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Related Experiment Videos

Pier-Luc Turcotte1, Dave Holmes2, Amélie Perron3

  • 1Ergothérapeute, Ph.Dc, École de réadaptation, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Québec, Canada

Recherche En Soins Infirmiers
|June 20, 2022
PubMed
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The Multi-clientele Assessment Tool (OEMC) in Quebec pressures home care professionals, impacting patient care. Analysis reveals it regulates services and lives, undermining professional autonomy and expertise.

Area of Science:

  • Healthcare Management
  • Sociology of Health
  • Nursing Practice

Background:

  • The Multi-clientele Assessment Tool (OEMC) significantly altered home care practices in Quebec, Canada, since 2015.
  • Patient assessment data via OEMC is used for service performance evaluation, with funding tied to meeting targets.

Purpose of the Study:

  • To analyze the political nature of the OEMC's implementation.
  • To understand the OEMC's impact on healthcare professionals' (HCPs) practices and patients' lives.

Main Methods:

  • Poststructuralist analysis of OEMC documents.
  • Theoretical framework drawing on Michel Foucault and Gilles Deleuze.

Main Results:

  • The OEMC facilitates a shift towards societies of control, regulating home care services and patient lives.

Related Experiment Videos

  • HCPs' expertise and autonomy are challenged by the OEMC's objectives and imposed practices.

    • Conclusions:

    • HCPs face compromised autonomy, with resistance to the OEMC being suppressed by dominant discourses.
    • Negotiating the necessity of OEMC completion is difficult for HCPs, highlighting systemic control over professional judgment.