Roxane Borgès Da Silva

Université de Montréal | UdeM · School of Public Health

COVID-19 research has relied heavily on convenience-based samples, which—though often necessary—are susceptible to important sampling biases. We begin with a theoretical overview and introduction to the dynamics that underlie sampling bias. We then empirically examine sampling bias in online COVID-19 surveys and evaluate the degree to which common...

The expansion of information sources and their use has accelerated since the beginning of the COVID-19 pandemic, sometimes provoking significant concern in the daily lives of parents. The objective of this study was to investigate the association between COVID-19 related information sources and the level of concern about COVID-19 among parents of s...

Objective: Vaccination will be instrumental in controlling the COVID-19 pandemic, and vaccination of children will be necessary to achieve herd immunity. Given that children with chronic health conditions may be at increased risk of COVID-19, it is crucial to understand factors influencing parental decisions about whether to have their child vacci...

Background: Nosocomial infections (NIs) are among the main preventable healthcare adverse events. Like all countries, Canada and its provinces are affected by NIs. In 2004, Ministry of Health and Social Services (MSSS) of Quebec instituted a mandatory surveillance NI program for the prevention and control (NIPC) in the hospitals of the province. On...

The COVID-19 pandemic is bringing about far-reaching structural changes on both the economy and public health, and conventional methodologies have to be fine-tuned to assist public health decision making. In this context, behavioural economics, which is situated at the crossroads between economics and social psychology, is an undeniably innovative...

Objective . Vaccination will be instrumental in controlling the COVID-19 pandemic, and vaccination of children will be necessary to achieve herd immunity. Given that children with chronic health conditions may be at increased risk of COVID-19, it is crucial to understand factors influencing parental decisions about whether to have their child vacci...

Introduction : As elsewhere in the world, Quebec (Canada) is currently facing the COVID-19 pandemic. Approximately 92% of deaths have occurred among people aged over 70, and approximately 100 long-term care (LTC) centers (termed CHSLDs in Quebec) were contaminated. This alarming situation is prompting stakeholders from healthcare networks to invest...

Background Providing care to cancer patients is associated with a substantial psychological and emotional load on oncology workers. The purpose of this project is to co-construct, implement and assess multidimensional intervention continuums that contribute to developing the resilience of interdisciplinary cancer care teams and thereby reduce the b...

O objetivo deste estudo foi documentar percepções e crenças sobre a higiene das mãos entre enfermeiras em Kinshasa, República Democrática do Congo (RDC). O modelo PRECEDE-PROCEED orientou o trabalho, focando na análise nos fatores de predisposiçãoe facilitadores. A abordagem utilizada foi do tipo descritivo correlacional. A amostra de conveniência...

Aims: To identify nurse staffing groups in acute care facilities. Design: This retrospective descriptive study used a configurational approach. Methods: Data from a two-month target period from January-March 2016 were collected for 40 facilities in four different hospitals in one of the largest regions of Quebec. Multiple factorial analysis an...

Objective: To estimate national and geography-based variations in blood pressure and burden of hypertension in Cameroon, generally called 'miniature Africa'. Methods: PubMed, Medline, EMBASE, CINHAL, Web of Science, Popline, Scopus and BDSP were searched through November 2018, for hypertension studies among Cameroonians aged at least 18 years. H...

Background Nurses play a significant role in healthcare systems. Their workplace experience can have an impact not only on nurses themselves, but also on patients and organizations, particularly in terms of quality of care and performance. Despite the importance of this experience, it remains an ambiguous concept with varying interpretations. Curre...

Background: Eating disorders could be an important factor in the development of obesity, but psychiatric comorbidities are very heterogeneous in patients with obesity. Moreover, relationship between binge eating disorder and other psychiatric comorbidities is not clear. Our objective was to identify psychiatric comorbidity profiles of bariatric su...

Background: Prenatal education is a core component of perinatal care and services provided by health institutions. Whereas group prenatal education is the most common educational model, some health institutions have opted to implement online prenatal education to address accessibility issues as well as the evolving needs of future parents. Various...

Résumé Problématique La performance des services infirmiers devient essentielle pour les organisations cherchant à améliorer leurs services. L’engagement du personnel infirmier semble être un facteur important pour améliorer leur performance. Objectif À partir d’une recension critique des écrits, le but de cette étude était d’analyser les liens e...

Standing Orders and Quality of Care at Triage in Emergency Services: Integrative Review Introduction: Overcrowding of emergency services is a widespread problem in western countries. This situation results in negative patient outcomes and influences the quality of care. Standing orders are a possible way to improve the quality and performance of th...

Purpose: Nurses are identified as a key provider in the management of patients in primary care. The objective of this study was to evaluate patients' experience of care in primary care as it pertained to the nursing role. The aim was to test the hypothesis that, in primary health care organizations (PHCOs) where patients are systematically followe...

Objective: To assess the degree of collaboration in primary health care organizations between FPs and other health care professionals; and to identify organizational factors associated with such collaboration. Design: Cross-sectional survey. Setting: Primary health care organizations in the Montreal and Monteregie regions of Quebec. Participa...

Physicians’ gender can have an impact on many aspects of patient experience of care. Organization processes through which the influence of gender is exerted have not been fully explored. The aim of this article is to compare primary health care (PHC) organizations in which female or male doctors are predominant regarding organization and patient ch...

Background Hypertension holds a unique place in population health and health care because it is the leading cause of cardiovascular disease and the most common noncommunicable condition seen in primary care worldwide. Without effective prevention and control, raised blood pressure significantly increases the risk of stroke, myocardial infarction, c...

Introduction La gestion des maladies chroniques nécessite une grande intégration des services. Un programme de gestion du risque cardiométabolique inspiré du Chronic Care Model a été implanté à Montréal pour les patients atteints de diabète ou d’hypertension. Un des objectifs de notre étude était d’apprécier l’impact de la coordination des soins en...

Introduction Chronic disease management requires substantial services integration. A cardiometabolic risk management program inspired by the Chronic Care Model was implemented in Montréal for patients with diabetes or hypertension. One of this study’s objectives was to assess the impact of care coordination between the interdisciplinary teams and p...

Background: We investigated whether multidisciplinary team-based primary care practice improves adherence to process of care guidelines, in the absence of financial incentives related to pay-for-performance. Methods: We conducted a natural experiment including 135,119 patients, enrolled with a general practitioner (GP) in a multidisciplinary tea...

In the interest of population-based responsibility, health and social services establishments (HSSEs) are expected to establish more working partnerships with organismes communautaires Famille (OCF – community-based family organizations). Some OCFs offer a service called 'relevailles,' which consists of providing a home-visiting postnatal support p...

Purpose To estimate the clinical effectiveness and to systematically review the literature of full economic evaluation of chiropractic care compared to other commonly used care approaches among adult patients with non-specific LBP. Study Design Systematic reviews of interventions and economic evaluations. Methods A comprehensive search strategy...

PRISMA Checklist. (DOC)

. Healthcare reforms launched in the early 2000s in Québec, Canada, involved the implementation of new forms of primary healthcare (PHC) organizations: Family Medicine Groups (FMGs) and Network Clinics (NCs). The objective of this paper is to assess how the organizational changes associated with these reforms have impact on patients’ experience of...

Size of primary health care (PHC) practices is often used as a proxy for various organizational characteristics related to provision of care. The objective of this article is to identify some of these organizational characteristics and to determine the extent to which they mediate the relationship between size of PHC practice and patients’ experien...

Objectives . To assess the extent to which new primary healthcare (PHC) models implemented in two regions of Quebec have improved patient experience of care, unmet needs, and use of services for individuals with and without chronic diseases, compared with other forms of PHC practices. Methods . In 2005 and 2010, we carried out population and organi...

Introduction: The overall aim of this project is to help develop knowledge about primary care delivery models likely to improve the accessibility, quality and efficiency of care. Operationally, this objective will be achieved through supporting and evaluating 8 primary care team pilot sites that rely on an expanded nursing role within a more inten...

Background: School screening programs for adolescent idiopathic scoliosis (AIS) have been discontinued in Canada and elsewhere because they were not considered cost-effective. In communities lacking such programs, we expect a significant variety of healthcare pathways and timeframes for patient referrals to orthopaedics. The objectives of this stu...

Analyse d’une politique de santé visant l’amélioration de l’accès à un médecin de famille : Les guichets d’accès pour la clientèle orpheline au Québec, 2015

Commonly self-reported questions in population health surveys, such as “do you have a family physician?”, represent one of the best-known sources of information about patients’ attachment to family physicians. Is it possible to find a proxy for this information in administrative data? Objective. To identify the type of patient attachment to a famil...

To assess the extent to which new forms of PHC organization - Family medicine groups (FMG) and Network clinics (NC) - established in Quebec since 2003, are associated with a better experience of care than other forms of PHC organization, for patients with chronic diseases. Two surveys were conducted in 2010 in two regions of Quebec: the first among...

To present the results of an integrative review of the literature that summarized empirical knowledge on dimensions of vulnerability during the perinatal period leading to informal and semi-formal postnatal support needs. The literature search was performed in ten databases, covering the period from 1990 to March 2013. Relevant information was extr...

Objectif : Présenter les résultats d’une recension intégrative des études synthétisant les connaissances empiriques sur les dimensions de la vulnérabilité en période périnatale qui génèrent des besoins en matière de soutien social postnatal informel ou semi-formel. Méthode : La recension des études a été réalisée dans dix bases de données, couvrant...

Dear editor,We have read with great interest the contribution of Leorides Severo-Duarte Guerra et al. [1]. The authors underlined the high lifetime prevalence of mood disorders and particularly bipolar disorders in patients seeking bariatric surgery in Brazil. It is worth noting that standardized evaluation enables to determine with more accuracy t...

Objective: To define a physician classification system based on practice settings and to analyze the service provision associated with those classifications. Design: A cross-sectional, retrospective study. Setting: Province of Quebec. Participants: All GPs in Quebec in 2002 who had been practising for at least 2 years. Main outcome measures...

Aim: Primary care practitioners should screen young adolescent patients for idiopathic scoliosis and refer those who could benefit from bracing to prevent curve progression and the need for surgery. Adolescents without a regular source of primary care may be at higher risk for not having their scoliosis diagnosed in time to benefit from bracing. W...

Background Healthcare reforms initiated in the early 2000s in Québec involved the implementation of new modes of primary healthcare (PHC) delivery and the creation of Health and Social Services Centers (HSSCs) to support it. The objective of this article is to assess and explain the degree of PHC organizational change achieved following these refor...

Typology and taxonomy constructions are increasingly used as a method of analysis in health services and public health research. Although taxonomy and typology have different definitions in the dictionary, these terms are often used synonymously. The objective of this paper is to propose a theoretical framework derived from organizational theory in...

Introduction. Solo practices have generally been viewed as forming a homogeneous group. However, they may differ on many characteristics. The objective of this paper is to identify different forms of solo practice and to determine the extent to which they are associated with patient experience of care. Methods. Two surveys were carried out in two r...

Over the past decade, in the province of Quebec, Canada, the government has initiated two consecutive reforms. These have created a new type of primary healthcare -- family medicine groups (FMGs) -- and have established 95 geographically defined local health networks (LHNs) across the province. A key goal of these reforms was to improve collaborati...

. Primary healthcare (PHC) renewal gives rise to important challenges for policy makers, managers, and researchers in most countries. Evaluating new emerging forms of organizations is therefore of prime importance in assessing the impact of these policies. This paper presents a set of methods related to the configurational approach and an organizat...

Accessibility and continuity of primary health care in rural Canada are inadequate, mainly because of a relative shortage of family physicians. To alleviate the uneven distribution of physicians in rural and urban regions, Quebec has implemented measures associated with 3 types of physician practices in rural areas. The objectives of our study were...

The goal was to develop a classification of emergency departments (EDs) based on their organization of services for seniors discharged to the community. This was a secondary analysis of data collected in a survey of key informants (chief physicians and head nurses) in EDs in Quebec on the organization of services for community-dwelling seniors disc...

The specific objectives were: 1) to compare the characteristics and 6-month outcomes of community-dwelling seniors in Quebec, Canada, who visited three different emergency department (ED) types and 2) to explore whether the differences in outcomes by ED type were seen among subgroups of seniors. The three types of ED were most specialized, less com...

Many studies have shown the tendency for people without a regular care provider or primary physician to make greater use of emergency departments. We sought to determine the effects of three aspects of care provided by primary physicians (physician specialty, continuity of care and comprehensiveness of care) on their patients' use of the emergency...

CSSS Questionnaire. This file contains the questionnaire used to document interorganizational collaboration within local services networks in a previous project [36].