Claire Godard-Sebillotte

Claire Godard-Sebillotte
McGill University | McGill · Department of Family Medicine

MD MSc

About

45
Publications
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130
Citations

Publications

Publications (45)
Article
Full-text available
Background COVID-19 catalyzed a rapid and substantial reorganization of primary care, accelerating the spread of existing strategies and fostering a proliferation of innovations. Access to primary care is an essential component of a healthcare system, particularly during a pandemic. We describe organizational innovations aiming to improve access to...
Article
Full-text available
Background Organizational and clinician characteristics are important considerations for the implementation of evidence-based recommendations into primary care practice. The introduction of Canadian dementia practice guidelines and Alzheimer strategies offers a unique context to study which of the organizational and clinician characteristics align...
Article
Full-text available
Introduction Institutional support, encompassing financial and training support, as well as interdisciplinary teams, may be important for the quality of dementia primary care for persons living with dementia. The aim of this study was to measure the association between the level of institutional support provided to primary care practices and the qu...
Article
IMPORTANCE Persons with dementia and Parkinson disease (PD) are vulnerable to disruptions in health care and services. OBJECTIVE To examine changes in health service use among community-dwelling persons with dementia, persons with PD, and older adults without neurodegenerative disease during the first wave of the COVID-19 pandemic. DESIGN, SETTING,...
Preprint
Objective: Our hypothesis was that the intervention would decrease (or at least not increase) the number of potentially inappropriate medications (PIMs) and the number of hospital readmissions within 30 days of discharge per hospital stay. Methods: A cohort of hospitalized older adults enrolled in the PAERPA integrated care pathway (the exposed coh...
Article
Little has been quantified, at a population‐level, about the magnitude of heath service disruption to persons living with dementia in community settings during the COVID‐19 pandemic. Sustained access to health care services is particularly important for persons with dementia and other neurodegenerative diseases as they are vulnerable to decline. He...
Preprint
Full-text available
Background COVID-19 catalyzed a rapid and substantial reorganization of primary care, accelerating the spread of existing strategies and fostering a proliferation of innovations. Access to primary care is an essential component of a health care system, particularly during a pandemic. We describe organizational innovations aiming to improve access t...
Article
Full-text available
Background: Whether avoidable hospitalizations in community-dwelling persons with dementia have decreased during primary care reforms is unknown. Methods: We described the prevalence and trends in avoidable hospitalizations in population-based repeated yearly cohorts of 192,144 community-dwelling persons with incident dementia (Quebec, 2000-2015...
Article
Introduction: The implications of the COVID-19 pandemic are far reaching for persons living with dementia (PLWD) in the community and in long-term care (LTC), as they are among the most vulnerable. PLWD are at risk for severe COVID-19 and a disruption in accessing supportive and health care due to the confinement measures. Objectives: 1) To measur...
Chapter
Full-text available
Objective: To evaluate the accuracy of the French health administrative database to describe patients' medication and primary care visits, in the context of a transitional care intervention including an in-hospital medication reconciliation followed by a structured community follow-up by the patient's general practitioner and pharmacist. Design:...
Preprint
Full-text available
Background Older adults are more vulnerable to severe infection and mortality due to COVID-19. They often have atypical presentations of the disease without respiratory symptoms, which makes early diagnosis clinically challenging. We aimed to compare the baseline characteristics, presentation, and disease course of older and younger patients hospit...
Article
Background/objective: To measure the association between high primary care continuity and potentially avoidable hospitalization in community-dwelling persons with dementia. Our hypothesis was that high primary care continuity is associated with fewer potentially avoidable hospitalizations. Design: Population-based retrospective cohort (2012-2016...
Conference Paper
As the Canadian population ages, challenges have emerged with the quality and healthcare utilization of services for persons living with dementia (PWD). These challenges may be exacerbated when we consider the sex inequalities. A disconcerting trend in sex differences has arisen among older adult women, where they are more disadvantaged compared to...
Article
Many countries have answered the call from the World Health Organization, and developed or implemented Alzheimer Plans. Some plans anchored the majority of the care for persons living with dementia in specialized care settings, while others anchored it in primary care. In this article we present the Quebec Alzheimer Plan, which is being implemented...
Article
Full-text available
Introduction Dementia is on the rise in Canada and globally. Ensuring accessibility to diagnosis, treatment and management throughout the course of the disease is a very significant problem worldwide. In order to provide comprehensive care to patients and their caregivers, enhancing primary care-based dementia care is seen as the way forward. In ma...
Article
Objectives: Growing evidence points to underlying sex differences in the risk factors and clinical presentation of dementia. It is unclear, however, whether sex differences also exist in the management and healthcare utilization of persons with dementia. We compared primary care performance and health service use indicators for newly identified me...
Article
A 2019 report by the Canadian Academy of Health Sciences identified the importance of evidence-informed implementation strategies in reforming dementia care. Such implementation strategies may be relevant to changing clinical practice in the wake of Canada's impending federal dementia plan (initiated by Bill C-233). As this federal dementia plan is...
Article
Full-text available
Background Persons with dementia have twice the acute hospital use as older persons without dementia. In addition to straining overburdened healthcare systems, acute hospital use impacts patient and caregiver quality of life and is associated with increased risk of adverse outcomes including death. Reducing avoidable acute hospital use in persons w...
Article
A 2019 report by the Canadian Academy of Health Sciences identified the importance of evidence-informed implementation strategies in reforming dementia care. Such implementation strategies may be relevant to changing clinical practice in the wake of Canada's impending federal dementia plan (initiated by Bill C-233). As this federal dementia plan is...
Article
Full-text available
Background: The Quebec Alzheimer Plan aims to improve care provided to patients with neurocognitive disorders in Family Medicine Groups (FMGs) (multidisciplinary team-based primary care practices). The objective of this study was to determine changes in the detection and management of neurocognitive disorders following implementation of the plan,...
Conference Paper
Context: In 2014, the Quebec Alzheimer Plan (AP) was launched in 38 family medicine groups (FMGs) to improve the ability of primary care professionals to detect and care for patients with Alzheimer’s disease and their caregivers. Objective: Describe the fidelity of implementation of the AP in participating FMGs Method: 42-item questionnaire measuri...
Article
Full-text available
Purpose: To determine whether self-rated health (SRH) is an independent predictor for mortality in older Afro-Caribbean patients hospitalised for an acute condition. Methods: Prospective cohort of patients recruited from the University Hospitals of Martinique Acute Care for Elders unit. Patients aged 75 or older and hospitalised for an acute con...
Article
Geriatric guidelines recommend considering prognosis in the context of clinical decision making. Several mortality-risk indexes have been developed. While external validation is a recognized crucial step before implementation in clinical practice, few of these indexes have actually been externally validated. Our aim was to test the external validit...
Article
The aim of this study is to determine whether self-rated health (SRH) is an independent prognostic factor for mid- and long-term mortality in older Afro-Caribbean patients hospitalised for an acute condition. This study was a prospective cohort that recruited patients from the University Hospitals of Martinique Acute Care for Elders (ACE) unit (Fre...
Article
The mini mental state examination (MMSE) has become a benchmark for the screening and follow-up of cognitive impairment. The numerous translations of the MMS into other languages attest to its popularity. Clinical practice suggests that the consensual French version from the Greco (Groupe de réflexion sur les évaluations cognitives - Research worki...
Article
Morton-Chang et al. highlighted in their article the key strategic pillars of a community-based dementia care strategy: put "people first," support informal caregiving and enable "ground up" innovation and change. In our commentary, we draw upon our experience as authors of the Quebec Alzheimer Plan and evaluators of its implementation by the Quebe...
Article
Purpose: To determine whether self-rated health is a prognostic factor of six-week mortality, independently of other known objective prognostic factors. Methods: The SAFMA study was a prospective cohort, which recruited patients from the University Hospital of Martinique Acute Care for Elders unit (French West Indies) from January to June 2012....
Article
Full-text available
Background: The Mini-Mental-State (MMS) is a test for early identification of cognitive alterations. In the consensus version prepared by the group of research and evaluation of cognitive tools (GRECO) published in 2003, the threshold of 22/30 was defined as determining pathological threshold in subjects 50 to 79 years, who didn t pass their middle...
Article
Background: The Mini-Mental-State (MMS) is a test for early identification of cognitive alterations. In the consensus version prepared by the group of research and evaluation of cognitive tools (GRECO) published in 2003, the threshold of 22/30 was defined as determining pathological threshold in subjects 50 to 79 years, who didn't pass their middle...
Conference Paper
Les encéphalites à anticorps anti-NMDAR sont une entité de découverte récente dont la présentation clinique et le spectre des pathologies associées se font moins monolithiques à mesure de la description de nouveaux cas. Cependant, aucun cas d’encéphalite à anticorps anti-NMDAR associé à un adénocarcinome prostatique n’a été décrit à ce jour.
Article
A retrospective cohort study was conducted to determine the predictive factors and the incidence of anxiety and depression in a cohort of patients followed in French Guiana. A total of 2315 patients were followed for a total of 9116 years of follow-up. The incidence rate of first observed depression was 1.89 per 100 person years. The incidence rate...
Article
Objectif Décrire l’efficacité, la tolérance, et les facteurs prédictifs de réussite de la splénectomie dans le purpura thrombopénique immunologique (PTI) de l’enfant. Patients et Méthodes Étude rétrospective nationale des enfants de moins de 18 ans, traités par splénectomie pour un PTI du 1er janvier 2000 au 31 août 2009, conduite par le CEREVANCE...
Article
Risk factors for peripartum cardiomyopathy (PPCM) are controversial. PPCM seems to be more prevalent in women of African descent, the highest observed incidence is in Haiti (1 per 300 live births). Our retrospective study conducted in Martinique showed an incidence of 1 per 5500 live births. This incidence is significantly lower than in Haiti. Wome...

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Projects

Projects (5)
Project
To describe the geographical, socio-economical and sex-based differences in health service use of patients with dementia.
Project
A bi-monthly lunch to encourage graduate students to discuss controversies in healthcare policy to deepen participants’ knowledge and understanding of contemporary controversies in healthcare, and to refine their rhetorical skills to meaningfully debate changes in healthcare policy in an open and inviting setting.
Project
Team 19 Canadian Consortium for Neurodegeneration and Aging (CCNA). “Assessing care models implemented in primary health care for persons with Alzheimer’s disease and related disorders” Collaborator, Principal Investigator: Vedel I.