Évaluation de systèmes de soins de santé intégrés pour personnes âgées;  Facteurs individuels et collectifs dans la production de la santé des populations: utilisation des services de santé, services aux personnes âgées, financement du système de santé, fragilité chez les personnes âgées.

Il a été l’un des principaux responsables de la conception, de l’implantation et de l’évaluation du projet de démonstration d’un système intégré de services pour les personnes âgées (SIPA).

Public health (health service organization and epidemiology), and evaluation of services, particularly service integration and quality assessment, as well as change implementation, needs assessment, primary care services, service utilization, health systems analysis, performance indicators, and patient outcomes. Methods: quantitative (surveys, administrative databases, outcome studies), qualitative (case study designs, program evaluation), and mixed-method investigations, all involving close partnerships with clinicians and decision-makers. Main target groups: patients with both serious and common mental disorders, substance use disorders and co-occurring disorders; vulnerable populations such as the homeless; and health care practitioners (general practitioners, psychiatrists, multidisciplinary teams), managers and decision-makers. 

Summary of my research program and its impact, especially in the last five years: The overall objective of my research program is to contribute to knowledge on strategies for optimizing organization of the mental health system (including services for addiction and homelessness) in order to improve health system performance, and respond more effectively to patient needs. My original scholarly contributions have focused on three streams within this overall research program: First, I have conducted studies on healthcare organization for the purpose of assessing mental health care reforms related to primary care, community-based and emergency services, and collaborative care, as well as integrated service networks, and multidisciplinary team work. Second, I have spearheaded research projects in the areas of needs assessment and adequacy of care, including patient satisfaction studies, with particular focus on patient clinical profiles and related outcomes (e.g. recovery, quality of life). Third, I have conducted epidemiological studies on mental disorders using surveys and administrative databases, especially on patterns of healthcare utilization among individuals with mental health, addiction and co-occurring disorders. Over the years, I have received multiple grants (including salary awards as recently as July 2014) to support my research program. Results of this work have been published in numerous high-quality journals in my fields of investigation. I have also endeavored to maximize the impact and value of my work by disseminating it through other media, including provincial and national reviews, reports and books. Overall, my scholarly output reflects a balance between the need to maintain high academic standards at the international level, but also to insure that my research has an especially strong empirical impact within the Quebec community, in order to enhance the social relevance of my work.

Key words of research: Public health, evaluation of services, best practices implementation, needs assessment, service utilization, healthcare system analysis, performance indicators, and patient outcomes

Évaluation des besoins de la population en général sur le plan des soins en santé mentale, évaluation des besoins chez les populations itinérantes ou sans abri, intégration dans la pratique de traitements éprouvés pour les personnes souffrant de troubles anxieux ou dépressifs.

• Domaines : Psychosociologie - Santé mentale - Santé publique / communautaire - Écologie humaine et sociale
• Méthodologie : Épidémiologie, recherche quantitative et qualitative
• Pathologie : Troubles dépressifs / anxieux

Publications

DUHOUX A., FOURNIER L., GAUVIN L., ROBERGE P. (2012). Quality of care for major depression and its determinants: a multilevel analysis. BMC Psychiatry, 12 (142), September17th.

ROBERGE, P. DORÉ, I., MENEAR, M., CHARTRAND, É., CIAMPI, A., DUHOUX, A., FOURNIER, L.  (2013). A psychometric evaluation of the French Canadian version of the Hospital Anxiety and Depression Scale in a large primary care population. Journal of Affective Disorders, 147 (1-3), 171-9.

ROBERGE, P., FOURNIER, L., BROUILLET, H., HUDON, C., HOULE, J., PROVENCHER D., M., LÉVESQUE, J.-F. (2013). Implementing a knowledge application program for anxiety and depression in community-based primary mental health care: a multiple case study research protocol. Implementation Science, 8(26), 1-12.

DUHOUX, A., GAUVIN, L., ROBERGE P. & FOURNIER, L. (2013). What is the association between quality of treatment for depression and patient outcomes ? Journal of Affective Disorders, 151 (1), 265-274.

ROY, É. ROBERT, M., FOURNIER, L., VAILLANCOURT, É., VANDERMEERSCHEN, J., BOIVIN, J.-F. (2014) The residential trajectory of street youth: the Montreal cohort study. Journal of Urban Health, 91 (5), 1019-1031.

MENEAR, M, DUHOUX, A., ROBERGE, P., FOURNIER, L. (2014) Primary practice characteristics associated with the quality of care received by patients with depression and comorbid chronic conditions. Gen Hosp Psychiatry, 36 (3), 302-309.

ROBERGE, P., FOURNIER, L., MENEAR, M., DUHOUX, A. (2014) Access to psychotherapy for primary care patients with anxiety disorders. Canadian Psychology 52(2), 60-67.

MENEAR, M. DORÉ, I., CLOUTIER, A-M., PERRIER, L., ROBERGE, P., DUHOUX, A., HOULE, J., FOURNIER, L. (On line 9 February 2015) The influence of comorbid chronic physical conditions on depression recognition in primary care: a systematic review. Journal of Psychosomatic Research DOI:http://dx.doi.org/10.1016/j.jpsychores.2014.11.016

MENEAR, M., DORÉ, I., CLOUTIER, A-M., PERRIER, L., ROBERGE, P., DUHOUX, A., HOULE, J., FOURNIER, L. (On line January 2015) Chronic physical comorbidity burden and the quality of depression treatment in primary care: a systematic review. Journal of Psychosomatic Research DOI:10.1016/j.jpsychores.2015.01.001

LESSARD, L., FOURNIER, L., GAUTHIER, J., MORIN, D. (2015) Continuum of care for persons with common mental disorders in Nunavik: a descriptive study. International Journal of Circumpolar Health, 74: 1-13. DOI:10.3402/ijch.v74.27186.

DEZETTER, A., DUHOUX, A., ROBERGE, P., MENEAR, M., CHARTRAND, É., FOURNIER, L. (2015) Reasons and determinants for perceiving unmet needs for mental health in primary care in Quebec. Canadian Journal of Psychiatry, 60 (6), 284-293.

LESSARD, L., FOURNIER, L., GAUTHIER, J., MORIN, D. (2015) Quality assessment of primary care for common mental disorders in isolated communities: Taking advantage of health records. Rural and Remote Health Journal, 15 : 3224 (On line), Available: http://www.rrh.org.au.

FOURNIER, L., ROBERGE, P., BROUILLET, H. (2012) Faire face à la dépression au Québec: Protocole à l'intention des intervenants de première ligne. Montréal: Centre de recherche du CHUM, 78 pages.

Depuis 1994, le travail du Dr Nguyen et son engagement ont d’abord porté sur les premiers programmes communautaires de traitement du VIH/Sida en Côte d’Ivoire, au Mali et au Burkina Faso, puis sur les logiques de triage dans l’accès aux thérapies antirétrovirales en Afrique.

Il a tracé l’émergence d’une forme inédite d’exercice du pouvoir politique : la souveraineté thérapeutique, fondée à la fois sur une logique de tri (pour déterminer les malades à soigner en situation de pénurie) et d’exception (l’urgence épidémiologique justifiant le contournement des souverainetés nationales et des droits qu’elles garantissaient).

Il a une vaste expérience dans le développement organisationnel des groupes atteints du VIH et la coordination des projets de recherche multicentrique. Il se consacre actuellement sur le contexte socio-historique de la prévention et du traitement du VIH en Afrique : les déterminants de l’observance au traitement; la résistance moléculaire aux antirétroviraux; l’impact des programmes de traitement sur la société, la culture, et l’économie politique; ainsi que l’épidémiologie clinique de l’infection au VIH.

Évaluation de la réoganisation des services suite à la réforme au Québec : effets sur l'accès et l'utilisation. Recherche sur les nouveaux modèles intégrés de soins.

Domaine: Médecine familiale - Santé publique/communautaire - Services de santé. Méthodologie: Évaluative - Recherche sur les services de santé.

• Médico-économie
• Évaluation des technologies de la santé
• Années de vie ajustées par la qualité (AVAQ ou QALY)
• Préférences en santé