Sylvie Fortin

Sylvie Fortin
Université de Montréal | UdeM · Department of Anthropology

PhD

About

43
Publications
2,075
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271
Citations

Publications

Publications (43)
Article
In pediatric hematology-oncology, technologies and medical progress generate multiple therapeutic avenues. These possibilities and the hope they raise become actors in the decision-making process. Yet, in the context of hematopoietic (bone marrow) transplants complications are numerous and death is a possibility. Based on ethnographic work conducte...
Article
In the hospital milieu, daily questions relate to highly invested areas such as quality of life and death issues, choices to continue or stop active treatment, and the legitimacy of those who take part in such decisions. Stemming from an ethnographic study carried out in a hematology-oncology transplant unit in a Montreal pediatric hospital, we dis...
Article
Background: Recent advances in immunology, genomics, and cellular therapy have opened numerous therapeutic possibilities in pediatric hematology-oncology, generating new hope in poor prognosis situations. How decisions are made when it comes to treatments and aims needs to be explored in this new technological context. In particular, their impact...
Article
Résumé Les politiques d’immigration du Québec et du Canada visent à attirer des candidats très qualifiés. Pourtant, ces migrants font face à de nombreuses barrières sur le marché du travail local. L’expérience des médecins diplômés à l’étranger ayant immigré au Québec est particulière en raison de la complexité du processus de reconnaissance profes...
Article
Full-text available
La transfusion de sang est un élément essentiel dans le traitement des maladies hématologiques et contribue à sauver de nombreuses vies (OMS 2016). Elle peut toutefois soulever des questions d’ordre éthique et religieux (Kleinman 1994), questions peu traitées dans les écrits scientifiques. En réponse à cette lacune, nous avons consacré notre recher...
Article
Aims: This study explored how paediatric healthcare professionals experienced and coped with end-of-life conflicts and identified how to improve coping strategies. Methods: A questionnaire was distributed to all 2,300 professionals at a paediatric university hospital, covering the frequency of end-of-life conflicts, participants, contributing fa...
Research
Full-text available
"Incertitude médicale, prise de décision et accompagnement en fin de vie" Special issue of Anthropologie & Santé, 2016, 12. Total open access on http://anthropologiesante.revues.org
Article
Full-text available
In hospitals, life and death are closely linked and engage multiple questions in regards to quality of life and death issues, choices (pursuit or withdrawal of life sustaining interventions), decision-making and the legitimacy of the people involved in this process (patients, families, caregivers). In this paper, we share our thoughts on the challe...
Article
Full-text available
In Quebec and Canada, immigration policies are designed to attract “the best and the brightest.” Once migration occurs, however, the “brain waste” is challenging. This research focuses on the professional trajectories of international medical graduates (IMG) who migrate to Quebec. The main goal is to understand why certain individuals of a similar...
Article
Over the last decade, we have extensively examined clinical practice in the context of sociocultural, religious and ethnic diversity. Stemming mainly from data collected amongst physicians we reflect, in this paper, upon the norms and values which guide decision-making processes in tertiary pediatric hospital contexts. Clinical ethics is portrayed...
Article
Full-text available
Background: Blood has been imbued with powerful connotations through history and across cultures. Currently bestowed with scientific meaning, blood nevertheless carries symbolic resonance. This study examines these representations among practitioners and sheds light on the clinical and nonclinical factors that guide blood transfusion (BT) decision...
Article
Full-text available
La transfusion de sang est un élément essentiel des soins et contribue à sauver de nombreuses vies (OMS, 2014). Elle peut toutefois soulever des questions d’ordre éthique et religieuse (Kleinman, 1994 ; Muramoto, 2001), questions peu traitées dans les écrits scientifiques. En réponse à cette lacune, nous avons consacré notre recherche en anthropolo...
Article
The hospital is a place of encounter between health care providers, patients and family members, the healthy and the suffering, migrants and non-migrants, as well as social and cultural minorities, and majorities of various backgrounds. It is also a space where multiple conceptions of care, life, quality of life, and death are enacted, sometimes in...
Article
Over the last decade, we have extensively examined clinical practice in the context of sociocultural, religious and ethnic diversity. Stemming mainly from data collected amongst physicians we reflect, in this paper, upon the norms and values which guide decision-making processes in tertiary pediatric hospital contexts. Clinical ethics is portrayed...
Article
Full-text available
In Quebec and Canada, immigration policies are designed to attract “the best and the brightest.” Physicians are part of this transnational elite and the “brain drain” raises ethical issues in under-served areas. A second ethical issue appears in the host country: Their fragmented professional recognition. In this interplay for recognition, the iden...
Article
In Montreal, Quebec, 31% of the population is born outside Canada. Yet, only 9% of patient consultations for symptoms associated with functional gastrointestinal disorders (FGIDs) are from immigrants at the Paediatric Gastroenterology Clinic at Sainte-Justine's University Hospital Centre. This discrepancy inspired a multidisciplinary exploratory st...
Article
Full-text available
This paper examines how children and families of diverse ethnic backgrounds perceive, understand and treat symptoms related to functional gastrointestinal disorders (FGIDs). It is questioned how different ways of dealing with medical uncertainty (symptoms, diagnosis) may influence treatment pathways. Semi-structured interviews were conducted with 4...
Chapter
This chapter suggests a number of ways that anthropology can contribute to the study of functional gastrointestinal disorders (FGIDs), in a spirit of interdisciplinary cooperation. FGIDs are a complex clinical entity, involving a number of possible signs (e.g., constipation, abdominal pain, nausea), as well as a variety of care strategies, ranging...
Article
L’espace clinique hospitalier est un lieu de rencontre pluriel entre soignants et soignes, entre bien-portants et souffrants, entre migrants et non-migrants, entre minoritaires et majoritaires d’appartenances diverses (origines, statut, confession). Cette rencontre peut etre imaginee comme un moment de negociation et parfois de heurts par lequel se...
Article
L’anthropologue Myra Bluebond-Langner est une chef de file et pionnière dans l’étude d’enfants qui vivent avec des maladies graves limitant l’espérance de vie. En retraçant son parcours intellectuel et de recherche, elle souligne combien l’ethnographie et les approches théoriques anthropologiques sont fécondes dans de nombreux champs d’enquête, don...
Article
Stemming from an anthropological study of clinical practices in tertiary health care institutions, our paper focuses on challenges brought by medical and technological progress in paediatric intensive care units (acute) and oncology units (chronic). This progress affects clinicians and nurses daily, posing challenges for which there are no ‘easy’ s...
Article
Full-text available
Résumé (english follow) Dans un contexte où les processus de production et de transfert des expertises techniques sont imbriqués dans une logique de marché à l’échelle mondiale, les systèmes de santé contemporains sont interpellés par de nombreux défis liés à la mobilité internationale des professionnels de la santé. Nous inspirant de diverses appr...
Article
Contemporary urban diversity combined with increasing specialisation in tertiary care, technological innovations, and complexity of pathologies, render patient–physician relations challenging for both patients and practitioners. Based on ongoing research in a university paediatric hospital in Montreal, this paper examines how patient–physician rela...
Article
Full-text available
Résumé Au Québec, la migration croissante de musulmans donne à voir un islam pluriel. Néanmoins, depuis septembre 2001, la question identitaire se pose avec plus d’acuité pour les musulmans d’Amérique du Nord. Ce contexte couplé au maintien quotidien de liens hors du territoire local et à l’avènement de nouveaux acteurs internationaux favorisent un...
Article
Full-text available
Résumé Ce texte, inspiré d’une recherche naissante et des expériences de terrain des auteures, aborde la période périnatale comme un moment charnière pour la transmission de savoirs familiaux. En contexte migratoire, cette période prend un sens particulier, à la fois en raison de l’éloignement des proches et de l’investissement du projet parental (...
Article
The reorganization of health care in Quebec, as in the rest of Canada, has helped reinforce inequities based on gender, race, ethnic status, etc. in employment in this field. Home health care workers in Quebec, called auxiliaires, are mostly women, frequently immigrants, and often immigrant women of colour. Their jobs are low status and badly paid,...
Article
Résumé À partir d’une recherche menée à Montréal auprès des prestataires de soins et services à domicile, cet article traite du métier d’auxiliaire et des modes de classement opérés en regard du travail lui-même, des origines ethniques ou nationales des auxiliaires et enfin, de la place du genre dans ce classement. Le phénomène de stratification so...
Article
This article is based on the results of an exploratory/descriptive study conducted among 297 young immigrant families and 40 practitioners. Health, social, and cultural problems encountered by the families and the ways they resolve these problems are examined. In the health sector, families give priority to their children's health problems whereas...
Article
Cet article presente les resultats d'une recherche de type exploratoire-descriptive, conduite aupres de 297 jeunes familles immigrantes et de 40 intervenants, sur les problemes sociaux et culturels que les familles rencontrent et sur leurs modes de resolution de ces problemes. Dans le secteur social, les difficultes prioritaires des familles sont p...
Article
Thèse (M. Sc.)--Université de Montréal, 1995. "Mémoire présenté à la Faculté des études supérieures en vue de l'obtention du grade de Maître ès sciences (M. Sc.) en anthropologie."

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