Christine Loignon

Christine Loignon
Université de Sherbrooke | UdeS · Department of Family Medicine

PhD

About

111
Publications
15,797
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,296
Citations
Introduction
Additional affiliations
July 2010 - June 2015
Université de Sherbrooke
Position
  • Professor (Assistant)

Publications

Publications (111)
Article
Full-text available
Objectives: To better understand the experience of patients attending community-based primary healthcare practices (CBPHCPs) aimed at improving equity and access to primary care for underserved patients, which have been implemented locally in several countries, including Canada. There are currently little data on how, or to what extent, they mitig...
Article
Full-text available
Use of online health information is positively associated with citizen knowledge, empowerment, self-care, health outcomes, and quality of life. However, little is known about how mothers with incomes below the poverty threshold and with education levels of high school or less use and interact with the Internet as a key source of lay knowledge and s...
Article
Full-text available
To improve health equity, as well as equity in research, community-engaged research and participatory research needs to be inclusive. Equity in health research refers to the principle that anyone affected by research or who can benefit from its outcomes should have equal opportunities to contribute to it. Many researchers advocate the importance of...
Article
Full-text available
Objective A patient-centred care interdisciplinary pragmatic intervention to support self-management for patients with multimorbidity was implemented in one region of Quebec, Canada. This embedded study aimed to evaluate the process of implementation. Design A descriptive qualitative study was conducted in 2016–2017 using semistructured individual...
Article
Full-text available
Background Primary healthcare is the main entry to the health care system for most of the population. In 2008, it was estimated that about 26% of the population in Quebec (Canada) did not have a regular family physician. In early 2017, about 10 years after the introduction of a centralized waiting list for patients without a family physician, Québe...
Article
Full-text available
Background The Advanced Access (AA) Model has shown considerable success in improving timely access for patients in primary care settings. As a result, a majority of family physicians have implemented AA in their organizations over the last decade. However, despite its widespread use, few professionals other than physicians and nurse practitioners...
Poster
Full-text available
Homeless young adults are particularly vulnerable to the harmful consequences of problematic psychoactive substance (PAS) use. Problematic PAS use leads to the dysregulation of the brain reward pathways and in turn to difficulties regulating emotions and PAS use. Through its impact on the reward pathways, music could promote the well-being of those...
Presentation
Full-text available
RÉSUMÉ Les jeunes adultes vivant en situation d’itinérance sont particulièrement vulnérables aux conséquences néfastes de la consommation problématique de substances psychoactives (SPA). Bien que plusieurs sortent du cycle de la consommation sans l’aide des services, la littérature est centrée sur leurs difficultés alors que les moyens qu’ils utili...
Article
Music is increasingly considered to promote the health and well-being of clinical populations treated in hospital and psychiatric settings. Research shows numerous benefits of music on physical and mental health issues by responding to psychological, emotional, social and physical needs. However, while music's benefits are largely supported among c...
Article
Full-text available
Background Medical societies and funding agencies strongly recommend that patients be included as partners in research publications and grant applications. Although this “top-down” approach is certainly efficient at forcing this new and desirable type of collaboration, our past experience demonstrated that it often results in an ambiguous relations...
Article
Full-text available
PURPOSE To measure the effectiveness of a 4-month interdisciplinary multifaceted intervention based on a change in care delivery for patients with multimorbidity in primary care practices. METHODS A pragmatic randomized controlled trial with a mixed-methods design in patients aged 18 to 80 years with 3 or more chronic conditions from 7 family medic...
Article
Full-text available
En pleine crise sanitaire, les personnes en situation d’itinérance doivent composer avec des ressources réduites les plaçant dans l’impossibilité de se conformer aux exigences de la santé publique. Les conditions sociales auxquelles elles sont confrontées peuvent engendrer des conséquences graves, ce qui vient exacerber les inégalités sociales et é...
Preprint
Full-text available
Background: Primary healthcare is the main entry to the health care system for most of the population, even for specialized care. In 2014, it was estimated that about 25% of the population in Quebec (Canada) did not have a regular primary healthcare provider. In 2017, after the introduction of a centralized waiting list to enroll unattached patient...
Article
Issues Music is among the most frequently used medium to promote young adults' well‐being. To that aim, the efficiency of music is explained by its capacity to modulate emotions through its effect on the brain's reward pathways. Hence, music could help individuals suffering from dysregulations in these pathways, whose experience of positive emotion...
Preprint
BACKGROUND Typically, online consumer health information is seen more beneficial to people combining high level of education and high income. There is no evidence that equity-oriented online consumer health information benefits equally to all. This is especially important for young children’s parents combining a low level of education and low incom...
Article
Full-text available
Background Typically, web-based consumer health information is considered more beneficial for people with high levels of education and income. No evidence shows that equity-oriented information offers equal benefits to all. This is important for parents of low socioeconomic status (SES; low levels of education and income and usually a low level of...
Article
A participatory action research project using photovoice was developed in partnership with an international community organization working to overcome poverty. Twenty-eight healthcare professionals and persons in poverty participated in the study. The project consisted of several discussion sessions, creation of a photo exhibition, and knowledge tr...
Article
Full-text available
Background: Timely access in primary health care is one of the key issues facing health systems. Among many interventions developed around the world, advanced access is the most highly recommended intervention designed specifically to improve timely access in primary care settings. Based on greater accessibility linked with patients' relational co...
Article
Full-text available
Background: Multimorbidity challenges the health-care system and requires innovative approaches. In 2015, a 4-month patient-centred interdisciplinary pragmatic intervention was implemented in primary care with the aim of supporting self-management for patients with multimorbidity. Objective: To explore the perceptions and experiences of health-c...
Article
Full-text available
Objectives The association between social status and health is well established, but the psychosocial factors and mechanisms underlying this association are not fully understood. This study aims to identify and describe social and psychosocial factors that may harm the health of low-income adults. Design Participatory qualitative research using a...
Article
Full-text available
Purpose – Centralized waiting lists (CWLs) for patient attachment to a primary care provider have been implemented across Canada, including Quebec. Little is known about the implementation of CWLs and the factors that influence implementation outcomes of such primary care innovations. The purpose of this paper is to explain variations in the outcom...
Article
The health impact assessment (HIA) is a tool used to estimate the potential impact on health of non-health-related proposals prior to implementation. While it is increasingly used in Quebec, Canada, studies have not analyzed its medium-term impacts and potential long-term impacts. We conducted a contribution analysis using in-depth interviews with...
Article
Full-text available
Purpose Centralized waiting lists (CWLs) for patient attachment to a primary care provider have been implemented across Canada, including Quebec. Little is known about the implementation of CWLs and the factors that influence implementation outcomes of such primary care innovations. The purpose of this paper is to explain variations in the outcome...
Article
Full-text available
Background Limited studies exist on successful interventions for patients with multimorbidity. Even more limited is the knowledge on how socioeconomic factors have an impact on these interventions. The objective of this study was to analyze the effect of a multidisciplinary self-management intervention among patients with multimorbidity and the imp...
Article
Full-text available
During the Ebola outbreak, mortality reduction was attributed to multiple improvements in supportive care delivered in Ebola treatment units (ETUs). We aimed to identify high-priority supportive care measures, as well as perceived barriers and facilitators to their implementation, for patients with Ebola Virus Disease (EVD). We conducted a cross-se...
Article
Innovations to improve access to care for vulnerable people in OECD countries Introduction: This study presents results of a systematic review aimed at mapping and understanding which elements are essential to the success of innovations for the improvement of the healthcare access for vulnerable groups. Method: A mixed systematic literature review...
Article
Full-text available
Background Organizational Participatory Research (OPR) seeks organizational learning and/or practice improvement. Previous systematic literature reviews described some OPR processes and outcomes, but the link between these processes and outcomes is unknown. We sought to identify and sequence the key processes of OPR taking place with and within hea...
Article
Full-text available
Background Access to primary healthcare is an important social determinant of health and having a regular general practitioner (GP) has been shown to improve access. In Canada, socio-economically disadvantaged patients are more likely to be unattached (i.e. not have a regular GP). In the province of Quebec, where over 30% of the population is unatt...
Article
While health equity is central to health impact assessment [HIA], in reality, less is known about potential impacts of equity-free HIA on social inequalities. We assessed equity-free HIA case in a small city east of Montreal, which took place in a context of urban revitalization. We applied a combination of a quantitative review of community charac...
Article
Background: This study is born from a partnership between Web editors of Naître et grandir (N&G) and AboutKidsHealth (AKH) and researchers who developed and validated the Information Assessment Method (IAM). N&G and AKH are popular Canadian websites with high-quality comprehensive information about child development, education, health, and well-be...
Article
Full-text available
Background During the 2013–2016 West Africa Ebola outbreak, supportive care was the only non-experimental treatment option for patients with Ebola virus disease (EVD). However, providing care that would otherwise be routine for most clinical settings in the context of a highly contagious and lethal pathogen is much more challenging. The objective o...
Article
Full-text available
Purpose: In response to more than 15% of Canadians not having a family physician, 7 provinces have implemented centralized waiting lists for unattached patients. The aim of this study is to analyze the association between family physicians' characteristics and their participation in centralized waiting lists. Methods: Cross-sectional observation...
Article
Full-text available
Background: A large proportion of patients encounter barriers to access and navigation in complex healthcare systems. They are unable to obtain information and services and to take appropriate action to improve their health. Low health literacy affects the ability of individuals to benefit from health services. Some social groups are disproportion...
Article
Full-text available
Purpose: This study aimed to evaluate the effects of the V1SAGES case management intervention (Vulnerable Patients in Primary Care: Nurse Case Management and Self-management Support) for frequent users of health care services with chronic disease and complex care needs on psychological distress and patient activation. Methods: We used a 2-phase...
Preprint
BACKGROUND This study is born from a partnership between Web editors of Naître et grandir (N&G) and AboutKidsHealth (AKH) and researchers who developed and validated the Information Assessment Method (IAM). N&G and AKH are popular Canadian websites with high-quality comprehensive information about child development, education, health, and well-bein...
Chapter
This chapter focuses on North American (NA) participatory health research (PHR), particularly with organizations. We begin by presenting the definition of PHR put forth by NA leaders in 1995 and, then, sketching the contributions of those who have led the field since, developing, promoting, and advocating for PHR in Canada and the United States. We...
Article
Full-text available
Introduction: Patients with complex care needs (PCCNs) often suffer from combinations of multiple chronic conditions, mental health problems, drug interactions and social vulnerability, which can lead to healthcare services overuse, underuse or misuse. Typically, PCCNs face interactional issues and unmet decisional needs regarding possible options...
Article
Full-text available
Background In health, organizational participatory research (OPR) refers to health organization members participating in research decisions, with university researchers, throughout a study. This non-academic partner contribution to the research may take the form of consultation or co-construction. A drawback of OPR is that it requires more time fro...
Article
Full-text available
Background: Social inequalities in healthcare systems persist worldwide. Physicians' prejudices and negative attitudes towards people living in poverty are one of the determinants of healthcare inequalities. We know very little about general practitioners' (GPs) perceptions of poverty, which shape their attitudes. Objective: To identify the perc...
Thesis
Full-text available
Introduction : Une faible situation sociale est associée à un risque accru de mortalité et morbidité. Plusieurs facteurs ont été étudiés en lien avec cette association, mais un mécanisme proposé par Tarlov (1996), soit la dissonance entre les attentes et la réalité, n’a pas été investigué. De plus, peu d’études ont examiné en profondeur les facteur...
Article
Full-text available
Introduction. Advanced access is an organizational model that has shown promise in improving timely access to primary care. In Quebec, it has recently been introduced in several family medicine units (FMUs) with a teaching mission. The objectives of this paper are to analyze the principles of advanced access implemented in FMUs and to identify whic...
Article
Health impact assessments (HIA) allow the potential impact of nonhealth-related actions (policy, project, program) on health to be analyzed. For example, municipal projects, for urban renewal or urban planning, have an impact on health drivers relating to the created environment, and thus, on public health. In the province of Quebec, the government...
Article
Purpose: The primary purpose of this study was to develop 2 survey tools to explore factors influencing adoption of best practices for diabetic foot ulcer offloading treatment in primary health care settings. One survey was intended for the patients receiving care for a diabetic foot ulcer in primary health care settings and the other was intended...
Article
Full-text available
Background With 4.6 million patients who do not have a regular family physician, Canada performs poorly compared to other OECD countries in terms of attachment to a family physician. To address this issue, several provinces have implemented centralized waiting lists to coordinate supply and demand for attachment to a family physician. Although sign...
Article
Seeking consumer health and wellbeing information online is increasingly common. However, little is known about how people are using information targeted to a specific audience, and what happens as a result of this use. We partnered with Naitre & grandir (N&G), a magazine, website and newsletter offering trustworthy parenting information on child g...
Article
À partir de la recherche en croisement des savoirs ÉQUIsanTÉ, menée à Montréal entre chercheures en santé, personnes en situation de pauvreté et professionnel.le.s de la santé, l’article (élaboré collectivement) explore quelques-unes des questions théoriques, épistémologiques et éthiques soulevées par ce mode alternatif de production de connaissanc...
Article
Full-text available
Objective: To explore the perceived effect of an elective international health rotation on family medicine resident learning. Design: Qualitative, collaborative study based on semistructured interviews. Setting: Quebec. Participants: A sample of 12 family medicine residents and 9 rotation supervisors (N = 21). Methods: Semistructured inter...
Article
Full-text available
Background The prevalence of comorbid anxiety and depressive disorders is high among patients with chronic diseases in primary care, and is associated with increased morbidity and mortality rates. The detection and treatment of common mental disorders in patients with chronic diseases can be challenging in the primary care setting. This study aims...
Article
Looking for consumer health/well-being information online is increasingly common. However, little is known about how people are using information targeted to a specific audience, and what happens as a result of this use. We partnered with 'Naitre & Grandir' (N&G), a magazine, website and newsletter offering trustworthy parenting information on chil...
Article
Full-text available
Background Improving the knowledge and competencies of healthcare professionals is crucial to better address the specific needs of persons living in poverty and avoid stigmatization. This study aimed to explore the needs and expectations of persons living in poverty and healthcare professionals in terms of medical training regarding poverty and its...
Article
Contexte et problématique : Les perceptions, croyances et attitudes des médecins envers les personnes en situation de pauvreté constituent des éléments ayant des impacts significatifs sur la qualité des soins. Or, au Québec, il existe peu de formation outillant les médecins de famille à soigner les personnes vivant en situation de pauvreté. Objecti...
Article
The knowledge translation movement in health has led to the production of vast amounts of knowledge tools aimed at broadening clinicians’ evidence base and improving the quality and efficacy of their practices. However important, these tools, largely oriented towards biomedical and technological aspects of care, are of limited potential for address...