ArticleLondon journal of primary care2018
Reorganising health and social care in Québec: a journey towards integrating care through mergers.
Article in London journal of primary care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- Recommendations of an Independent Expert Committee for the Development of Quebec's First Government Policy on Primary Care.Healthcare management forum · 2026Article
- Nurses' and Patients' Perspectives on Care Coordination Across Health Care and Social Services Sectors: A Qualitative Study.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Single points of access to fill the "GAP" for unattached patients in primary care: What makes paediatric users more likely to require a medical appointment?Healthcare management forum · 2024Article
- Unravelling collaborative governance dynamics within healthcare networks: a scoping review.Health policy and planning · 2024Article
- Changes in intention to use an interprofessional approach to decision-making following training: a cluster before-and-after study.BMC health services research · 2024Article
- Tensions experienced by case managers working in home care for older adults in Quebec: first level analysis of an institutional ethnography.BMC health services research · 2024Article
- Article
- Article
- Building High-Performing Primary Care Systems: After a Decade of Policy Change, Is Canada "Walking the Talk?"The Milbank quarterly · 2023Review
- Promise and peril: how health system reforms impacted public health in three Canadian provinces.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Centralization and integration of public health systems: Perspectives of public health leaders on factors facilitating and impeding COVID-19 responses in three Canadian provinces.Health policy (Amsterdam, Netherlands) · 2023Review
- Childhood obesity diagnosis and management remains a challenge despite the use of electronic health records: A retrospective study.Health science reports · 2022Article
- Hospital funding reforms in Canada: a narrative review of Ontario and Quebec strategies.Health research policy and systems · 2022Review
- Article
- Multiple Perspectives Analysis of the Implementation of an Integrated Care Model for Older Adults in Quebec.International journal of integrated care · 2019Article
- London Journal of Primary Care - a PAUSE.London journal of primary care · 2018Article
- Integrated People-Centred Care in Canada - Policies, Standards, and Implementation Tools to Improve Outcomes.International journal of integrated careArticle
- Provider and Manager Perspectives on the Use of an Integrated Clinical Pathway for Community-Dwelling Older Adults: A Qualitative Case Study.International journal of integrated careArticle
- Does Integrated Care Carry the Gene of Bureaucracy? Lessons from the Case of Québec.International journal of integrated careArticle
- Challenges and Solutions for Collaboration Among a Nonprofit Organization, Primary Care, Private Healthcare, and the Community Sector: An Instrumental Case Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextTwo reforms (2014, 2015) characterised by the merger of public health care establishments profoundly shaped the current organisation of Quebec's healthcare system. In 2015, 22 megastructures called Integrated Health and Social Services Centres/Integrated University Health and Social Services Centres (IHSSC/IUHSSC), were created and mandated to organise care delivery to their local populations.
objectiveTo describe the service configuration of the 2015 healthcare system reforms, emphasising on how it shaped the organisation of primary health care (PHC) in Quebec.
resultsWith the creation of IHSSCs/IUHSSCs, Quebec's healthcare system passed from three to two levels of governance, leading to a centralisation of decision-making powers. Most health services are delivered by the new organisations, while most PHC is delivered by semi-private medical practices, mainly Family Medicine Groups (FMGs). The FMG model is the preferred strategy to develop interdisciplinary team-work and inter-organizational collaborations with other PHC services.
conclusionmechanisms through which centralised healthcare systems achieve community oriented integrated care (COIC) need to be properly understood in order to improve meaningful clinical outcomes. Mergers may not sufficiently achieve integration of services in all its dimensions. These reforms should be monitored and evaluated on their capacity to mobilise all providers as well as physicians to participate in COIC.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.