Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Quebec”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,765 records · Page 98Linked to original sources
PubMedDate not supplied

Regulated pre-employment medical examinations and their effect on the utilization of health services: the experience of 1,498 police cadets, Quebec, 1988.

Persons seeking employment in a police department must submit to a pre-induction medical screening after they have qualified on a compulsory test of physical stamina. The effect of this imposition on the utilization of health services was studied in a group of 1,498 police cadets whose use of medical and optometric services was monitored over a period of one year and compared with that of the general population of the same age and sex. Cadets have used about as much care as women of child-bearing age and were almost all exposed to physiological and radiological procedures that have no known utility in the medical surveillance of workers. It is estimated that the cost of providing the protection that is apparently sought by the regulation varies between $6,285 and $66,000 per person.

Adolescent↗
PubMedDate not supplied

Implementation of a province-wide computerized network in Quebec: the FAMUS Project.

General practitioners have busy schedules and are accustomed to working autonomously. But they will take an interest in research issues that could increase their efficiency or improve patient care. The use of medical informatics tools to facilitate collaborative research networks requires that participants accept the tools. This article describes the implementation of a province-wide computing network and discusses the opportunities afforded by the creation of a large central database documenting the process of care.

Ambulatory Care Information Systems↗
PubMed1994

Can our health services be saved by technology evaluation? The Quebec experience.

The finances to support our health services at their present level are lacking, and much of the shortage is due to new health technologies. Through the utilisation of technology assessment (TA), it is hoped that we may be able to eliminate useless technologies and that the money so saved will allow us to maintain our health care services intact. Such hopes are exaggerated. The uses and limitations of TA are reviewed in the light of recent experience gained with the Conseil d'évaluation des technologies du Québec. Technology assessment has only limited value in exposing ineffective technologies. More often, it can illuminate inappropriate use of technologies. However, its real value lies elsewhere, namely in making difficult choices between different technologies. An example is the choice between expensive, low osmolar contrast media in radiology and the cheaper, high osmolar material which causes more frequent reactions. Credible estimates of how much benefit will result from the commitment of how many extra dollars can facilitate such decisions. However, the user must clearly understand the limitations of cost-effectiveness estimates, which should never be used for policy purposes without full knowledge of all the qualifiers on which the estimates depend.

Canada↗
PubMed1994

[Para-clinical tests and follow-up of breast cancer: how do Quebec oncologists use them?].

To assess the use of complementary tests by oncologists during staging and follow-up of breast cancer patients, a study was performed comparing actual procedures with current literature recommendations. A survey concerning the use of biochemical, radiological and radionuclide tests was presented to a sample of 58 radiation oncologists and medical oncologists involved in the treatment of breast cancer patients, with a 71% response rate. During the post-treatment surveillance, respectively 3%, 24%, 37%, 76% and 96% of the physicians scheduled liver scans, liver ultrasounds, bone scans, chest roentgenograms or mammograms on a regular basis. The frequency of use of various procedures are reported with a reference to the cost-benefit ratio, a matter of current interest. Although most oncologists limit their use of diagnostic tests, some still rely on extensive work-up to detect early recurrences or metastases, an approach that remains controversial in today's literature.

Aftercare↗
PubMed1994

[Violence and consumption of illicit drugs in Quebec adolescents. An analysis of their perceptions].

OBJECTIVE: To study adolescents' perception of the connection between violence and the consumption of illegal drugs. DESIGN: A self-administered questionnaire. SETTING: A town with 30,000 inhabitants north of Montreal. PARTICIPANTS: Almost 3300 students between the ages of 12 and 19. RESULTS: About 25% reported that they had been victims of violence by other adolescents who were, in their estimation, under the influence of an illicit drug. This rate increased significantly among adolescents who used drugs themselves, and was highest among female adolescents between the ages of 12 and 15. CONCLUSION: Students, especially young women, who consume illegal drugs are more likely to be victims of violence than those who do not. Family physicians should advise young patients of this risk.

Adolescent↗
PubMed1993

Descriptive epidemiology of non-insulin-dependent diabetes mellitus in the James Bay Cree population of Quebec, Canada.

In July 1989, 230 non-insulin-dependent subjects were identified in the James Bay Cree population through medical chart review of physician diagnosed diabetes mellitus cases. Data extracted from the medical files included type and rate of complications, life-style, anthropomorphic and metabolic descriptors as well as clinical care practices. Mean age at diagnosis was 48.3 years and mean duration of illness at time of study was 60.4 months. Furthermore, 77.3% were overweight and 65.4% obese. Microvascular disease (diabetic nephropathy or retinopathy) was the most frequent group of complications (19.6%). Moreover, 76.4% of the Cree diabetics showed poor glycemic control. Diet combined with oral hypoglycemic medication was the current treatment of choice. A medical practice profile was produced in order to provide a comparison basis with recommended baseline care. Diabetes is becoming a major illness in the native population of Canada. Health promotion strategies are of some urgency in order to contribute to the control of diabetes.

Adult↗