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  1. Book ; Online ; E-Book: Transitions and Boundaries in the Coordination and Reform of Health Services

    Nugus, Peter / Rodriguez, Charo / Denis, Jean-Louis / Chênevert, Denis

    Building Knowledge, Strategy and Leadership

    (Organizational Behaviour in Healthcare,)

    2020  

    Abstract: Health systems worldwide are grappling with the challenge of coordinating difference in an increasingly complex care environment. In response this book features the latest research on organizational studies in healthcare and explores the relationship ... ...

    Author's details edited by Peter Nugus, Charo Rodriguez, Jean-Louis Denis, Denis Chênevert
    Series title Organizational Behaviour in Healthcare,
    Abstract Health systems worldwide are grappling with the challenge of coordinating difference in an increasingly complex care environment. In response this book features the latest research on organizational studies in healthcare and explores the relationship between strategic and organic change and what this means for the way we organize health work. Focusing on the complexity of healthcare environments, it discusses the need to cross professional and organizational boundaries. Specifically, this book focuses on the implications for health systems in the way that they continue to balance planning and intervention with organic learning systems. Comprising the best contributions from the 2018 Conference on Organizational Behaviour in Health Care (OBHC), this book is an important resource for healthcare researchers, as well as policy-makers and managers within the industry. Contributors explore the extent to which healthcare is codified through empirical analysis of practical interventions and conceptual debate.
    Keywords Health care management ; Health services administration ; Leadership ; Organization ; Planning ; Health Care Management ; Business Strategy/Leadership
    Subject code 362.1
    Language English
    Size 1 online resource (401 pages).
    Edition 1st ed. 2020.
    Publisher Springer International Publishing ; Imprint: Palgrave Macmillan
    Publishing place Cham
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-26684-2 ; 3-030-26683-4 ; 978-3-030-26684-4 ; 978-3-030-26683-7
    DOI 10.1007/978-3-030-26684-4
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Empathy in family medicine postgraduate education: A mixed studies systematic review.

    Ortiz-Paredes, David / Adam Henet, Peterson / Desseilles, Martin / Rodríguez, Charo

    Medical teacher

    2024  , Page(s) 1–17

    Abstract: Purpose: Empathy is an important construct in patient-physician relationships, particularly critical in family physicians' daily practice. We aimed to understand how empathy has been conceived and integrated into family medicine postgraduate training.!## ...

    Abstract Purpose: Empathy is an important construct in patient-physician relationships, particularly critical in family physicians' daily practice. We aimed to understand how empathy has been conceived and integrated into family medicine postgraduate training.
    Materials and methods: Medline, PsyINFO, and Embase were searched in this systematic mixed studies systematic review. Two independent reviewers screened abstracts and full texts. Disagreements were solved through research team consensus-based discussion. Included studies were synthesized thematically.
    Results: A total of 18 studies were included. Four themes were identified.
    Conclusions: Studies mostly measured the cognitive component of empathy. The moral component of empathy was underrepresented in the conceptualization of empathy and the development of educational interventions. Conflicting evidence exists regarding the decline of empathy levels during the family medicine residency. Longitudinal designs should be privileged when exploring the evolution of empathy levels across the continuum of medical education.
    Language English
    Publishing date 2024-03-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2024.2328324
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  3. Article ; Online: Clinical reasoning - a Scotoma in the medical gaze?

    Risør, Torsten / Rodríguez, Charo

    Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors

    2021  Volume 32, Issue 5, Page(s) 256–258

    MeSH term(s) Attention ; Clinical Reasoning ; Humans ; Scotoma
    Language English
    Publishing date 2021-07-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2074818-8
    ISSN 1475-990X ; 1473-9879
    ISSN (online) 1475-990X
    ISSN 1473-9879
    DOI 10.1080/14739879.2021.1931965
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    Zs.A 3195: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  4. Article ; Online: Tobacco policy (in)coherence in Mozambique: an examination of national and subnational stakeholder perspectives.

    Nguenha, Nicole / Rodriguez, Charo / Drope, Jeffrey / Bialous, Stella Aguinaga / Cunguara, Benedito / Lencucha, Raphael

    Health policy and planning

    2024  Volume 39, Issue 4, Page(s) 333–343

    Abstract: Mozambique ranks fifth on the list of tobacco producing countries in Africa, while also being a Party to the WHO Framework Convention on Tobacco Control (FCTC). Tobacco farming is regarded by some governments as a strategic economic commodity for export ... ...

    Abstract Mozambique ranks fifth on the list of tobacco producing countries in Africa, while also being a Party to the WHO Framework Convention on Tobacco Control (FCTC). Tobacco farming is regarded by some governments as a strategic economic commodity for export and remains deeply entrenched within Mozambique's political and economic landscape. This study uses a qualitative description methodology to identify tensions, conflicts and alignment or misalignment in policy on tobacco across government sectors and levels in Mozambique. We conducted semi-structured qualitative interviews with 33 key informants from sectors across national and subnational levels including health, agriculture, economic and commercial sectors, as well as non-state actors from civil society organizations, the tobacco industry, farmers unions and associations and individual farmers. Incoherence was present across sectoral mandates, perspectives on industry's presence in the country and regions and between FCTC provisions and informant perceptions of tobacco production as a development strategy. Despite tobacco being viewed as an important economic commodity by many informants, there was also widespread dissatisfaction with tobacco from both farmers and some government officials. There were indications of an openness to shifting to a policy that emphasizes alternatives to tobacco growing. The findings also illustrate where points of convergence exist across sectors and where opportunities for aligning tobacco policy with the provisions of the FCTC can occur.
    MeSH term(s) Humans ; Mozambique ; Nicotiana ; Tobacco Industry ; Public Policy ; Tobacco Control ; Health Policy
    Language English
    Publishing date 2024-03-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 632896-9
    ISSN 1460-2237 ; 0268-1080
    ISSN (online) 1460-2237
    ISSN 0268-1080
    DOI 10.1093/heapol/czae010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2946: Show issues Location:
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  5. Article ; Online: Dealing with fibromyalgia in the family context: a qualitative description study.

    Vázquez Canales, Luz de Myotanh / Pereiró Berenguer, Inmaculada / Aguilar García-Iturrospe, Eduardo / Rodríguez, Charo

    Scandinavian journal of primary health care

    2024  Volume 42, Issue 2, Page(s) 327–337

    Abstract: Headings purpose:: Material and Methods:: Results:: Conclusions: ...

    Abstract Headings purpose:
    Material and Methods:
    Results:
    Conclusions:
    MeSH term(s) Male ; Child ; Humans ; Female ; Fibromyalgia ; Chronic Disease ; Qualitative Research ; Family ; Spain/epidemiology
    Language English
    Publishing date 2024-03-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605763-9
    ISSN 1502-7724 ; 0281-3432 ; 0284-6020
    ISSN (online) 1502-7724
    ISSN 0281-3432 ; 0284-6020
    DOI 10.1080/02813432.2024.2322103
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2713: Show issues Location:
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  6. Article ; Online: Insights for Teaching During a Pandemic: Lessons From a Pre-COVID-19 International Synchronous Hybrid Learning Experience.

    Rodríguez, Charo / Rahimzadeh, Vasiliki / Bartlett-Esquilant, Gillian / Carver, Tamara

    Family medicine

    2022  Volume 54, Issue 6, Page(s) 471–476

    Abstract: Background and objectives: Medical educators and researchers have increasingly sought to embed online educational modalities into graduate medical education, albeit with limited empirical evidence of how trainees perceive the value and experience of ... ...

    Abstract Background and objectives: Medical educators and researchers have increasingly sought to embed online educational modalities into graduate medical education, albeit with limited empirical evidence of how trainees perceive the value and experience of online learning in this context. The purpose of this study was to explore the experiences of hybrid learning in a graduate research methods course in a family medicine and primary care research graduate program.
    Methods: This qualitative description study recruited 28 graduate students during the fall 2016 academic term. Data sources included qualitative group discussions and a 76-item online survey collected between March and September 2017. We used thematic analysis and descriptive statistics to analyze each data set.
    Results: Nine students took part in three group discussions, and completed an online survey. While students reported positive learning experiences overall, those attending virtually struggled with the synchronous elements of the hybrid model. Virtual students reported developing research skills not offered through courses at their home institution, and students attending the course in person benefited from the diverse perspectives of distance learners. All stressed the need to foster a sense of community.
    Conclusions: Quality delivery of online graduate education in family medicine research requires optimizing social exchanges among virtual and in-person learners, ensuring equitable engagement among all students, and leveraging the unique tools afforded by online platforms to create a shared sense of a learning community.
    MeSH term(s) COVID-19 ; Curriculum ; Education, Distance ; Humans ; Learning ; Pandemics
    Language English
    Publishing date 2022-06-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639374-3
    ISSN 1938-3800 ; 0742-3225
    ISSN (online) 1938-3800
    ISSN 0742-3225
    DOI 10.22454/FamMed.2022.319716
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2327: Show issues Location:
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  7. Article ; Online: Adolescent medicine training in postgraduate family medicine education: a scoping review.

    Tellier, Pierre-Paul / Ataman, Rebecca / Zaccagnini, Marco / Gore, Geneviève / Rodriguez, Charo

    International journal of adolescent medicine and health

    2023  Volume 35, Issue 2, Page(s) 119–129

    Abstract: Introduction: Adolescents and young adults require age-appropriate healthcare services delivered by clinicians with expertise in adolescent medicine. However, resident family physicians report a low perceived self-efficacy and under-preparedness to ... ...

    Abstract Introduction: Adolescents and young adults require age-appropriate healthcare services delivered by clinicians with expertise in adolescent medicine. However, resident family physicians report a low perceived self-efficacy and under-preparedness to deliver adolescent medical care. We conducted a scoping review to map the breadth and depth of the current evidence about adolescent medicine training for family medicine residents.
    Content: We followed Arksey and O'Malley's framework and searched seven electronic databases and key organizations' webpages from inception to September 2020. Informed by the CanMEDS-FM, we analyzed the extracted data concerning basic document characteristics, competencies and medical topics using numerical and qualitative content analysis.
    Summary: We included 41 peer-reviewed articles and six adolescent health competency frameworks (n=47). Most competencies taught in family medicine programs were organized under the roles of
    Outlook: The omission of multiple competency roles in family medicine resident education on adolescents is insufficient for family physicians to deliver optimal care to adolescents. The combined efforts of family medicine stakeholders to address adolescent medicine competency gaps may positively impact the perceived competence reported by family medicine residents.
    MeSH term(s) Humans ; Adolescent ; Adolescent Medicine ; Family Practice ; Curriculum ; Clinical Competence
    Language English
    Publishing date 2023-01-02
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 639287-8
    ISSN 2191-0278 ; 0334-0139
    ISSN (online) 2191-0278
    ISSN 0334-0139
    DOI 10.1515/ijamh-2022-0087
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    Zs.B 3178: Show issues Location:
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  8. Article ; Online: Triggering Institutional Change: Examining the Development of the 2001 Quebec Breastfeeding Policy.

    Agnolon, Maria Carolina / Rodríguez, Charo / Lauzière, Julie

    Healthcare policy = Politiques de sante

    2020  Volume 15, Issue 4, Page(s) 77–92

    Abstract: Background: The Quebec Government published Canada's first breastfeeding policy in 2001 with the goal to increase breastfeeding rates in the province.: Objective: To ultimately contribute to more informed policy decision-making, this investigation ... ...

    Abstract Background: The Quebec Government published Canada's first breastfeeding policy in 2001 with the goal to increase breastfeeding rates in the province.
    Objective: To ultimately contribute to more informed policy decision-making, this investigation aimed to identify key stakeholders and understand events and processes that contributed to the establishment of this policy.
    Methods: Building from the neo-institutional theory, this was a retrospective case study. Interviews with key informants were conducted, and several texts were compiled. Hybrid thematic analysis was used to analyze text transcribed verbatim from interviews. Resulting themes, summary of archival material and temporal bracketing were adopted to elaborate a historical narrative of the development of the policy.
    Results: The emergence, development and initial implementation of the Quebec breastfeeding policy phases were traced from 1977 to 2009. The policy was triggered by a grassroots health professional movement that advocated for years for a cultural change toward breastfeeding in Quebec. Once Quebec's Ministry of Health finally accepted dialogue, institutional actors cooperated to formulate the policy. However, conflicts arose because of the Ministry's increasingly centralized mechanisms of governance. By 2009, discontent was so pervasive that several health professionals and other breastfeeding actors created an independent organization to further support breastfeeding, out of the Ministry's scope of control.
    Conclusion: Collaboration in this domain was possible when shared decision-making was accepted, but conflict emerged when the institutional actor with formal authority re-adopted traditional top-down modes of action.
    MeSH term(s) Breast Feeding ; Decision Making ; Female ; Health Policy ; Humans ; Interviews as Topic ; Policy Making ; Quebec ; Retrospective Studies
    Language English
    Publishing date 2020-06-14
    Publishing country Canada
    Document type Journal Article
    ISSN 1715-6580
    ISSN (online) 1715-6580
    DOI 10.12927/hcpol.2020.26222
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Maintaining a medical institution in a context of materiality change: Lessons from a Canadian university hospital.

    Touati, Nassera / Rodríguez, Charo / Moreault, Marie-Pierre / Sicotte, Claude / Lapointe, Liette

    Health (London, England : 1997)

    2022  Volume 27, Issue 6, Page(s) 1135–1154

    Abstract: This research aimed to better understand how institutions are maintained, and the role of materiality in this institutional work. More specifically, the present qualitative case study analyzed how different actors in a large academic hospital in Canada ... ...

    Abstract This research aimed to better understand how institutions are maintained, and the role of materiality in this institutional work. More specifically, the present qualitative case study analyzed how different actors in a large academic hospital in Canada worked together (i.e. accomplished institutional work) to maintain the institution of medical record keeping as a new clinical information system (computerized physician order entry-the material entity) was enacted. The study reveals that, to maintain the institution at stake, the intertwinement of processes of creating and maintaining institutions took place. In fact, different forms of institutional work interact Results also strongly suggest that the design of computerized physician order entry and its implementation (i.e. the materiality involved in this institutional change) played an important role in the maintenance of the institution of medical record keeping: on the one hand, it was particularly present in three types of institutional work, namely enabling, policing, and deterring; on the other hand, it appeared to be an essential component of the routinization of work by allowing a better fit between the new technology and the organization of work.
    MeSH term(s) Humans ; Canada ; Hospitals
    Language English
    Publishing date 2022-07-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1338717-0
    ISSN 1461-7196 ; 1363-4593
    ISSN (online) 1461-7196
    ISSN 1363-4593
    DOI 10.1177/13634593221109680
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    Zs.A 6197: Show issues Location:
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  10. Article ; Online: Use of patients' unsolicited correspondence to a family doctor to describe and understand valued components of a doctor-patient relationship: A Hermeneutics approach.

    Yaffe, Mark J / Hovey, Richard B / Rodriguez, Charo

    BMC family practice

    2019  Volume 20, Issue 1, Page(s) 136

    Abstract: Background: Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed ... ...

    Abstract Background: Communication and behavior within doctor - patient encounters have been examined using varied techniques; however the nature of unsolicited writings from patients to their family doctors has rarely been reported. This paper therefore aimed to explore the content of, and motivation for, such correspondence.
    Methods: One hundred and seven writings to one family physician about care provided during a four decade period were considered. Univariate analyses were used to identify features of patients or family members who wrote personalized notes to the doctor, when, and in what fashion. A hermeneutic approach helped look at the content of the notes, the specific words or sentiments used to describe encounters or care received, and possible motivations for writing. Iterative review of words or phrases generated themes which summarized appreciated physician or relational attributes, as well as motivations for writing.
    Results: Notes were mostly handwritten, predominantly by women, and frequently coinciding with holidays and life span events. Appreciated doctor characteristics and behaviors were (1) quality care; and physician (2) competence; (3) physical presence; (4) positive personal traits; (5) provision of emotional support; and (6) spiritual impact. Motivations for writing were grouped as desire to (1) express appreciation for an established relationship; (2) acknowledge value / benefit experienced from continuity of care; (3) seek catharsis, emotional relief or closure; (4) reflect on termination of care; (5) validate care that incorporates both Hippocratic tradition and Asklepian healing; and (6) share personal reflection, experience, or impact.
    Conclusions: Unsolicited writings provide personalized links from patients to physicians, expressing thoughts perhaps difficult to share face to face. They offer potential as teaching tools about the content of doctor-patient relationships; for example, the writers studied expressed appreciation for quality continuity care that was competent, considerate, and supportive of emotional and spiritual needs.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Communication ; Correspondence as Topic ; Female ; Hermeneutics ; Humans ; Male ; Middle Aged ; Physician-Patient Relations
    Language English
    Publishing date 2019-10-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1471-2296
    ISSN (online) 1471-2296
    DOI 10.1186/s12875-019-1024-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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