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...

Context: During the 1980s and 1990s, innovations in the organization, funding, and delivery of primary health care in Canada were at the periphery of the system rather than at its core. In the early 2000s, a new policy environment emerged. Methods: This policy analysis examines primary health...

fin d’accroître le nombre de personnes ayant un médecin de famille – nombre qui est relativement faible au Québec – le ministère de la Santé et des Services sociaux a mis en place, en 2008, les guichets d’accès pour la clientèle orpheline (GACO). La politique GACO avait pour...

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...