In the wake of the reform of the Quebec health care system in the early 1970s, thirty-two public health units (DSCs) were created. They were administratively and geographically integrated into short-term care hospitals throughout the province. This study aimed at determining (1) the influence of...

The aim of this paper is to highlight the potential of the French and the Quebec health systems for prevention in general practice. We use a neo-institutional approach of health system, an approach that emphasizes the importance of institutions and health organizations to understand the...

Objective To find out which are the emerging views on hospital performance and to analyze how these views vary among hospital stakeholders.Methods Study setting: Three hospital stakeholder groups (physicians, caregivers, and administrative staff) in a large Paris teaching hospital. Study design:...

At the beginning of the 1990s, health service reforms were implemented in public health institutions in most African countries South of the Sahara. In the Ivory Coast, the imposition of user fees for public services was adopted in 1994. Such fees require each person to have adequate financial...

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...

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...

The evaluation of interventions is becoming increasing common and now often seeks to involve managers in the process. Such practical participatory evaluation (PPE) aims to increase the use of evaluation results through the participation of stakeholders. This study focuses on the propensity of...

Having demonstrated that the traditional economic model of the market cannot be used in its present form to understand what is happening in the field of medical services, a presentation will be made of the factors affecting the behavior of physicians as purveyors of services, thus showing the...