Health services supply, demand, and equity of access in Francophone minority contexts
Research team
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Co-PIJ. Savard (U Ottawa), S. Savard (U Ottawa), D. de Moissac (U Saint-Boniface), P. Timony (Laurentian U), N. Glaude (Réseau des services de santé en français de l’Est de l’Ontario), M. Lizotte (UOttawa)
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Co-I
L. Bouchard (U Ottawa), L. Bjerre (U Ottawa), A. Gauthier (Laurentian U), K. Sauvé-Schenk (U Ottawa), J. O’Neil (U Ottawa), M. Muray (U Ottawa), I. Giroux (U Ottawa), S. Johnston (Institut du savoir Montfort), H. Archambault (U Saint-Boniface)
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Collab.J. Desaulniers (Réseau des services de santé en français de l’Est de l’Ontario), M-A. Imbeault (Institut du savoir Montfort), J. Lafond (Shared Health, Manitoba), A. Bronsard (Health Canada’s Official Language Community Development Bureau).
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PartnersA-M. Sékula (OZi and Ontario French Language Health Planning Group), S-P. Désir (Réseau des services de santé en français de l’Est de l’Ontario), A. Bédard (Santé en français Manitoba), A. Désilets (Société Santé en français).
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K-UserN. Valdes (Health Canada’s Official Language Community Development Bureau).
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SupportH. Ziada (Ontario Ministry of Health) for access to the BDSSF.
Funding agency
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CIHR OLMC Strategic Program ($100,000)Period: 2024-2025
Summary
This seven-year research proposal has received one year of start-up funding under the Official Language Minority Community (OLMC) Strategic Program. It aims to consolidate a collaborative research field on French-language health services (FLHS) that meets the needs of Francophone populations in Ontario and Manitoba. It fills major gaps in evidence-based and integrated data, which are essential to a comprehensive understanding of the situation. These two provinces were chosen because of the similarities in legislative obligations regarding FLHS and the availability of similar quantitative data. The research program has four components:
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Overview of the living conditions of French-speaking communities: mapping sociogeolinguistic density and distribution, living conditions, and social determinants of health in order to identify vulnerabilities, needs, and demand for FLHS (based on census data, surveys, and health data).
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Changes in service provision and policies: analyzing the geographic distribution of FLHS provision, the availability of bilingual human resources, health policies, and management practices that impact access to care (BDSSF, health HR databases, primary data).
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Matching supply and demand: assess the level of adequacy and facilitating factors, and propose models for optimizing organizational practices.
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Knowledge mobilization: create a geographic visualization platform that cross-references the living contexts of OLMC with the supply of FLHS services in order to highlight gaps in adequacy and equity.

