Favoriser l'accès approprié et en temps opportun aux services spécialisés d'orthopédie


Marie Beauséjour

Centre hospitalier universitaire Sainte Justine


Domaine : services de santé

Programme Chercheurs-boursiers - Junior 1

Concours 2018-2019

In Canada, access to specialized care is sub-optimal. We deplore long waiting lists, a lack of coordination between primary and specialized care as well as high costs.  

The research program aims at improving access to specialized care in orthopedics following 2 strategies: 1) the elaboration of novel management models for newly received referrals in specialized care; 2) the evaluation of tools used in referral decision making by primary care physicians.

We propose a new model of services organisation that will include triage mechanisms and patient prioritization, the involvement of a multidisciplinary team of health professionals, as well as training and education for primary care physicians referring to specialized clinics. This new model will be implemented in Montreal and then tested to see if it provides appropriate care and satisfaction to the patients according to their needs. Another project analyses the functioning performance of Health Services Dispatch Centres (CRDS) in orthopedics. The CRDSs were implemented everywhere in Quebec following the passing of Law 20 on health and social services.  They serve as regional relays that receive referral demands in specialized care and then give out appointments in their specific region according to the level of prioritization. These centers often meet with implementation difficulties which the project aims to understand in order to improve them. 

Lastly, a new tool to detect the first signs of scoliosis, that will help the physician decide referral relevance of the young patient with suspected scoliosis, will be validated. The objective is to demonstrate that this tool is reliable and leads to a valid referral decision in the appropriate time frame for patients in orthopedics.