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PHAC / Winnipeg June 2009

PHAC / Winnipeg June 2009

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PHAC / Winnipeg June 2009

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  1. PHAC / Winnipeg June 2009 Spatio-temporal information system for chronic diseases (SIST-MC) Alain Vanasse, MD, FCMF, PhD Université de Sherbrooke

  2. « SIST-Chronic Diseases and Primary Care » GEOIDE/CRSNG# HSSDFM05 / $446,634 (2005-2009) Co-chercheurs & collaborateurs Charmaine Dean, Simon Fraser University Pierre Gosselin, Université Laval/INSPQ Jean-Pierre Grégoire, Université Laval Théophile Niyonsenga, Florida International University Pierre Dagenais, Université de Montréal/AETMIS Robert Pampalon, Institut national de santé publique du Québec (INSPQ) Robyn Tamblyn, McGill University Goze Bénié, Université de Sherbrooke André Carpentier, Université de Sherbrooke Jacques Charron, Kheops Technologies

  3. Ruralité et maladies chroniques adultes: Un programme de recherche en géomatique de la santé FRSQ# 8240 / $531,000 (2005-2009) Co-chercheurs & collaborateurs Robert Pampalon, Institut national de santé publique du Québec (INSPQ) Théophile Niyonsenga, Florida International University Jeannie Haggerty, Université de Sherbrooke Pierre Dagenais, Université de Montréal André Carpentier, Université de Sherbrooke Josée Gauthier, RRSSS du Bas St-Laurent Sylvie Bernier, RRSSS Mauricie Centre-du-Québec

  4. « An important goal is to minimize the disparities across population subgroups so that certain groups are not at a systematic disadvantage with regard to their access to health services and achievement of optimal health » Barbara Starfield, 1998

  5. Contexte Déterminants de la santé INDIVIDU - Génétique - Comportements • Disponibilité des données • Complexité méthodologique • Défi éthique • SOINS DE SANTÉ • Ressources humaines • Ressources matérielles ENVIRONNEMENT: -Physique -Social

  6. Context • “Most health and human service problems facing the world today exist in a geographic context” • “Understanding issues ranging from medical epidemiology to healthcare access requires a comprehensive understanding of their geography” • “Geographic information systems (GIS) provides a common analytical framework” http://www.who.int/health_mapping/en/

  7. Goal • To develop a generic spatio-temporal Information system (SIST) • integrating advanced functions for spatial and temporal analyses • adapted to the study of chronic diseases • based on available geographic and medical administrative databases.

  8. Déroulement • Analyse de besoins • Modélisation • Conceptuelle • Logique • Physique • Prototype • Déploiement

  9. Variables • Incidence/prévalence • Morbidité / mortalité • Traitements / Rx • Ressources humaines • Ressources matérielles • Zones administratives • Défavorisation matérielle • Défavorisation sociales • Régions rurales/urbaines • Aires de désserte

  10. Conceptual model

  11. Logical Model

  12. Conclusion • SIST-MC uses best available population data and takes into account their geographic and environmental features” • SIST-MC provides capacity for analyzing epidemiological data, revealing trends and interrelationships that would be more difficult to discover in tabular format • SIST-MC allows policy makers to easily visualize chronic diseases problems in relation to existing health and social services and their natural environment

  13. Conclusion • SIST-MC can be used to properly plan, manage and monitor chronic diseases public health program, providing relevant information to decision-makers at all levels of the public health system” • SIST-MC can be accessed online at low cost • SIST-MC has been approved by the “commission d’accès à l’information” of Quebec and by the ERB of the CHUS

  14. Groupe de recherche PRIMUS http://pages.usherbrooke.ca/primus Direction scientifique et administrative Pr Alain Vanasse, MD, PhD, FCMF Équipe de recherche Josiane Courteau, PhD (mathématiques): analyses, traitement de données Mathieu Plante, BSc (géomatique): informatique/géomatique Dominick Boucher, BSc (informatique): informatique Mireille Courteau, MSc (microbiologie): communications, gestion de projets Aboubacar Cissé MD, MSc Catherine Drouin, MSc (géographie), PhD (c) Mathieu Beaudoin, MSc (informatique) Julie Rouleau, MA (histoire): agente de recherche Post-doctorat Shabnam Asghari, MD, PhD, épidémiologie Gabriela Orzanco, PhD, géomatique, traitement de données Juliana Barcellos-De-Souza, PhD, physiothérapie

  15. Groupe de recherche PRIMUS http://pages.usherbrooke.ca/primus Partenaires

  16. Une image vaut mille motsUne carte vaut mille images ? A picture is worth a thousand wordsA map is worth a thousand pictures