Lyme disease is a growing public health problem in Québec. Its emergence over the last decade is caused by environmental and anthropological factors that favour the survival of Ixodes scapularis, the vector of Lyme disease transmission. The objective of this study was to estimate the speed and direction of Lyme disease emergence in Québec and to identify spatiotemporal risk patterns. A surface trend analysis was conducted to estimate the speed and direction of its emergence based upon the first detected case of Lyme disease in each municipality in Québec since 2004. A cluster analysis was also conducted to identify at-risk regions across space and time. These analyses were reproduced for the date of disease onset and date of notification for each case of Lyme disease. It was estimated that Lyme disease is spreading northward in Québec at a speed varying between 18 and 32 km/year according to the date of notification and the date of disease onset, respectively. A high rate of disease risk was found in seven clusters identified in the south-west of Québec in the sociosanitary regions of Montérégie and Estrie. The results obtained in this study improve our understanding of the spatiotemporal patterns of Lyme disease in Québec, which can be used for proactive, targeted interventions by public and clinical health authorities.

This article focuses on methods for designing heuristic models within the paradigm of systems theory and in the disciplinary context of intercultural communication. The main question arises from the striking observation that the common language is insufficient to develop knowledge about human communication, especially when many factors of complexity (such as ambiguity, paradoxes, or uncertainty) are involved in the composition of an abstract research object. This epistemological, theoretical, and methodological problematic is one of the main challenges to the scientificity of anthropological theories and concepts on culture. Moreover, these questions lie at the heart of research in intercultural communication. Authors and theorists in the complexity sciences have already stressed the need, in such case, to think in terms of models or semiotic representations, since these tools of thought can mediate much more effectively than unformalized language between the heterogeneous set of perceptions arising from the field of experience, on the one hand, and the philosophical principles that organize speculative thought, on the other. This sets the scene for a reflection on the need to master the theory of heuristic models when it comes to developing scientific knowledge in the field of intercultural communication. In this essay, my first aim is to make explicit the conditions likely to ensure the heuristic value of a model, while my second aim is to clarify the operational function and required level of abstraction of certain terms such as concepts, categories, headings, models, systems, or theories that are among the most commonly used by academics in their descriptive accounts or explanatory hypotheses. To achieve this second objective, I propose to create cognitive meta-categories to identify the three (nominal, cardinal or ordinal) roles of words in the reference grids we use to classify our ideas, and to specify how to use these meta-categories in the construction of our heuristic models. Alongside the theoretical presentation, examples of application are provided, almost all of which are drawn from my own research into the increased cultural vigilance of the majority population in Quebec since the reasonable accommodation crisis in this French-speaking province of Canada. The typology I propose will perhaps help to avoid the confusions regularly committed by authors who attribute only cosmetic functions to words that nevertheless have a highly heuristic value, and who forget to consider the logical leaps of their theoretical thinking in the construction of heuristic models.

This study evaluates the accessibility of primary care physicians (PCPs) in Eastern Quebec using an enhanced two-step floating catchment area (E2SFCA) methodology. The E2SFCA methodology considers both the population supply of PCPs and the travel time between PCPs and dissemination areas, and was found to be effective in identifying possibly underserved areas. The availability of primary care services is contingent upon the presence of adequate road infrastructure, and populations residing in areas with limited access to main road networks may experience compromised access to primary care. The study concludes that the E2SFCA methodology can facilitate the identification of areas experiencing a shortage of PCPs, and this information can be used to inform the development of regional medical workforce programs and support the establishment of rural residency initiatives.

: Healthcare workers are affected by mental health issues, burnout and turnover, and this burden is even greater during epidemics and pandemics, such as COVID-19. The purpose of this research is to provide an overview of the measures introduced or supported in the institutions of Quebec’s health and social services network during the COVID-19 pandemic with the aim of protecting healthcare workers’ mental health. An online questionnaire survey was administered in 2021 among human resources department personnel in health and social services network institutions involved in workplace mental health in Quebec. A total of 223 key informants representing 31 of the 34 public health and social services institutions in the province of Quebec in Canada responded to the questionnaire. Measures that focus on the needs of staff, involve all levels of authority and the ones that provide flexibility, support and recognition at work were more successful, according to the advisors surveyed. Future research into whether the same measures are considered effective or ineffective outside of a pandemic context is needed.