Elisabeth Martin

• Université Laval

Community pharmacists' scope continues to expand by how individual power, as per Raven (1992), affects implementation is not well understood. This interpretive qualitative research analyzed Ontario community pharmacists' perceptions of power & its affect on integration into primary care

Objective To evaluate if access to team-based primary care is related to medication management outcomes for older adults. Methods We completed two retrospective cohort studies using administrative health data for older adults (66+) in Ontario (n = 428,852) and Québec (n = 310,198) who were rostered with a family physician (FP) between the 2001/02...

The challenges of polypharmacy and inappropriate prescribing are recognized internationally. This study synthesizes and compares the policies related to these issues introduced in Canada's two most populous provinces – Ontario and Quebec – over the first two decades of the 21st century. Drawing on policy documents and consultations with experts, we...

Context: Seniors are taking multiple medications and are at higher risk than the general population of inappropriate prescribing and potentially harmful medications. This may be linked to a lack of coordination in the delivery of care. Primary care reforms in Ontario and Quebec have sought to improve coordination, particularly through the implement...

In 2005 the Supreme Court of Canada issued a landmark ruling in the debate on privatization of Quebec's health care system. The Quebec government subsequently made several decisions, such as lifting the ban on private insurance for some health services already offered in the public system. We interviewed 42 stakeholders who were involved in the dec...

Graduate studies go way beyond the simple acquisition of knowledge, aiming among other things at developing critical thinking as well as research and scientific writing skills. Evaluating the latter poses real challenges. Rubrics have long been used to assess writing skills but have not yet made their way into the evaluation practices in the contex...

This article focuses on Quebec's most recent reform in the regionalization of health care to understand why the government chose to transform the regional boards into agencies. This case study used interviews and documentary analysis. Rooted in a political science perspective, the conceptual framework is inspired by the work of John Kingdon (1995)...

Although the costs of doctors' visits and hospital stays in Canada are covered by national public health insurance, the cost of outpatient prescription drugs is not. To solve problems of access, Canadian provinces have introduced provincial prescription drug benefit programs. This study analyzes the prescription drug policymaking process in five Ca...

At their origin, public healthcare systems were designed mainly for the treatment of acute illnesses. For many years, therefore, public health care focused on services offered in healthcare establishments and primary care was allowed to evolve on the periphery of hospitals, with doctors free to follow their own conception of how best to provide and...

Résumé Dans la foulée de la loi 90 adoptée au Québec en 2002, l’article analyse l’évolution du statut professionnel des médecins dans le cadre spécifique de leurs relations avec trois groupes de professionnels : les infirmières, les chiropraticiens et les techniciens ambulanciers. Tirées d’entrevues et de sources documentaires, nos données montrent...

Résumé Traditionnellement déduit de la reconnaissance sociale accordée aux médecins et de la nature scientifique de leur savoir, le pouvoir médical semble désormais contesté sur la base de divers facteurs, notamment les connaissances accrues des patients, mais peut-être spécialement la volonté des responsables politiques de rationaliser les pratiqu...

A group of student interviewers sat down with distinguished conference attendees at the 2008 Canadian Association for Health Services and Policy Research Conference. These leaders in the field shared a wealth of advice about career planning (don't), seizing opportunities (do) and connecting with colleagues and community (do often). We learned that...

Interest in finding more effective methods for public involvement in decision-making about health systems is more widespread than ever in Canada since significant aspects of health-care decision-making were devolved from provincial governments to regional health authorities. Involving the public can be risky business, however, as the accountability...

In January 1997, the government of Quebec, Canada, implemented a public/private prescription drug program that covered the entire population of the province. Under this program, the public sector collaborates with private insurers to protect all Quebecers from the high cost of drugs. This article outlines the principal features and history of the Q...

Objectives: To disclose why Quebec chose to implement a universal, private-public prescription drug insurance program that is unique in North America and to discuss the challenges that the program has faced since its creation ten years ago. Methods: Analysis of interviews with 19 decision-makers who had helped to create the program or who presently...

This article focuses on the decision-making processes surrounding the implementation of Bill 25, Quebec's Act Respecting Local Health and Social Services Network Development Agencies. Our intention is to shed light on the strategies of the various groups or institutions that expressed their preferences and attempted, with varying degrees of success...

To resolve tensions among competing sources of evidence and public expectations, health-care managers and policy makers are turning more than ever to involve the public in a wide range of decisions. Yet efforts to use research evidence to inform public involvement decisions are hampered by an absence of rigorous public participation evaluation rese...

Résumé Les méthodes de consultation publique qui favorisent la délibération et le dialogue entre citoyens et décideurs ont donné lieu à un grand nombre d’études dans les dernières années. L’expérience de participation analysée dans cet article s’inscrit dans ce courant. Des citoyens de la région de Charlevoix ont été invités à examiner et à débattr...

A common thread weaving through the current public participation debate is the need for new approaches that emphasize two-way interaction between decision makers and the public as well as deliberation among participants. Increasingly complex decision making processes require a more informed citizenry that has weighed the evidence on the issue, disc...

RÉSUMÉ Objectif: Étudier les raisons pour lesquelles le Québec a mis en place un partenariat public/privé unique en Amérique du Nord pour couvrir l'ensemble de sa population contre le risque médi-cament et analyser les défis auxquels le régime a dû faire face depuis sa création. Méthodes : Enquête et analyse de 19 entretiens avec un échantillon de...

Thèse (M.A.)--Université Laval, 2003. Bibliogr.: f. 138-147.