Health and social services organisation

Primary Care Services Organisational Models and the Population's Care Experience

Primary care services have undergone significant changes in Québec. It is in this context that a research project entitled “Accessibility and Continuity of Care: A Study of Primary Care Services in Québec” was carried out in two health regions in the province: Montréal and Montérégie (Pineault, Lévesque et al. 2004). The main goal of this project was to study the links between different primary care services organisational models and health care experience reported by the population…

Synthesis and summary

Accessibility and continuity of health services : A study on primary healthcare in Quebec : Research report : Summary


Overall, individuals’ assessment of their health care experiences with their regular source of primary care is favourable. These observations are similar to the results of international studies on health care user satisfaction. However, the population is clearly less appreciative of geographical and organisational accessibility. Appreciation of care experience varies greatly among territories of the health and social service centres (HSSC) in the two regions under study.…
Synthesis and summary

Unmet needs for medical services: a reflection of the accessibility of primary care services?

In short,

The prevalence of unmet needs seems to have grown over the past decade, and reaches 18% in our study. One out of five people perceive their health problems associated with unmet needs to be urgent, and a large percentage of people who reported unmet needs felt worried and experienced pain, and they needed to limit their activities. This issue affects the population as a whole but is more common among young adults, recent immigrants, people who work or study, individuals…
Synthesis and summary

Evaluation of the performance of designated screening centers of the Programme québécois de dépistage du cancer du sein (PQDCS): description of the methods

The evaluation of the Programme québécois de dépistage du cancer du sein (PQDCS) is based primarily on the analysis of performance indicators as defined in the PQDCS guidelines. Methods were initially developed to measure performance indicators at the provincial level and then in individual regions. The goal of this report is to develop an approach for the measurement and comparison of performance indicators at the screening centre level.

The indicators selected to evaluate the…

Evaluation report

Accessibility and Continuity of Care: A Study of Primary Healthcare in Québec : research Report

Key Messages

Generally, users of primary care have a favourable opinion of their experience of care. Organisational and geographical accessibility remain the aspect that is the least favourably perceived by the population. We should be concerned with the fact that residents of urban areas in general, and Montréal in particular, have a poorer perception of their healthcare experience.

The adult population is served by primary care medical clinics…

Research report, study and analysis

Health services utilisation by Montrealers aged 40 and over with chronic obstructive pulmonary disease in 2003–2004

The main objective of this report is to enable decision makers in clinical and administrative health settings in Montréal to be better informed of the utilisation of ambulatory care and institutional services by people in their territories who suffer from chronic obstructive pulmonary disease (COPD). This report on COPD is part of the “Monitorage interprétative” project conducted by the Équipe Santé des populations et services de santé (ESPSS), a joint team of the Montréal Public Health…

Synthesis and summary

Primary care services organisation - A portrait of primary care medical services in Montréal and Montérégie - Summary

This summary report on primary care services organisation (Hamel, Pineault et al., 2007) is part of a series of publications focusing on the research project results. It presents evidence and unpublished data on primary care medical services organisation. Results are given according to administrative region and Health and Social Services Centre (CSSS) territory.

The data come from a large 2005 study of primary care medical offices and clinics in the regions chosen. This report is…

Synthesis and summary

Hospital Emergency Departments: Substitute for Primary Care? Results of a Survey among the Population of Montréal and Montérégie

Almost one-third (31%) of the adult population in Montréal and Montérégie reported going to emergency departments at least once in the two years preceding the survey. Utilisation of emergency departments varies by health and social services centre (CSSS, Centre de santé et de services sociaux) territory, and tends to be higher in rural areas. This could be related to the specific pattern of organisation of primary care practices in rural areas. Having a regular source of primary care and…

Synthesis and summary

Unmet health care needs: A reflection of the accessibility of primary services?

In this thematic pamphlet, we present some results of a study entitled Accessibilité et continuité des services de santé - Une étude sur la première ligne au Québec, conducted in 2005 among more than 9000 people in Montréal and Montérégie. Our goal is to provide information concerning unmet health care needs and to analyse the initial implications.

The concept of unmet needs refers to the difference between health services deemed necessary to treat a particular health problem and…

Research report, study and analysis

Health service utilisation by Montrealers suffering from heart failure in 2003-2004 : summary

The main objective of this report is to enable decision-makers in Montréal clinical and health administration settings be better informed of health service utilisation by people with heart failure who are living in their territories. The report on heart failure is part of the « Monitorage interprétatif » project conducted by the Équipe Santé des populations et services de santé (ESPSS), a joint team of the Direction de santé publique de Montréal and Institut national de santé publique du…

Synthesis and summary