Marie-Pierre Moreault's research while affiliated with Université du Québec à Montréal and other places

... Digital technology offers several opportunities to improve access to professional expertise, and the offer of various "virtual" services has exploded in the past 2 years. [1][2][3][4][5][6] Several ways of interacting at a distance with a healthcare professional have emerged in many jurisdictions, more of less integrated with the continuum of universal primary care services. 3,[7][8][9] In Canada, the phone has remained the main technological modality for interacting with a nurse or a physician, either through populational phone services such as 811 hotlines or through a direct access to a clinician. ...

... askyourpharmacist.ca). 15,16 The level of satisfaction of patients using this type of services is reported to be high, and the business model is based on commercial attractivity and high patient needs. 16 The aim of this study was to evaluate the implementation of a direct-toconsumer on-line pharmacy consultation service (Ask Your Pharmacist) to a universal phone consultation service led by the universal public health system in Quebec, through a direct bridge. ...

... However, most of the published literature has mainly focused on hospital pharmacies. Few published studies focused on pharmacists' perception in Quebec, Canada (Motulsky et al., 2008(Motulsky et al., , 2019. To the best of our knowledge, no publication was identified that attempted to evaluate the adoption rates of e-prescribing across the Canadian Provinces. ...

... Its relevance is growing in step with the current context of increasing medical specialization and continuous advances in technology, together with the rise in chronic disease prevalence [1,2]. Cross-level clinical coordination mechanisms can play an important role in addressing this challenge [3,4] due to their potential to improve the transfer of clinical information and communication between primary care (PC) and secondary care (SC) doctors [5,6], thus reducing delays, duplication of exams and medical errors, as well as SC patient consultations and waiting times [7][8][9][10]. Despite their importance, previous studies highlight the limited use (or problems in the use) of cross-level coordination mechanisms, both at a national and international level [11][12][13][14], suggesting that they have not been adopted as expected. ...

... Le système d'information clinique à l'étude était un système régional informatisé de Requêtes/Résultats introduit auprès de médecins généralistes exerçant dans dix cliniques médicales d'une région sociosanitaire du Québec [3]. Ce système régional visait à améliorer l'accessibilité aux résultats d'analyses de laboratoire et d'examens d'imagerie médicale en augmentant la rapidité de la transmission de cette information et en la partageant entre plusieurs établissements. ...

... One good complementary process seems to be measuring the i mpact, and concrete methodologies should be used for that purpose. The experiences analyzed where many, here we present one Canadian example [62] . ...

... CPNs have been associated with improved care access and reduced healthcare costs, particularly among minorities [29][30][31]. Mobile health (mHealth) tools, such as electronic tablets and smartphones, have an important healthcare role, such as the capacity to enhance communication between the oncologist and the patient, particularly those who are underserved [32][33][34]. mHealth technology can function as a resource to support patients and decision partners, aid in decision making, and help bridge health communication between the patient, decision partner, and oncologist [32,35,36]. Despite the growing role of CPNs in cancer care [37,38] and the utility of interactive mHealth technologies, decision aid use by CPNs to improve patient outcomes has been mostly unexplored. ...

... Previous research has shown that dHealth has the potential to prevent disease 3,4 and lower healthcare costs, 5,6 while helping patients monitor and selfmanage chronic conditions 7,8 or optimizing the identification and use of available community resources by frail and isolated older adults. 9,10 It has also been shown that dHealth technologies can improve the quality, continuity, and availability of care, [11][12][13] tailor medical treatments for individual patients 14,15 and facilitate remote patient assessment and follow-up during pandemics. 16,17 For the practice of medicine to continue transforming itself and producing better outcomes for patients, future generations of physicians must be able to navigate with ease in an ever-changing digital environment. ...

... Patient satisfaction with the intervention was assessed in 9 studies (n=2, 22% in patients with cardiovascular disease; n=3, 33% in patients with diabetes; n=2, 22% in patients with COPD; and n=2, 22% in a mixed population; Table 2). A total of 56% (5/9) of the studies [22,28,42,78,91] demonstrated a benefit of telemonitoring on patient satisfaction when compared with a comparator, whereas 44% (4/9) [30,43,44,95] showed no difference when compared with a comparator. Owing to variations in how satisfaction was defined in the studies, a meta-analysis was not performed. ...

... Nine studies [3], [4], [9], [20], [21], [29], [30], [31], [32] appropriately covered evaluation measures in the technology aspect. In human and organization aspects, the coverage rate of evaluation measures in six [23], [24], [33], [34], [35], [36] and four studies [9], [20], [37], [38] was better than other studies, respectively. ...