This is an evaluation of the health system changes in Montreal, Quebec, in the late 1990s. We have estimated their effects for surgical patients with conditions amenable to day surgery. We contrasted the experiences of a cohort of such patients seen in 1996, at the beginning of the changes, with...

New models of delivering primary care are being implemented in various countries. In Quebec, Family Medicine Groups (FMGs) are a team-based approach to enhance access to, and coordination of, care. We examined whether physicians’ and patients’ characteristics predicted their participation in...

In 1986, the Quebec government launched a $176 million program, consisting of 28 specific components, to reduce overcrowding by bedridden patients in 40 hospital emergency rooms. This article reports on the effectiveness evaluation of the program in ten hospitals. Data regarding evolution of...