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assessing the evolution of primary healthcare organizations and their performance (2005-2010) in two regions of québec province montréal and montérégie评估初级医疗组织和性能的演变(2005 - 2010)两个区域的蒙特利尔和魁北克省monteregie
Levesque et al. BMC Family Practice 2010, 11:95
/1471-2296/11/95
STUDY PROTOCOL Open Access
Assessing the evolution of primary healthcare
organizations and their performance (2005-2010)
in two regions of Québec province: Montréal and
Montérégie
Jean-Frédéric Levesque 1,2*, Raynald Pineault1,2,3, Sylvie Provost1,3, Pierre Tousignant1,2,3, Audrey Couture1,3,
3 3
Roxane Borgès Da Silva , Mylaine Breton
Abstract
Background: The Canadian healthcare system is currently experiencing important organizational transformations
through the reform of primary healthcare (PHC). These reforms vary in scope but share a common feature of
proposing the transformation of PHC organizations by implementing new models of PHC organization. These
models vary in their performance with respect to client affiliation, utilization of services, experience of care and
perceived outcomes of care.
Objectives: In early 2005 we conducted a study in the two most populous regions of Quebec province (Montreal
and Montérégie) which assessed the association between prevailing models of primary healthcare (PHC) and
population-level experience of care. The goal of the present research project is to track the evolution of PHC
organizational models and their relative performance through the reform process (from 2005 until 2010) and to
assess factors at the organizational and contextual levels that are associated with the transformation of PHC
organizations and their performance.
Methods/Design: This study will consist of three interrelated surveys, hierarchically nested. The first survey is a
population-based survey of randomly-selected adults from two populous regions in the province of Quebec. This
survey will assess the current affiliation of people with PHC organizations, their level of utilization of h
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