Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.
Identifieur interne : 000452 ( Main/Exploration ); précédent : 000451; suivant : 000453Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.
Auteurs : Charles Nhan [Canada] ; Réjean Laprise ; Monique Douville-Fradet ; Mary Ellen Macdonald ; Caroline QuachSource :
- BMC public health [ 1471-2458 ] ; 2012.
Descripteurs français
- KwdFr :
- Administration de la santé publique, Compétence professionnelle (normes), Enquêtes et questionnaires, Gestion du risque (), Gestion du risque (organisation et administration), Grippe humaine (), Grippe humaine (psychologie), Guides de bonnes pratiques cliniques comme sujet, Humains, Infectiologie, Lutte contre l'infection (), Microbiologie (normes), Médecine préventive (enseignement et éducation), Médecins (), Médecins (psychologie), Pandémies (), Planification des mesures d'urgence en cas de catastrophe (organisation et administration), Prise de décision, Québec, Recherche qualitative, Rôle professionnel, Sous-type H1N1 du virus de la grippe A.
- MESH :
- enseignement et éducation : Médecine préventive.
- normes : Compétence professionnelle, Microbiologie.
- organisation et administration : Gestion du risque, Planification des mesures d'urgence en cas de catastrophe.
- psychologie : Grippe humaine, Médecins.
- Administration de la santé publique, Enquêtes et questionnaires, Gestion du risque, Grippe humaine, Guides de bonnes pratiques cliniques comme sujet, Humains, Infectiologie, Lutte contre l'infection, Médecins, Pandémies, Prise de décision, Québec, Recherche qualitative, Rôle professionnel, Sous-type H1N1 du virus de la grippe A.
English descriptors
- KwdEn :
- Decision Making, Disaster Planning (organization & administration), Humans, Infection Control (methods), Infectious Disease Medicine, Influenza A Virus, H1N1 Subtype, Influenza, Human (prevention & control), Influenza, Human (psychology), Microbiology (standards), Pandemics (prevention & control), Physicians (psychology), Physicians (statistics & numerical data), Practice Guidelines as Topic, Preventive Medicine (education), Professional Competence (standards), Professional Role, Public Health Administration, Qualitative Research, Quebec, Risk Management (methods), Risk Management (organization & administration), Surveys and Questionnaires, Workforce.
- MESH :
- education : Preventive Medicine.
- methods : Infection Control, Risk Management.
- organization & administration : Disaster Planning, Risk Management.
- prevention & control : Influenza, Human, Pandemics.
- psychology : Influenza, Human, Physicians.
- standards : Microbiology, Professional Competence.
- statistics & numerical data : Physicians.
- Decision Making, Humans, Infectious Disease Medicine, Influenza A Virus, H1N1 Subtype, Practice Guidelines as Topic, Professional Role, Public Health Administration, Qualitative Research, Quebec, Surveys and Questionnaires, Workforce.
Abstract
BACKGROUND
In Quebec, the influenza A (H1N1) pandemic was managed using a top-down style that left many involved players with critical views and frustrations. We aimed to describe physicians' perceptions--infectious diseases specialists/medical microbiologists (IDMM) and public health/preventive medicine specialists (PHPMS)--in regards to issues encountered with the pandemics management at the physician level and highlight suggested improvements for future healthcare emergencies.
METHODS
In April 2010, Quebec IDMM and PHPMS physicians were invited to anonymously complete a web-based learning needs assessment. The survey included both open-ended and multiple-choice questions. Descriptive statistics were used to report on the frequency distribution of multiple choice responses whereas thematic content analysis was used to analyse qualitative data generated from the survey and help understand respondents' experience and perceptions with the pandemics.
RESULTS
Of the 102 respondents, 85.3% reported difficulties or frustrations in their practice during the pandemic. The thematic analysis revealed two core themes describing the problems experienced in the pandemic management: coordination and resource-related difficulties. Coordination issues included communication, clinical practice guidelines, decision-making, roles and responsibilities, epidemiological investigation, and public health expert advisory committees. Resources issues included laboratory resources, patient management, and vaccination process.
CONCLUSION
Together, the quantitative and qualitative data suggest a need for improved coordination, a better definition of roles and responsibilities, increased use of information technologies, merged communications, and transparency in the decisional process. Increased flexibility and less contradiction in clinical practice guidelines from different sources and increased laboratory/clinical capacity were felt critical to the proper management of infectious disease emergencies.
DOI: 10.1186/1471-2458-12-115
PubMed: 22325707
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.</title><author><name sortKey="Nhan, Charles" sort="Nhan, Charles" uniqKey="Nhan C" first="Charles" last="Nhan">Charles Nhan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, C1242-2300 Tupper Street, Montreal, QC H3H 1P3, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, C1242-2300 Tupper Street, Montreal, QC H3H 1P3</wicri:regionArea><wicri:noRegion>QC H3H 1P3</wicri:noRegion></affiliation></author><author><name sortKey="Laprise, Rejean" sort="Laprise, Rejean" uniqKey="Laprise R" first="Réjean" last="Laprise">Réjean Laprise</name></author><author><name sortKey="Douville Fradet, Monique" sort="Douville Fradet, Monique" uniqKey="Douville Fradet M" first="Monique" last="Douville-Fradet">Monique Douville-Fradet</name></author><author><name sortKey="Macdonald, Mary Ellen" sort="Macdonald, Mary Ellen" uniqKey="Macdonald M" first="Mary Ellen" last="Macdonald">Mary Ellen Macdonald</name></author><author><name sortKey="Quach, Caroline" sort="Quach, Caroline" uniqKey="Quach C" first="Caroline" last="Quach">Caroline Quach</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22325707</idno><idno type="pmid">22325707</idno><idno type="doi">10.1186/1471-2458-12-115</idno><idno type="wicri:Area/Main/Corpus">000460</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000460</idno><idno type="wicri:Area/Main/Curation">000460</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000460</idno><idno type="wicri:Area/Main/Exploration">000460</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.</title><author><name sortKey="Nhan, Charles" sort="Nhan, Charles" uniqKey="Nhan C" first="Charles" last="Nhan">Charles Nhan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, C1242-2300 Tupper Street, Montreal, QC H3H 1P3, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, C1242-2300 Tupper Street, Montreal, QC H3H 1P3</wicri:regionArea><wicri:noRegion>QC H3H 1P3</wicri:noRegion></affiliation></author><author><name sortKey="Laprise, Rejean" sort="Laprise, Rejean" uniqKey="Laprise R" first="Réjean" last="Laprise">Réjean Laprise</name></author><author><name sortKey="Douville Fradet, Monique" sort="Douville Fradet, Monique" uniqKey="Douville Fradet M" first="Monique" last="Douville-Fradet">Monique Douville-Fradet</name></author><author><name sortKey="Macdonald, Mary Ellen" sort="Macdonald, Mary Ellen" uniqKey="Macdonald M" first="Mary Ellen" last="Macdonald">Mary Ellen Macdonald</name></author><author><name sortKey="Quach, Caroline" sort="Quach, Caroline" uniqKey="Quach C" first="Caroline" last="Quach">Caroline Quach</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Decision Making</term><term>Disaster Planning (organization & administration)</term><term>Humans</term><term>Infection Control (methods)</term><term>Infectious Disease Medicine</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (prevention & control)</term><term>Influenza, Human (psychology)</term><term>Microbiology (standards)</term><term>Pandemics (prevention & control)</term><term>Physicians (psychology)</term><term>Physicians (statistics & numerical data)</term><term>Practice Guidelines as Topic</term><term>Preventive Medicine (education)</term><term>Professional Competence (standards)</term><term>Professional Role</term><term>Public Health Administration</term><term>Qualitative Research</term><term>Quebec</term><term>Risk Management (methods)</term><term>Risk Management (organization & administration)</term><term>Surveys and Questionnaires</term><term>Workforce</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Administration de la santé publique</term><term>Compétence professionnelle (normes)</term><term>Enquêtes et questionnaires</term><term>Gestion du risque ()</term><term>Gestion du risque (organisation et administration)</term><term>Grippe humaine ()</term><term>Grippe humaine (psychologie)</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Infectiologie</term><term>Lutte contre l'infection ()</term><term>Microbiologie (normes)</term><term>Médecine préventive (enseignement et éducation)</term><term>Médecins ()</term><term>Médecins (psychologie)</term><term>Pandémies ()</term><term>Planification des mesures d'urgence en cas de catastrophe (organisation et administration)</term><term>Prise de décision</term><term>Québec</term><term>Recherche qualitative</term><term>Rôle professionnel</term><term>Sous-type H1N1 du virus de la grippe A</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Preventive Medicine</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Médecine préventive</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term><term>Risk Management</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Compétence professionnelle</term><term>Microbiologie</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Gestion du risque</term><term>Planification des mesures d'urgence en cas de catastrophe</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Disaster Planning</term><term>Risk Management</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Pandemics</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Grippe humaine</term><term>Médecins</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Influenza, Human</term><term>Physicians</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Microbiology</term><term>Professional Competence</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Physicians</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Decision Making</term><term>Humans</term><term>Infectious Disease Medicine</term><term>Influenza A Virus, H1N1 Subtype</term><term>Practice Guidelines as Topic</term><term>Professional Role</term><term>Public Health Administration</term><term>Qualitative Research</term><term>Quebec</term><term>Surveys and Questionnaires</term><term>Workforce</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Administration de la santé publique</term><term>Enquêtes et questionnaires</term><term>Gestion du risque</term><term>Grippe humaine</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Infectiologie</term><term>Lutte contre l'infection</term><term>Médecins</term><term>Pandémies</term><term>Prise de décision</term><term>Québec</term><term>Recherche qualitative</term><term>Rôle professionnel</term><term>Sous-type H1N1 du virus de la grippe A</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>In Quebec, the influenza A (H1N1) pandemic was managed using a top-down style that left many involved players with critical views and frustrations. We aimed to describe physicians' perceptions--infectious diseases specialists/medical microbiologists (IDMM) and public health/preventive medicine specialists (PHPMS)--in regards to issues encountered with the pandemics management at the physician level and highlight suggested improvements for future healthcare emergencies.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>In April 2010, Quebec IDMM and PHPMS physicians were invited to anonymously complete a web-based learning needs assessment. The survey included both open-ended and multiple-choice questions. Descriptive statistics were used to report on the frequency distribution of multiple choice responses whereas thematic content analysis was used to analyse qualitative data generated from the survey and help understand respondents' experience and perceptions with the pandemics.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of the 102 respondents, 85.3% reported difficulties or frustrations in their practice during the pandemic. The thematic analysis revealed two core themes describing the problems experienced in the pandemic management: coordination and resource-related difficulties. Coordination issues included communication, clinical practice guidelines, decision-making, roles and responsibilities, epidemiological investigation, and public health expert advisory committees. Resources issues included laboratory resources, patient management, and vaccination process.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Together, the quantitative and qualitative data suggest a need for improved coordination, a better definition of roles and responsibilities, increased use of information technologies, merged communications, and transparency in the decisional process. Increased flexibility and less contradiction in clinical practice guidelines from different sources and increased laboratory/clinical capacity were felt critical to the proper management of infectious disease emergencies.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22325707</PMID><DateCompleted><Year>2012</Year><Month>08</Month><Day>27</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><PubDate><Year>2012</Year><Month>Feb</Month><Day>10</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.</ArticleTitle><Pagination><MedlinePgn>115</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-12-115</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In Quebec, the influenza A (H1N1) pandemic was managed using a top-down style that left many involved players with critical views and frustrations. We aimed to describe physicians' perceptions--infectious diseases specialists/medical microbiologists (IDMM) and public health/preventive medicine specialists (PHPMS)--in regards to issues encountered with the pandemics management at the physician level and highlight suggested improvements for future healthcare emergencies.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In April 2010, Quebec IDMM and PHPMS physicians were invited to anonymously complete a web-based learning needs assessment. The survey included both open-ended and multiple-choice questions. Descriptive statistics were used to report on the frequency distribution of multiple choice responses whereas thematic content analysis was used to analyse qualitative data generated from the survey and help understand respondents' experience and perceptions with the pandemics.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 102 respondents, 85.3% reported difficulties or frustrations in their practice during the pandemic. The thematic analysis revealed two core themes describing the problems experienced in the pandemic management: coordination and resource-related difficulties. Coordination issues included communication, clinical practice guidelines, decision-making, roles and responsibilities, epidemiological investigation, and public health expert advisory committees. Resources issues included laboratory resources, patient management, and vaccination process.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Together, the quantitative and qualitative data suggest a need for improved coordination, a better definition of roles and responsibilities, increased use of information technologies, merged communications, and transparency in the decisional process. Increased flexibility and less contradiction in clinical practice guidelines from different sources and increased laboratory/clinical capacity were felt critical to the proper management of infectious disease emergencies.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nhan</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, C1242-2300 Tupper Street, Montreal, QC H3H 1P3, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laprise</LastName><ForeName>Réjean</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Douville-Fradet</LastName><ForeName>Monique</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Macdonald</LastName><ForeName>Mary Ellen</ForeName><Initials>ME</Initials></Author><Author ValidYN="Y"><LastName>Quach</LastName><ForeName>Caroline</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>02</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003657" MajorTopicYN="N">Decision Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004189" MajorTopicYN="N">Disaster Planning</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055552" MajorTopicYN="Y">Infectious Disease Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008829" MajorTopicYN="Y">Microbiology</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011315" MajorTopicYN="Y">Preventive Medicine</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011361" MajorTopicYN="N">Professional Competence</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D024382" MajorTopicYN="N">Professional Role</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011635" MajorTopicYN="Y">Public Health Administration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011792" MajorTopicYN="N">Quebec</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012308" MajorTopicYN="N">Risk Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000078329" MajorTopicYN="N">Workforce</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>05</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>02</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>8</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22325707</ArticleId><ArticleId IdType="pii">1471-2458-12-115</ArticleId><ArticleId IdType="doi">10.1186/1471-2458-12-115</ArticleId><ArticleId IdType="pmc">PMC3332281</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Contin Educ Health Prof. 2004 Spring;24(2):76-81</Citation><ArticleIdList><ArticleId IdType="pubmed">15279132</ArticleId></ArticleIdList></Reference><Reference><Citation>Implement Sci. 2011;6:32</Citation><ArticleIdList><ArticleId IdType="pubmed">21453451</ArticleId></ArticleIdList></Reference><Reference><Citation>Bull World Health Organ. 2009 Aug;87(8):614-8</Citation><ArticleIdList><ArticleId IdType="pubmed">19705012</ArticleId></ArticleIdList></Reference><Reference><Citation>Am J Disaster Med. 2009 Jul-Aug;4(4):199-206</Citation><ArticleIdList><ArticleId IdType="pubmed">19860162</ArticleId></ArticleIdList></Reference><Reference><Citation>Public Health. 2010 Jan;124(1):10-3</Citation><ArticleIdList><ArticleId IdType="pubmed">20034644</ArticleId></ArticleIdList></Reference><Reference><Citation>Respirology. 2010 Jan;15(1):51-6</Citation><ArticleIdList><ArticleId IdType="pubmed">20199635</ArticleId></ArticleIdList></Reference><Reference><Citation>Int J Nurs Stud. 2010 May;47(5):577-85</Citation><ArticleIdList><ArticleId IdType="pubmed">20036360</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Infect Dis. 2010;10:99</Citation><ArticleIdList><ArticleId IdType="pubmed">20403201</ArticleId></ArticleIdList></Reference><Reference><Citation>Nature. 2010 Jun 24;465(7301):985</Citation><ArticleIdList><ArticleId IdType="pubmed">20577162</ArticleId></ArticleIdList></Reference><Reference><Citation>Biochem Cell Biol. 2010 Aug;88(4):589-93</Citation><ArticleIdList><ArticleId IdType="pubmed">20651829</ArticleId></ArticleIdList></Reference><Reference><Citation>J Popul Ther Clin Pharmacol. 2010 Fall;17(3):e358-62</Citation><ArticleIdList><ArticleId IdType="pubmed">21041869</ArticleId></ArticleIdList></Reference><Reference><Citation>Vaccine. 2011 Jan 10;29(3):370-7</Citation><ArticleIdList><ArticleId IdType="pubmed">21075164</ArticleId></ArticleIdList></Reference><Reference><Citation>Influenza Other Respir Viruses. 2011 Mar;5(2):83-8</Citation><ArticleIdList><ArticleId IdType="pubmed">21306571</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Public Health. 2011;11:128</Citation><ArticleIdList><ArticleId IdType="pubmed">21342511</ArticleId></ArticleIdList></Reference><Reference><Citation>Nature. 2009 Aug 20;460(7258):1021-5</Citation><ArticleIdList><ArticleId IdType="pubmed">19672242</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Douville Fradet, Monique" sort="Douville Fradet, Monique" uniqKey="Douville Fradet M" first="Monique" last="Douville-Fradet">Monique Douville-Fradet</name><name sortKey="Laprise, Rejean" sort="Laprise, Rejean" uniqKey="Laprise R" first="Réjean" last="Laprise">Réjean Laprise</name><name sortKey="Macdonald, Mary Ellen" sort="Macdonald, Mary Ellen" uniqKey="Macdonald M" first="Mary Ellen" last="Macdonald">Mary Ellen Macdonald</name><name sortKey="Quach, Caroline" sort="Quach, Caroline" uniqKey="Quach C" first="Caroline" last="Quach">Caroline Quach</name></noCountry><country name="Canada"><noRegion><name sortKey="Nhan, Charles" sort="Nhan, Charles" uniqKey="Nhan C" first="Charles" last="Nhan">Charles Nhan</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/GrippeCanadaV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000452 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000452 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= GrippeCanadaV3
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:22325707
|texte= Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:22325707" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a GrippeCanadaV3
| This area was generated with Dilib version V0.6.35. |  |