Quebec Automobile Insurance Corporation

ObjectivesThe primary objective of this project was to develop a comprehensive COVID-19 non-pharmaceutical interventions’ index for the province of Québec (QCnPI-Index). The resulting database systematically categorizes, multiple non-pharmaceutical interventions implemented in the 17 administrative regions (AR) of the province of Québec to mitigate the spread of COVID-19 in the form of an index.Data descriptionData represent interventions and groups of interventions implemented during the COVID-19 period in Québec. They are a compilation of policies, guidelines, and governmental interventions related to COVID-19, considering temporal and geographical dimensions. Data were collected for all 17 AR of Québec using dates as unit of analysis, from March 2020 to April 2022. They were first collected and then coded by an interdisciplinary research team to form the foundation of the QCnPI-Index.ContributionThis quantitative instrument offers the necessary granularity for nuanced spatial and temporal studies within the province of Québec, using AR, for instance, as unit of analysis. With this database, pre-, during-, and post-COVID periods can thus be better analyzed. Additionally, the innovative methodologies employed for data collection, coding, and weighting offer valuable insights that may have broader applications in public health, epidemiology, and other research domains. The QCnPI-Index could be instrumental for public health, epidemiology, and transportation researchers investigating the multifaceted impacts of non-pharmaceutical interventions on various societal domains, such as road safety, alcohol and cannabis consumption, and/or mental health, in the province of Québec.

ABSTRACTBackground: Returning to driving after stroke is one of the key goals in stroke rehabilitation, and fitness to drive guidelines must be informed by evidence pertaining to risk of motor vehicle collision (MVC) in this population.Objectives: The purpose of the present study was to determine whether stroke and/or transient ischemic attack (TIA) are associated with an increased MVC risk.Methods: We searched MEDLINE, CINAHL, EMBASE, PsycINFO, and TRID through December 2016. Pairs of reviewers came to consensus on inclusion, based on an iterative review of abstracts and full-text manuscripts, on data extraction, and on the quality of evidence.Results: Reviewers identified 5,605 citations, and 12 articles met inclusion criteria. Only one of three case-control studies showed an association between stroke and MVC (OR 1.9, 95% CI 1.0–3.9). Of five cohort reports, only one study, limited to self-report, found an increased risk of MVC associated with stroke or TIA (RR 2.71, 95% CI 1.11–6.61). Two of four cross-sectional studies using computerized driving simulators identified a more than two-fold risk of MVCs among participants with stroke compared with controls. The difference in one of the studies was restricted to those with middle cerebral artery stroke.Conclusions: The evidence does not support a robust increase in risk of MVCs. While stroke clearly prevents some patients from driving at all and impairs driving performance in others, individualized assessment and clinical judgment must continue to be used in assessing and advising those stroke patients who return to driving about their MVC risk.

The purpose of this study was to use a noninvasive method to determine the effect of pelvic tilt on the lumbar spine geometry in the sagittal plane. Five healthy male subjects were instructed in performing active forward and backward pelvic tilt manoeuvres in the standing position. The lumbar spine geometry (severity of lordosis, pelvis and lumbar vertebrae orientations) was estimated with a lumbar spine geometric model. The voluntary backward pelvic tilt succeeded in reducing the depth of the lumbar spine curvature, but the forward tilt did not change it. Both pelvic tilt manoeuvres influenced the absolute orientations of the lower lumbar vertebrae and the relative orientations of some lumbar vertebrae. Interestingly, the L5/S1 joint showed was little affected by the pelvic tilt manoeuvres.

Les différents thèmes du colloque, soit la sécurité routière, les nouveaux conducteurs, les risques, la fraude et la réglementation, rejoignent tous les préoccupations de l’organisme public d’assurance automobile que je dirige.Je crois que l’expérience de la Société de l’assurance automobile du Québec est susceptible d’intéresser les chercheurs et les assureurs en raison de son caractère original et de l’importance des résultats obtenus en un temps relativement court et ce, tant sur le plan de la sécurité routière que celui de la qualité des services offerts aux assurés.Le modèle québécois en matière d’assurance automobile contre les dommages corporels comporte plusieurs composantes, mais il y a une caractéristique sur laquelle je veux attirer votre attention, c’est que celles-ci se retrouvent à l’intérieur d’un même organisme. C’est, de fait, le regroupement de ces composantes sous la responsabilité administrative de la Société de l’assurance automobile du Québec qui constitue le modèle intégré qui fait l’objet de cet article.

We are pleased to publish a general overview and some reflections on the orientation of the insurance industry by the lnspector General of Financial Institutions. This article focuses on the Quebec reform of financial institutions and on the regulatory role and responsabilities of the Inspector General. It also highlights the characteristics of the Quebec insurance industry such as deregulation, market statistics and new trends, the challenges of the global market and the emergence of new conglomerates in the final decade of this century.