Brigitte Maheux

Female medical practitioners. More preventive and patient oriented

Female Medical Practitioners: More Preventive and Patient Oriented? Brigitte Maheux;Francine Dufort;Francois Beland;Andre Jacques;Anne Levesque; Medical Care

Medical faculty as humanistic physicians and teachers: the perceptions of students at innovative and traditional medical schools.

The training of caring physicians represents an important goal of medical education. Little is known however, on whether medical faculty constitute good role models for teaching humanistic skills to medical students. In this study, we examined to what extent medical students at innovative and traditional schools perceived their teachers as humanistic physicians and teachers. We also explored whether pre‐clinical and clinical students shared the same perceptions.

Do people with HIV/AIDS disclose their HIV-positivity to dentists?

This study documents behaviours of people with HIV/AIDS regarding the disclosure of their HIV-positivity when seeking dental care. An anonymous survey was conducted in Québec, Canada, from 1993 to 1995, using a sample of 463 people with HIV/AIDS recruited from different sources. Over 80% of respondents reported having sought dental care since becoming aware of their positivity. Of these, 54% reported having always disclosed their HIV-positivity to dentists, while 25% reported never having disclosed this information to dentists. However, 83% of all respondents preferred that the dentist be aware of their HIV status. Respondents gave reasons related to the sociopathological impact of HIV infection to explain their behaviours. The predictors of disclosure of HIV-positivity to the dentist were: gender, main source of payment for dental care, prior disclosure of HIV status to family members, prior disclosure of HIV status to co-workers, and trust in the maintenance of confidentiality by the dentist. These results emphasize the need to use universal precautions in the dental office and to promote dentist-patient relations free of discrimination, so that people with HIV/AIDS are not reluctant to disclose their health status and are confident that such disclosure will lead to care best adapted to their condition.

Measurement of attitudes and behaviors in public health surveys.

We divided 900 general practitioners into two groups: one group received a questionnaire measuring both attitudes and behaviors toward preventive aspects of medical care, while the other received two separate questionnaires--one measuring behaviors, and one measuring attitudes. Response rates of the two groups were similar. Respondents in the first group retrieved their answer to the attitudinal items when responding to behavioral items, increasing the correlations between attitudes and behaviors by an average of .147 as compared to the second group; hence the second procedure was preferable.

Influence of premedical preparation in the humanities and social sciences on attitudes toward patient care: a study of Quebec medical students and recent graduates.

No abstract available.

Midwifery Defined by Physicians, Nurses, and Midwives: The Birth of a Consensus?

OBJECTIVE To describe the form of midwifery practice preferred by physicians practising obstetrics, nurses providing maternity care and midwives. DESIGN Mail survey conducted in 1991. SETTING Province of Quebec. PARTICIPANTS A systematic random sample of 844 physicians, 808 nurses and 92 midwives; 597, 723 and 92 respectively completed the questionnaire, for an overall response rate of 80%. MAIN OUTCOME MEASURES Midwife training options, range of responsibilities, location of midwifery care, relationship to other maternity care providers and degree of autonomy. RESULTS Most of the physicians, nurses and midwives surveyed agreed that if midwifery was legalized, midwives should have a university degree, provide basic care to women with normal pregnancy and delivery, provide prenatal and postnatal care in hospitals and community health centres, perform delivery in hospitals and work in close collaboration with the other maternity care professionals. Disagreement existed concerning the level of university training required, the need for training in nursing first, the scope of medical intervention performed by midwives, out-of-hospital delivery, the autonomy of midwives and control over their practice. CONCLUSION Some consensus on midwifery practice exists between physicians, nurses and midwives. In jurisdictions where opposition to midwives is strong, such consensus could serve as the starting point for the introduction of midwifery.

Construct validity and second-order factorial model

Three second-order factorial models are defined, using the LISREL notation, to assess the univocity of a construct. The first model assumes that the constructs are heterogeneous, the second that they are homogeneous. The third model introduces the notion of partial homogeneity between constructs. Partial homogeneity is defined in terms of a LISREL second-order factor model. In some cases, this model offers a viable alternative to the collapsing of items into a unique scale. An example is given of scales which fit the partial homogeneity model.