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...

We investigate the effects on health care costs and utilization of team-based primary care delivery: Quebec's Family Medicine Groups (FMGs). FMGs include extended hours, patient enrollment and multidisciplinary teams, but they maintain the same remuneration scheme (fee-for-service) as outside...