Résultats | Bibliothèque de l’Observatoire FORCES-Santé

Ariste, R., & di Matteo, L. (2021). Non-official language concordance in urban Canadian medical practice: Implications for care during the COVID-19 pandemic. Healthcare Policy, 16(4), 84–96. https://doi.org/10.12927/hcpol.2021.26497

Language barriers can reduce access to medical and virtual care. Although the topic of healthcare professionals and linguistic minorities has been studied in Canada, it has mainly been done for official languages (i.e., English and French). Non-official languages (NOLs) have not been explored previously in the healthcare system at the pan-Canadian level. The objective of this study is to determine to what extent NOLs spoken by physicians relate to those of Canadian ethnic groups and are an...

Auger, N., Tiandrazana, R.-C., Healy-Profitós, J., & Costopoulos, A. (2016). Inequality in fetal autopsy in Canada. Journal of Health Care for the Poor and Underserved, 27(3), 1384–1396. https://doi.org/10.1353/hpu.2016.0110

Purpose. Inequality in use of fetal autopsy is poorly understood, despite the importance of autopsy in establishing the cause of stillbirth for future prevention. We examined fetal autopsy rates between linguistic minorities in Quebec, Canada, and assessed trends over three decades. Methods. Using registry data on 11,992 stillbirths from 1981–2011, we calculated fetal autopsy rates for Francophones, Anglophones, and Allophones by decade. Results. We found lower fetal autopsy rates for...

Bowen, S. (2015). Impact des barrières linguistiques sur la sécurité des patients et la qualité des soins. Rapport final. Société Santé en français. https://www.santefrancais.ca/wp-content/uploads/2018/11/SSF-Bowen-S.-tude-Barri-res-linguistiques-1.pdf

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Bowen, S. (2015). The impact of language barriers on patient safety and quality of care. Final report. Société Santé en français. https://www.santefrancais.ca/wp-content/uploads/2018/11/SSF-Bowen-S.-Language-Barriers-Study-1.pdf

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Giguère, L. et Conway, B. (2014). Le potentiel d’offre et de demande de Services médicaux et diagnostiques dans la langue de communautés minoritaires : où se situe le français en Colombie-Britannique? Reflets, 20(2), 52‑82. https://doi.org/10.7202/1027586ar

Une étude comparative du potentiel de services médicaux dans les langues minoritaires de Colombie-Britannique révèle que des médecins non-francophones parlant français génèrent une retombée linguistique qui amplifie l’offre potentielle de services de santé et de services sociaux en français de façon dramatique. Ce mécanisme structurant s’appliquerait aux autres professions de la santé et des services sociaux, partout au Canada et il serait plus prononcé plus le contexte est minoritaire. Les...

Lee, S. H., Gibb, M., Karunananthan, S., Cody, M., Tanuseputro, P., Johnston, S., Kendall, C., Bedard, D., Collin, S., & Kehoe MacLeod, K. (2023). Exploring Primary Care Physicians’ Experiences of Language and Cultural Discordant Care for Linguistic Minority Patients at the End-of-Life: A Study Protocol. International Journal of Qualitative Methods, 22, 1–7. https://doi.org/10.1177/16094069231205202

Health disparities exist across different linguistic groups. Language barriers in primary care can negatively affect access to healthcare services and the quality and safety of care at the end-of-life. This study will take a novel, in-depth look at the experience of language- and/or cultural-discordant care for adults from linguistic minority groups through the eyes of primary care physicians providing palliative and/or end-of-life care. Language and cultural discordance means that the...

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Pottie, K. (2007). Misinterpretation: Language proficiency, recent immigrants, and global health disparities. Canadian Family Physician, 53, 1899–1901. https://www.cfp.ca/content/53/11/1899.long

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Premji, S., & Etowa, Josephine. B. (2012). Workforce utilization of visible and linguistic minorities in Canadian nursing. Journal of Nursing Management, 22(1), 80–88. https://doi.org/10.1111/j.1365-2834.2012.01442.x

Background There is ample evidence of ethnic and linguistic segregation in the Canadian labour market. However, it is unknown if there is equitable representation of visible and linguistic minorities in nursing professions. Methods We cross-tabulated aggregate data from Statistics Canada’s 2006 Census. Analyses examined the distribution of visible and linguistic minorities, including visible minority sub-groups, among health managers, head nurses, registered nurses, licensed nurses and...

Reaume, M., Batista, R., Rhodes, E., Knight, B., Imsirovic, H., Seale, E., Riad, K., Prud’homme, D., & Tanuseputro, P. (2021). The impact of language on emergency department visits, hospitalizations, and lenght of stay among home care recipients. Medical Care, 59(11), 1006–1013. https://doi.org/10.1097/MLR.0000000000001638

Background: Research considering the impact of language on health care utilization is limited. We conducted a population-based study to: (1) investigate the association between residents’ preferred language and hospital-based health care utilization; and (2) determine whether this association is modified by dementia, a condition which can exacerbate communication barriers. Methods: We used administrative databases to establish a retrospective cohort study of home care recipients...

Reaume, M., Batista, R., Imsirovic, H., Bjerre, L., Kendall, C. E., Bouchard, L., Gauthier, A. P., Landry, J.-R., Chomienne, M.-H., Muray, M., Hsu, A., Prud’homme, D., Manuel, D. G., & Tanuseputro, P. (2025). Linguistic factors and COVID-19 outcomes among long-term care residents in Ontario, Canada. BMC Geriarics, 25(667). https://doi.org/https://doi.org/10.1186/s12877-025-06301-0

Abstract Background The COVID-19 pandemic disproportionately affected frail individuals, especially those living in long-term care (LTC) homes. This study examined the role of linguistic factors on COVID-19 related outcomes in LTC homes. Methods We performed a population-based, retrospective cohort study of residents living in LTC homes in Ontario, Canada who were diagnosed with COVID-19 between March 31, 2020 and March 31, 2021. Resident language, obtained from LTC assessments, was used to...

Reaume, M., Batista, R., Prud’homme, D. et Tanuseputro, P. (2024). Qualité et sécurité des services de santé offerts en situation linguistique minoritaire en Ontario : investigations des données administratives de santé. Minorités linguistiques et société, 22. https://doi.org/10.7202/1110631ar

Dans cet article, nous présentons une synthèse de plusieurs analyses récentes réalisées par notre groupe de recherche à partir de données administratives de santé pour mesurer la qualité et la sécurité des services de santé offerts aux francophones et allophones en Ontario, Canada. Les résultats de nos analyses démontrent que les Ontariennes et les Ontariens qui reçoivent des soins dans leur principale langue d’usage ont généralement de meilleurs résultats cliniques comparés à ceux qui...

Reaume, M., Batista, R., Sucha, E., Pugliese, M., Roberts, R., Rhodes, E., Seale, E., Kendall, Claire. E., Bjerre, L., Bouchard, L., Johnson, S., Sood, M., Prud’homme, D., Manuel, D., & Tanuseputro, P. (2024). Impact of patient–family physician language concordance on healthcare utilisation and mortality: A retrospective cohort study of home care recipients in Ontario, Canada. BMJ Public Health, 2(1). https://doi.org/10.1136/bmjph-2023-000762

Introduction As the world’s linguistic diversity continues to increase at an unprecedented rate, a growing proportion of patients will be at risk of experiencing language barriers in primary care settings. We sought to examine whether patient–family physician language concordance in a primary care setting is associated with lower rates of hospital-based healthcare utilisation and mortality. Methods We conducted a population-based retrospective cohort study of 497 227 home care recipients...

Reaume, M., Batista, R., Talarico, R., Guerin, E., Rhodes, E., Carson, S., Prud’homme, D., & Tanuseputro, P. (2022). In-hospital patient harm across linguistic groups: A retrospective cohort study of home care recipients. Journal of Patient Safety, 18(1), 196–204. https://doi.org/10.1097/PTS.0000000000000726

Objective Research examining the impact of language barriers on patient safety is limited. We conducted a population-based study to determine whether patients whose primary language is not English are more likely to experience harm when admitted to hospitals in Ontario, Canada. Methods We used linked administrative health records to establish a retrospective cohort of home care recipients (from 2010 to 2015) who were subsequently admitted to hospital. Patient language (obtained from home...

Reaume, M., Batista, R., Talarico, R., Rhodes, E., Guerin, E., Carson, S., Prud’homme, D., & Tanuseputro, P. (2020). The impact of hospital language on the rate of in-hospital harm. A retrospective cohort study of home care recipients in Ontario, Canada. BMC Health Services Research, 20(1), 1–11. https://doi.org/10.1186/s12913-020-05213-6

Background Patients who live in minority language situations are generally more likely to experience poor health outcomes, including harmful events. The delivery of healthcare services in a language-concordant environment has been shown to mitigate the risk of poor health outcomes related to chronic disease management in primary care. However, data assessing the impact of language-concordance on the risk of in-hospital harm are lacking. We conducted a population-based study to determine...

Reaume, M., Labossière, M. N., Batista, R., Van Haute, S., Tangri, N., Rigatto, C., Bohm, C., Prud’homme, D., Tanuseputro, P., & Lix, L. M. (2025). Patient-Physician Language Concordance and Cardiovascular Outcomes Among Patients With Hypertension. JAMA Network Open, 8(2). https://doi.org/10.1001/jamanetworkopen.2024.60551

Importance Patients who live in minority language communities often receive health care services of lower quality and safety compared with patients who speak the majority language. Yet the outcomes associated with care provided by physicians who speak a patient’s primary language remain unknown. Objective To examine patient-physician language concordance and the risk of major adverse cardiovascular events (MACEs) among patients with hypertension. Design, Setting, and Participants This...

Reaume, M., Peixoto, C., Pugliese, M., Tanuseputro, P., Batista, R., Kendall, Claire. E., Landry, J.-R., Prud’homme, D., Chomienne, M.-H., Farrell, B., & Bjerre, L. M. (2024). The impact of patient-facility language discordance on potentially inappropriate prescribing of antipsychotics in long-term care home in Ontario, Canada: A retrospective population health cohort study. BMC Geriatrics, 24(889). https://doi.org/10.1186/s12877-024-05446-8

Background Appropriate use of medication is a key indicator of the quality of care provided in long-term care (LTC). The objective of this study was to determine whether resident-facility language concordance/discordance is associated with the odds of potentially inappropriate prescribing of antipsychotics (PIP-AP) in LTC. Methods We conducted a population-based, retrospective cohort study of LTC residents in Ontario, Canada from 2010 to 2019. We obtained resident language from standardized...

RésoSanté Colombie-Britannique. (2021). Santé des francophones en milieu minoritaire. Quelle est la situation en Colombie-Britannique ? | The health of Francophone minorities. What does it mean for British Colombia? What does it mean for British Colombia.

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Riad, K., Webber, C., Batista, R., Reaume, M., Rhodes, E., Knight, B., Prud’homme, D., & Tanuseputro, P. (2020). The impact of dementia and language on hospitalizations: A retrospective cohort of long-term care residents. BMC Geriatrics, 20(1), 397. https://doi.org/10.1186/s12877-020-01806-2

Background Hospitalizations carry considerable risks for frail, elderly patients; this is especially true for patients with dementia, who are more likely to experience delirium, falls, functional decline, iatrogenic complications, and infections when compared to their peers without dementia. Since up to two thirds of patients in long-term care (LTC) facilities have dementia, there is interest in identifying factors associated with transitions from LTC facilities to hospitals. The purpose of...

Seale, E., Reaume, M., Batista, R., Eddeen, Anan. B., Roberts, R., Rhodes, E., McIsaac, Daniel. I., Kendall, Claire. E., Sood, Manish. M., Prud’homme, D., & Tanuseputro, P. (2022). Patient-physician language concordance and quality and safety outcomes among frail home care recipients admitted to hospital in Ontario, Canada. Canadian Medical Association Journal, 194(26), 899–908. https://doi.org/10.1503/cmaj.212155

Background: When patients and physicians speak the same language, it may improve the quality and safety of care delivered. We sought to determine whether patient–physician language concordance is associated with in-hospital and postdischarge outcomes among home care recipients who were admitted to hospital. Methods: We conducted a population-based study of a retrospective cohort of 189 690 home care recipients who were admitted to hospital in Ontario, Canada, between 2010 and 2018. We...

Sears, J., Khan, K., Ardern, C. . I., & Tamim, H. (2013). Potential for patient-physician language discordance in Ontario. BMC Health Services Research, 13(535). https://doi.org/10.1186/1472-6963-13-535

Background Patient-Physician language discordance occurs when the patient and physician lack proficiency in the same language(s). Previous literature suggests language discordant clinical encounters compromise patient quality of care and health outcomes. The objective of this study was to quantify and visualize the linguistic and spatial mismatch between Ontario’s population not proficient in English or French but proficient in one of the top five non-official languages and the physicians...

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