Dominique Tremblay

Dominique Tremblay
Université de Sherbrooke | UdeS · School of Nursing

Inf., Ph. D.

About

56
Publications
5,249
Reads
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557
Citations
Citations since 2016
37 Research Items
483 Citations
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2016201720182019202020212022020406080100
2016201720182019202020212022020406080100

Publications

Publications (56)
Article
Full-text available
Introduction: This study empirically explores how dimensions of proximity that support integrated care emerge from deliberate actions within a cancer network in Quebec (Canada). Methods: We conduct a supplementary analysis of qualitative data from a primary multi-case study focused on collaborative governance and cancer care integration. Data fr...
Article
Full-text available
Purpose This article provides a state-of-the-art review of issues and factors associated with the sustainable return to work (S-RTW) of ethnocultural minority workers experiencing disability situations attributable to one of four major causes: musculoskeletal disorders, common mental disorders, other chronic diseases or cancer. Methods Using an int...
Article
Full-text available
Background Teams caring for people living with cancer face many difficult clinical situations that are compounded by the pandemic and can have serious consequences on professional and personal life. This study aims to better understand how a multi-component intervention builds resilience in oncology teams. The intervention is based on a salutogenic...
Article
Full-text available
Objectives: To clarify the definition of vignette-based methodology in qualitative research and to identify key elements underpinning its development and utilisation in qualitative empirical studies involving healthcare professionals. Design: Scoping review according to the Joanna Briggs Institute framework and Preferred Reporting Items for System...
Article
Full-text available
Purpose Work disability stakeholders may not share the same understanding and solutions among themselves or with researchers, causing misunderstandings and hindering collaboration regarding solutions for preventing work disability. To reduce such differences, this study sought to build a common vocabulary among stakeholders and researchers, using a...
Article
Full-text available
Background Patient participation in decision-making has become a hallmark of responsive healthcare systems. Cancer networks in many countries have committed to involving people living with and beyond cancer (PLC) at multiple levels. However, PLC participation in network governance remains highly variable for reasons that are poorly understood. This...
Article
Full-text available
Risk-stratified pathways of survivorship care seek to optimize coordination between cancer specialists and primary care physicians based on the whole person needs of the individual. While the principle is supported by leading cancer institutions, translating knowledge to practice confronts a lack of clarity about the meaning of risk stratification,...
Article
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Purpose: A sustainable return to work (S-RTW) following prolonged work disability poses different challenges, depending on gender. This article provides a synthesis of gender differences in the issues and factors influencing the S-RTW of workers following such a disability. Methods: Using an interpretive description method, an integrative review...
Article
e13509 Background: Quality cancer care relies on each profession keeping up with advances and best practices and spreading these across a complex multi-team system ¹ . It requires enabling multiple providers and people living with cancer to bridge the distance between them and complement each other's contributions. The proximity framework ² provide...
Article
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Purpose A sustainable return to work (S-RTW) following prolonged work disability poses particular challenges as workers age. This article provides a synthesis of the factors and issues involved in a S-RTW process for aging workers following such a disability. Methods Using interpretive description methods, a critical review was conducted of the lit...
Article
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People living with and beyond cancer (PLC) experience financial hardship associated with the disease and its treatment. Research demonstrates that the "economic toxicity" of cancer can cause distress and impair well-being, health-related quality of life and, ultimately, survival. The Patient Self-Administered Financial Effects (P-SAFE) questionnair...
Preprint
Full-text available
Background: Patient participation in decision-making has become a hallmark of responsive healthcare systems. Cancer programs in many countries have formally committed to involving people living with and beyond cancer (PLC) at multiple levels of network-based services. However, PLC participation in the governance of these networks remains highly var...
Chapter
As the increasingly employed concept of “governmentality” refers to diverse ideas, the authors present a state of the science assessment of its use in the study of healthcare networks. The review covers 17 databases over a 42-year period between 1975 and 2017 and identifies 1673 records, of which 98 are fully assessed and 38 meet inclusion criteria...
Article
Full-text available
Background: People living with and beyond cancer (PLC) receive various forms of specialty care at different locations and many interventions concurrently or over time. They are affected by the operation of professional and organizational silos. This results in undue delays in access, unmet needs, sub-optimal care experiences and clinical outcomes,...
Article
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Purpose Although family caregivers (FCs) of older adults with cancer (OACs) provide invaluable assistance by fulfilling multiple tasks along the cancer trajectory, evidence suggests that their needs are poorly assessed, and there is a scarcity of supportive interventions that influence their well-being. Viewing these issues as opportunities for imp...
Conference Paper
The implementation of networks is a widespread approach to organizing healthcare in public systems. These networks increasingly appear as “hybrids”, exhibiting both “mandated” top-down and “organic” bottom-up dynamics. However, they are especially difficult to govern and little is known about the contextual factors that influence their structuratio...
Article
Purpose: The aim of this longitudinal qualitative study is to describe the return-to-work (RTW) journey from the end of breast cancer (BC) treatments to RTW. Method: Nine BC survivors were recruited in the province of Quebec (Canada). The participants, francophones between 30 and 60 years old, had received chemotherapy treatments and planned to...
Article
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Introduction: The number of survivors of breast cancer (bca) in Canada has steadily increased thanks to major advances in cancer care. But the resulting clientele face new challenges related to survivorship. The lack of continuity of care and the side effects of treatment affect the resumption of active life by survivors of bca, including return t...
Article
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e18027 Background: Risk-based survivorship care has become one of the best practices care recommended by the Institute of Medicine. It involves coordinated follow-up services based on the risk of long-term and late effects, cancer recurrence and an individualised care plan. Risk-based care requires specific knowledge about cancer histology, treatme...
Article
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Purpose Worldwide healthcare systems continue to struggle to reduce the unmet needs of a growing population of breast cancer survivors (BCSs). The Cancer Survivor Profile-Breast Cancer (CSPro-BC) survey was developed to address BCS’s specific needs. This study aims to produce a culturally adapted French version of the CSPro-BC. Methods The CSPro-B...
Article
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Background In the context of interprofessional practice, a patient‐centred approach is recommended, which generally means power‐sharing, shared decision making and involving patients as part of the health‐care team. These aspects, which are essential to “patient‐centred” practice, do not appear to be sufficient to illustrate the full richness of th...
Conference Paper
The notion of “governmentality” has been increasingly employed in the study of public healthcare systems and especially public healthcare networks. However, it refers to diverse ideas and its use tends to carry some inconsistencies. In this article, we present a state of the science on the use of governmentality in the study of healthcare networks,...
Article
Full-text available
Purpose Supervisors are known to be key actors in ensuring the success of absent employees in their return-to-work process. However, to date, little is known about the perceptions of breast cancer survivors on the practices put in place by their supervisors to support them during this process. The objective of this study was to describe the percept...
Article
Full-text available
Background Many recommendations have been made regarding survivorship care provided by teams of primary care professionals. However, the nature of that follow-up, including support for return-to-work (RTW) after cancer, remains largely undefined. As implementation problems are frequently context-related, a pilot study was conducted to describe the...
Article
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Background: Cancer is now viewed as a chronic disease, presenting challenges to follow-up and survivorship care. Models to shift from haphazard, suboptimal and fragmented episodes of care to an integrated cancer care continuum must be developed, tested and implemented. Numerous studies demonstrate improved care when follow-up is assured by both on...
Article
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Purpose: The objective of this review was to identify interventions designed to support the return-to-work process after a cancer diagnosis. Methods: A literature review was performed mainly done by consulting bibliographical databases. Systematic analysis and interpretation of the results were then performed. Results: Twenty-two articles were...
Article
106 Background: The expanding role of patients (including family) at all levels of healthcare systems is increasingly recognized to favour changes in cancer services delivery. The province of Quebec (Canada) is no exception and promotes patients involvement in governance activities such as the implementation of the National cancer program, local in...
Article
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Background Cancer is the leading cause of death in Canada. Early cancer diagnosis could improve patients’ prognosis and quality of life. This study aimed to analyze the factors influencing elapsed time between the first help-seeking trigger and cancer diagnosis with respect to the three most common and deadliest cancer types: lung, breast, and colo...
Article
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Purpose: Many women who have been diagnosed with breast cancer (BC) would like to return to work after undergoing cancer treatment. This review explores the nature of interventions addressing return to work (RTW) for this population. Method: A scoping review was conducted using the Arksey and O'Malley framework. A search was conducted in five bi...
Article
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Background Interdisciplinary teamwork (ITW) is deemed necessary for quality cancer care practices. Nevertheless, variation in ITW intensity among cancer teams is understudied, and quantitative evidence of the effect of different ITW intensities among cancer teams on patients’ perceived experience of care is limited. This study aims to compare patie...
Article
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This article discusses the case of a 47-year-old woman who underwent primary therapy with curative intent for breast cancer. The case illustrates a number of failure events in transferring information and responsibility from oncology to primary care teams. The article emphasizes the importance of shared leadership, as multiple team members, dispers...
Conference Paper
This article aims to better conceptualize the process of hybrid network structuration in public healthcare systems. It is especially concerned with environmental turbulence. In the public administration literature, hybrid networks are said to espouse managerial “top-down” or organic “bottom-up” qualities. They also exhibit complex patterns of gover...
Article
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Purpose: When dealing with health issues, older cancer patients are likely to visit emergency rooms (ER), which are known to expose these patients to the risk of adverse outcomes. Little is known about the profile and reasons for such visits. The aim of this study is (1) to describe the profile of elderly cancer patients aged 70 years and older wh...
Article
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Background Managed cancer networks are widely promoted in national cancer control programs as an organizational form that enables integrated care as well as enhanced patient outcomes. While national programs are set by policy-makers, the detailed implementation of networks is delegated at the service delivery and institutional levels. It is likely...
Article
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Objective. To analyze the impact of patients' experience of care at their usual source of primary care on their choice of point of entry into cancer investigation process, time to diagnosis, and presence of metastatic cancer at time of diagnosis. Method. A questionnaire was administered to 438 patients with cancer (breast, lung, and colorectal) bet...
Article
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In coming years, patient-reported data are expected to play a more prominent role in ensuring early and efficient detection of healthcare system dysfunctions, developing interventions and evaluating their effects on health outcomes, and monitoring quality of care from the patient’s perspective. The concept of responsiveness relates to patient-repor...
Article
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Background Interdisciplinary teamwork (ITW) is designed to promote the active participation of several disciplines in delivering comprehensive cancer care to patients. ITW provides mechanisms to support continuous communication among care providers, optimize professionals’ participation in clinical decision-making within and across disciplines, and...
Article
Purpose: The purpose of this study is to compare patients' and professionals' evaluations of the quality of care in oncology outpatient clinics. Methods: The data were drawn from a 2011 survey of 1,379 patients and 155 professionals conducted in 15 % of oncology outpatient clinics in Quebec, Canada. Respondents completed self-administered questi...
Article
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The purpose of this study was to provide a more precise definition of an integrated oncogeriatric approach (IOGA) through concept analysis. The literature was reviewed from January 2005 to April 2011 integrating three broad terms: geriatric oncology, multidisciplinarity and integrated care delivery models. Citation selection was based on: (1) elder...
Article
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Teamwork is a key component of the health care renewal strategy emphasized in Quebec, elsewhere in Canada and in other countries to enhance the quality of oncology services. While this innovation would appear beneficial in theory, empirical evidences of its impact are limited. Current efforts in Quebec to encourage the development of local interdis...
Article
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A regional integrated cancer network has implemented a program (educational workshops, reflective and mentoring activities) designed to support the uptake of evidence-informed interprofessional collaborative practices (referred to in this text as EIPCP) within cancer teams. This research project, which relates to the Registered Nurses' Association...
Article
Résumé Université de Montréal.Le contexte actuel des systèmes de santé occidentaux réclame que des transformations soient opérées dans les modes d’organisation et de dispensation des soins de santé. Pour faire face à ces nouveaux défis, de nombreux établissements ont introduit de nouveaux rôles infirmiers ayant le potentiel de transformer l’offre d...
Article
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In this paper we focus on governance and the added value of regionalization in the context of health policy implementation. What are regional boards' patterns of action in the governance process?How do these patterns favour policy implementation? ANALYTICAL FRAMEWORK: To enhance our understanding of the role of regional boards in governance process...
Article
In conjunction with a study focusing on the implementation and effect of an integrated care network for cancer patients in the Monteregie region in Quebec, the vignette research strategy was adopted to assess the quality of care provided by the interdisciplinary teams working with this clientele. This research strategy has only recently been used t...
Article
Background In conjunction with a study focusing on the implementation and effect of an integrated care network for cancer patients in the Monteregie region in Quebec, the vignette research strategy was adopted to assess the quality of care provided by the interdisciplinary teams working with this clientele. This research strategy has only recently...
Article
Based on lessons learned from the evaluation of the implementation of an integrated oncological services network in Québec, this paper discusses the following question: to what extent is strong clinical leadership a propitious means of transforming health-care systems, especially when the change leads to significant evolution in inter-professional...

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