Health and social services organisation

This summary includes highlights of the population survey results on services utilization by people living in Montérégie, unmet service needs and the assessments of care experiences of respondents who have a regular source of primary care. Moreover, the values obtained in 2010 are compared with those for 2005.

Primary Health Care (PHC) reform is currently underway in various Canadian provinces. Emerging models and policies are at various levels of implementation across differing jurisdictions. While there have been some evaluations of the impact of these reforms, there have been few cross provincial analyses. The aim of this project is to better understand the impact of emerging models and to identify the factors that have been facilitating or hindering their implementation.

A review of…

In 2005, the Population Health and Health Services team, a joint team from Direction de santé publique de l'Agence de la santé et des services sociaux de Montréal and Institut national de santé publique du Québec, conducted a study in the two most populated regions of Québec (Montréal and Montérégie) to evaluate the association between primary care organizational models existing at that time and the population's care experiences. A second study was undertaken in 2010 to understand the…

Some Canadian regional health authorities have fully committed to partnerships with not-for-profit (NFP) organizations for the purpose of promoting healthy public policy. Some are seeking to go further in this direction and others have not yet embarked on this course. This document is part of a series of texts documenting existing partnership practices and analyzing their contributions in terms of public health. The aim is to allow authorities to weigh the benefits of such partnerships for…

Population targeted by the screening

All women who are sexually active or were in the past.

Sexual activities include all types of genital contact, with or without vaginal penetration, with male or female partners.

At what age should screening begin?

The recommended age to begin screening is 21.

However, screening can be delayed for women who have not yet had sexual activity at this age. Exceptionally and based on the…

In Canada, everyone has the right to receive health and social services in the language of their choice—English or French (Official Languages Act, 1985). In Québec, health and social services legislation affirms English speakers’ right to receive health and social services in English.

From this perspective, it will be instructive to analyze whether healthcare providers communicate in the minority official language, i.e., English in Québec. Using the 2001 and 2006 censuses, Statistics…

By its very nature, screening is characterised by administering a test to presymptomatic or early symptomatic individuals who may benefit from a more effective intervention if it is performed before the usual time of diagnosis.

Far from being a trivial intervention, screening can lead to significant consequences to the people screened. Therefore, before offering screening to workers, its effectiveness and the predominance of benefits over disadvantages must be demonstrated at the…

Randomized comparative trials have shown that screening can reduce the mortality from colorectal cancer. However, due to difficulties of implementation, as observed in various countries, the expected benefits might not be achieved. The Committee recommends that the following conditions be met prior to implementing a provincial program:

Accessibility to colonoscopic examinations should be governed by the implementation of clinical, quality and performance standards that will be…

In 2007, the Comité sur l'immunisation du Québec (CIQ) recommended the establishment of a human papillomavirus (HPV) immunization program with the main objective of reducing the incidence of cervical cancer. In its recommendation paper, the CIQ pointed out the importance of measuring the impact of such a program and the necessary complementarity that should exist between the immunization program and cancer screening activities. However, it was not within the organization's mandate to issue…

The survey was conducted during the summer of 2003 using a representative sample of residents aged 12 and older from the nine communities in Iiyiyiu Aschii: Chisasibi, Eastmain, Mistissini, Nemaska, Oujé- Bougoumou, Waskaganish, Waswanipi, Wemindji, and Whapmagoostui.