Josée, and Hudon, Anne
- Abstract
The aim of our article is to identify what, in the thinking of the libertarian and egalitarian philosopher Ruwen Ogien, enables us to unmask and interrogate the latent paternalism that still persists in the practices of healthcare professionals. Although recent advances in models of care have made more room for the voice of those being cared for and for their free self-determination, they have not put an end to paternalism in healthcare. We present here the various key points of Ogien’s argument aimed at criticising paternalism in healthcare, in order to be aware of the latent paternalism and recognize that it gives rise to epistemic and social injustices that must be reversed., Le but de notre article est d’identifier ce qui, dans la pensée du philosophe libertaire et égalitaire Ruwen Ogien, permet de démasquer et de réinterroger le paternalisme latent qui perdure encore dans les pratiques des professionnels de la santé. Car bien que les avancées récentes des modèles de soins laissent plus de place à la voix des personnes soignées ainsi qu’à leur libre autodétermination, celles-ci n’ont pas mis fin au paternalisme en santé. Nous présentons ici les différents points clés de l’argumentaire d’Ogien visant à critiquer le paternalisme en santé, pour prendre conscience du paternalisme latent et constater que de celui-ci découlent des injustices épistémiques et sociales qu’il importe de renverser.
- Published
- 2023
44. Cadre pour une réforme acceptable des pensions
- Author
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UCL - SSH/LIDAM/IRES - Institut de recherches économiques et sociales, UCL - SSH/LIDAM/CORE - Center for operations research and econometrics, UCL - SSH/LIDAM/ISBA - Institut de Statistique, Biostatistique et Sciences Actuarielles, Hindriks, Jean, Devolder, Pierre, UCL - SSH/LIDAM/IRES - Institut de recherches économiques et sociales, UCL - SSH/LIDAM/CORE - Center for operations research and econometrics, UCL - SSH/LIDAM/ISBA - Institut de Statistique, Biostatistique et Sciences Actuarielles, Hindriks, Jean, and Devolder, Pierre
- Abstract
En 1980 le ministre des pensions, Mr Herman De Croo appelait à une réforme des pensions pour faire face aux vieillissements démographiques à venir. En 2013, son fils Mr Alexander De Croo, ministre des pensions à son tour, mettait en place la Commission de réforme des pensions 2020-2040 avec à sa présidence l’actuel vice-premier ministre Mr Frank Vandenbroucke. En juin 2014, la Commission remettait un rapport détaillé adopté à l’unanimité de ses membres (dont les auteurs de ce numéro faisaient partie). Ce rapport proposait une réforme structurelle de nos pensions légales. Depuis une décennie s’est écoulée et rien ne s’est produit à l’exception du report de l’âge légal à 66 ans en 2025 et 67 ans en 2030. Cette politique de l’âge est en elle-même assez paradoxale car le rapport proposait de «privilégier le kilométrage sur l’âge» en proposant un âge de pension variable selon l’âge de début de carrière. Dans ce numéro de Regards économiques, nous souhaitons contribuer à débloquer une réforme des pensions qui s’enlise progressivement. Nous proposons un cadre cohérent et un mécanisme concret pour organiser une transition progressive vers un système de pension plus simple et transparent qui offre des garanties réelles sur les pensions pour les jeunes et moins jeunes. Notre système de pension est devenu incompréhensible avec un enchevêtrement de conditions d’accès et des règles de calcul spécifiques aux différents régimes et qui posent un problème dans le cas des carrières mixtes de plus en plus fréquentes. Même dans le cas a priori le plus simple d’une pension minimum à 1500 euros net, les choses sont compliquées. Les conditions d’accès varient de 20 ans pour les fonctionnaires statutaires à 30 ans pour les fonctionnaires contractuels ou les salariés. Ensuite, le calcul des années de carrière est variable selon l’intensité de travail et selon les régimes. Il n’est pas cumulable entre régimes en cas de carrière mixte. Enfin, le montant de la pension minimum est proratisé à l
- Published
- 2023
45. Démasquer le paternalisme latent en santé : apports du philosophe Ruwen Ogien
- Author
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Filleul, A., Drolet, M.-J., Hudon, A., Filleul, A., Drolet, M.-J., and Hudon, A.
- Abstract
Résumé Le but de notre article est d’identifier ce qui, dans la pensée du philosophe libertaire et égalitaire Ruwen Ogien, permet de démasquer et de réinterroger le paternalisme latent qui perdure encore dans les pratiques des professionnels de la santé. Car bien que les avancées récentes des modèles de soins laissent plus de place à la voix des personnes accompagnées ainsi qu’à leur libre autodétermination, celles-ci n’ont pas mis fin au paternalisme en santé. Nous présentons ici les différents points clés de l’argumentaire d’Ogien visant à critiquer le paternalisme en santé, pour prendre conscience du paternalisme latent et constater que de celui-ci découle des injustices épistémiques et sociales qu’il importe de renverser. Abstract The aim of our article is to identify what, in the thinking of the libertarian and egalitarian philosopher Ruwen Ogien, enables us to unmask and interrogate the latent paternalism that still persists in the practices of healthcare professionals. Although recent advances in models of care have made more room for the voice of those being cared for and for their free self-determination, they have not put an end to paternalism in healthcare. We present here the various key points of Ogien’s argument aimed at criticising paternalism in healthcare, in order to be aware of the latent paternalism and recognize that it gives rise to epistemic and social injustices that must be reversed.
- Published
- 2023
46. L’apprentissage immersif, un outil pédagogique innovant pour enseigner la communication en santé
- Author
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SIFEM (2023-03-29: en ligne), Foucart, Jennifer, SIFEM (2023-03-29: en ligne), and Foucart, Jennifer
- Abstract
info:eu-repo/semantics/nonPublished
- Published
- 2023
47. Apprentissage par scenarios immersifs: présentation d'un nouveau dispositif en ligne de formation à la communication soignant-soigné
- Author
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lundis de la psychiatrie (03-04-2023: Hôpital Brugmann), Foucart, Jennifer, lundis de la psychiatrie (03-04-2023: Hôpital Brugmann), and Foucart, Jennifer
- Abstract
info:eu-repo/semantics/nonPublished
- Published
- 2023
48. Teaching communication in health care with immersive learning and branching scenario
- Author
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Foucart, Jennifer and Foucart, Jennifer
- Abstract
BackgroundHealth care communication education is facing many challenges: increasing student numbers, digitalisation of teaching, For these reasons, we had to reinvent our teaching practices. We therefore created an online immersive learning tool for healthcare communication. This tool, created with ADOBE CAPTIVATE, combines immersion in a caregiver role-play with a branching scenario. It presents scenarios with different outcomes depending on the student’s choices. At each step of the communication process, students watch a video and must make choices. A follow-up video clip is then presented, showing the outcome of the choice made and theorical explanations on it.Method200 3rd year physiotherapy students participated in this innovative technology. They were separated into two groups. The first group underwent the usual teaching method (theory and practice via roleplay). For the second group, 2H of role play were replaced by this program. They then had to respond to several questionnaires auto evaluating their communication abilities before and after the cursus, and evaluating their satisfaction.ResultsThe results showed that this program increased the experimental group's sense of ability for communication (p=<0.001). After the immersive learning, students find that it’s better to check the patient's understanding and to pay attention to the vocabulary chosen. It seems also that the group with immersive learning evolved better than the control group, but not on all items.ConclusionThis innovation allows students to develop their communication skills by having a practical and individualized learning tool. They are very satisfied and recommend this program with an excellent utility score (82%) because it allows them to practice while being less afraid of making mistakes. Some students also reported that they tried to make mistakes in order to see what the result will be. This type of tool could therefore be extremely useful in health care communication education., info:eu-repo/semantics/published
- Published
- 2023
49. Changing Roles and Responsibilities of Dietitians from Diverse Settings During the First Three Waves of the COVID-19 Pandemic in Nova Scotia.
- Author
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Jennifer A J. PhD, MSc, Vandenboer E. MScAHN, RD, Anderson B. MAdEd, RD, Lordly D. DEd, MAHE, FDC, RD, Macdonald B. MAdEd, BSc, RD, and Ann F. PhD, RD
- Subjects
- Humans, Pandemics, Nova Scotia, Surveys and Questionnaires, Nutritionists education, COVID-19
- Abstract
Purpose: To explore the impact of the COVID-19 pandemic on Nova Scotian dietitian's roles, responsibilities, and professional development needs. Methods: We conducted a province-wide, online, exploratory survey with registered dietitians during the initial waves of the COVID-19 pandemic. Differences were explored with descriptive statistics by work sector (hospital/acute care; primary health/community or public health (PH); long-term care [LTC]; other [e.g., private practice, retail]). Results: Dietitians ( n = 122) reported being most frequently challenged by stress and anxiety, changing work expectations, and rapidly evolving safety protocols during the pandemic. Those working in PH, primary health, and LTC reported experiencing more work responsibilities, more change, and perceived less employer support than dietitians in other sectors. Despite the identified challenges, most participants (70.7%) felt their education and training were sufficient to take on these new work roles. Primary and PH dietitians, however, more frequently perceived their skill sets to be under-utilized than other sectors. Key learnings from practice identified as being important for dietetic education included qualities such as resilience, problem-solving, flexibility, and self-care. Conclusion: These findings will be of interest to health administrators, professional bodies, and academic institutions to inform strategies for strengthening dietetic practice, building resilience, and preparing for future emergencies.
- Published
- 2024
- Full Text
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50. Making Midwifery Services Accessible to People of Low SES: A Qualitative Descriptive Study of the Barriers Faced by Midwives in Ontario.
- Author
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Darling, Elizabeth K., MacDonald, Tonya, Nussey, Lisa, Murray-Davis, Beth, and Vanstone, Meredith
- Subjects
MIDWIVES ,HEALTH services accessibility ,MIDWIFERY ,ATTITUDES of medical personnel ,RESEARCH methodology ,JOB descriptions ,DEPARTMENTS ,INTERVIEWING ,SOCIAL classes ,PSYCHOSOCIAL factors ,JUDGMENT sampling ,STATISTICAL sampling ,DATA analysis software ,THEMATIC analysis ,CORPORATE culture - Abstract
Copyright of Canadian Journal of Midwifery Research & Practice is the property of Canadian Association of Midwives and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2020
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