Accessibility and continuity of care : Accessibilité et la continuité des services de santé : une étude sur la première ligne au Québec

ACCESSIBILITY AND CONTINUITY OF CARE: A STUDY OF PRIMARY HEALTHCARE IN QUÉBEC RESEARCH REPORT PRESENTED TO THE CANADIAN INSTITUTES OF HEALTH RESEARCH (CIHR) AND THE CANADIAN HEALTH SERVICES RESEARCH FOUNDATION (CHSRF) ACCESSIBILITY AND CONTINUITY OF CARE: A STUDY OF PRIMARY HEALTHCARE IN QUÉBEC RESEARCH REPORT PRESENTED TO THE CANADIAN INSTITUTES OF HEALTH RESEARCH (CIHR) AND THE CANADIAN HEALTH [...] Urban territories described as affluent commerçant and characterised by the density of their populations and the wide diversity and quantity of healthcare resources obtain the lowest scores for the global index of experience of care as well as for most of the specific indices. [...] The professional single-provider model—characterised by a focus on the client, poor integration into the network, low number of resources, restricted range of services and mostly walk-in consultations— stands out favourably in terms of certain performance aspects, particularly experience of care of users of services and response to the needs of vulnerable clienteles. [...] Finally, in this context, the study provides an organisational profile of primary care and of its effects on the experience of care of the population at the beginning of the reform process, thus forming the basis for future evaluation of the transformations. [...] Institut national de santé publique du Québec 4 Centre de recherche de l’Hôpital Charles LeMoyne Accessibility and Continuity of Healthcare: A Study of Primary Care in Québec Research Report Figure 1: Reference periods of the 3 components of the study in relation to the reform of the healthcare system.