Le Québec présente le taux de prescriptions d'antipsychotiques le plus élevé chez les personnes âgées de 65 ans et plus au Canada. La démarche «  » (OPUS-AP) vise à pallier cet enjeu. Étant donné ses premiers résultats prometteurs, notre étude visait à identifier les déterminants de son succès. Elle repose sur un devis d'étude de cas regroupant une analyse documentaire et 21 entrevues auprès d'acteurs clés impliqués dans l'implantation. Les résultats mettent en lumière cinq déterminants centraux : 1) une démarche intégrée, collaborative et probante; 2) des communications et des réseaux au service de la démarche; 3) un climat d'implantation favorable aux changements; 4) un engagement et une implication des parties prenantes; et 5) une stratégie d'application des connaissances intégrée et appuyée. Des défis et recommandations pour assurer la pérennisation et la mise à l'échelle d'OPUS-AP et inspirer des démarches similaires sont identifiés.

Download full-text PDF

Source
http://dx.doi.org/10.1017/S0714980822000320DOI Listing

Publication Analysis

Top Keywords

chez les
8
clés impliqués
8
impliqués dans
8
des
7
les
5
[déterminants succès
4
succès d'une
4
démarche
4
d'une démarche
4
démarche provinciale
4

Similar Publications

Article Synopsis
  • The study focuses on the outcomes of aortic valve replacement (AVR) in young Moroccan patients with severe aortic regurgitation and impaired left ventricle function.
  • A total of 42 out of 110 patients with significant aortic regurgitation and an ejection fraction of ≤35% underwent AVR, showing a low immediate postoperative mortality rate of 4.7%.
  • Long-term follow-up indicated a high survival rate of 86.8% after 15 years, along with significant clinical improvements and increased left ventricle ejection fraction post-surgery.
View Article and Find Full Text PDF

Purpose: Class III obesity (body mass index [BMI] ≥ 40 kg·m) is associated with high rates of Cesarean deliveries and postpartum hemorrhage, with increased maternal and fetal morbidity. The doses of oxytocin and carbetocin are two to four times higher at Cesarean delivery in patients with class III obesity. We sought to investigate the efficacy of carbetocin 80 µg iv compared with oxytocin 1 IU iv (plus infusion) at elective Cesarean delivery in parturients with class III obesity.

View Article and Find Full Text PDF

Method to define recommended portion sizes for consumer guidance.

Eur J Nutr

January 2025

School of Agriculture and Food Science, UCD Institute of Food and Health, University College Dublin, Dublin, Ireland.

Article Synopsis
  • The study aims to create consistent global portion size recommendations for various food groups, recognizing that serving sizes are not well regulated worldwide.
  • A systematic methodology was developed, using data from existing regulations, food-based dietary guidelines, and reported intakes from Europe and Australia to derive Global Portion Values (GPVs) for 50 food groups.
  • The results showed that 88% of the GPVs were consistent, indicating that this standardized approach could assist consumers in making better-informed choices about food portions.
View Article and Find Full Text PDF

[Visions and repercussions of identity-release in oocyte and sperm donors: Descriptive survey among gamete donors].

Gynecol Obstet Fertil Senol

December 2024

Service d'endocrinologie, hôpital l'Archet, CHU de Nice, 151, route de Saint-Antoine de Ginestière, 06 200 Nice, France. Electronic address:

Objectives: The Bioethics Law of August 2nd, 2021 established access to origins for people conceived by gamete donation. Two years after the implementation of this disposition, what is the proportion of former gamete donors informed about access to origins, and what is their position on this matter? What could be the potential repercussions of this new law on them?

Methods: Retrospective single-center cohort study using questionnaires.

Results: When former gamete donors were asked about access to origins, only 53% of oocytes donors and 71% of sperm donors were aware of this measure.

View Article and Find Full Text PDF

[Un chez-soi d'abord: a recovery-oriented approach].

Soins Psychiatr

December 2024

Un chez-soi d'abord 92, c/o Soins Psychiatrie, 65 rue Camille-Desmoulins, 92442 Issy-les-Moulineaux, France.

The "Un chez-soi d'abord" scheme aims to provide independent housing for homeless people diagnosed with psychosis. The "tenants" are supported by a medical-social team, who come to meet them on a weekly basis to help them access and maintain their home. While psychiatric pathology is taken into account, the approach is essentially focused on recovery.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!