Primary health care

Helping Front-Line Health and Social Services Professionals Detect Elder Abuse: Summary

Elder abuse is increasingly acknowledged to be a health and social problem that must be addressed. Unfortunately, few recent studies provide a measure of the scope of the problem in Canada. The only Canada-wide study reports that 4% of seniors are victims of elder abuse in any given year. However, the actual proportion is probably higher, considering that such abuse is often misunderstood and under-reported.

It is important that the clinical community play a role in combatting this serious problem. On account of their frequent contact with seniors, frontline health professionals are well-placed to detect cases of elder abuse. However, not all of them are adequately equipped to meet the challenge of recognizing the many different forms of this type of abuse.

This summary is intended in particular for managers and decision makers in the health and social services network. It suggests possible courses of action for promoting early detection of elder abuse by health and…

Measuring Organizational Attributes of Primary Healthcare: A Scanning Study of Measurement Items Used in International Questionnaires

The present scanning study is part of Canadian Institute for Health Information's Primary Healthcare Survey Project. It has been done in order to support the development of an organizational questionnaire that can be used to assess the organizational attributes and delivery of primary healthcare in all parts of Canada.

This study aims to facilitate primary healthcare research by presenting the process which led to the elaboration of a questionnaire designed to measure organizational attributes of primary healthcare. This questionnaire, developed for the Canadian Institute for Health Information project, is different from the two accompanying instruments that help to evaluate healthcare provider practices and patient experience.

It is important that decision-makers, managers and healthcare providers have access to reliable and comparable data generated by assessments of the organization and delivery of PHC, through questionnaires that properly measure PHC organization…

Infection Prevention and Control Measures in the Emergency Department

Every year, over 3 million patients, including many cases of transmissible infections, arrive at Québec's emergency departments on foot or by ambulance. In Québec, reference documents are available on emergency department organization and design. However, at present, there are few recommendations for infection prevention and control (IPC) in the literature that focus on practice in an emergency care setting.

This document has been prepared in connection with Action 8 of the Ministère de la Santé et des Services sociaux' (MSSS) Plan d'action sur la prévention et le contrôle des infections nosocomiales 2010-2015 [2010-2015 Action plan for healthcare-associated infections prevention and control]. Its purpose is to make recommendations for IPC in the emergency departments of Québec's hospitals. The recommendations are primarily intended for general and specialized hospital centres. They will have to be adapted according to the facility's mission, the patien…

Comité sur les infections nosocomiales du Québec

Highlights from the descriptive report of the organizational survey in the Montréal region

This summary report aims to describe the reform-related changes observed between 2005 and 2010 in primary care organizations in Montréal. Findings are reported first on changes in number of medical clinics between 2005 to 2010, and then on an analysis of the modifications in clinic characteristics over this period. The findings are presented for the region as a whole and for each CSSS territory in the region.

  • In the region, we observe a decline in the number of primary care medical clinics between 2005 and 2010; this decrease, mostly due to small (mostly solo) clinics closures, was compensated by merges and the spread of larger clinics, and especially by the marked increase in FMG, NC and FMG-NC.
  • There was also significant improvement in the index of conformity to organizational ideal type (ICIT) between 2005 and 2010.
  • This improvement is due mostly to the implementation of FMG and NC in existing clinics.
  • Given the nature of these changes…

Highlights from the descriptive report of the organizational survey in the Montérégie region

This document aims to describe the reform-related changes observed between 2005 and 2010 in primary care organizations in Montérégie. Findings are reported first on the change in number of medical clinics between 2005 to 2010, and then on the analysis of the modifications in the characteristics of these clinics during this period. The findings are presented for the region as a whole and for each CSSS territory in the region.

  • In the region, we observed a very slight decline in the number of primary care medical clinics between 2005 and 2010 (-4); this decrease, mostly due to small (mostly solo) clinics closures, was compensated by merges and the ongoing implementation of FMG, and the beginning of NC implementation.
  • There was also, in the region, clear improvement in the index of conformity to organizational ideal type (ICIT) between 2005 and 2010.
  • This improvement was due mostly to existing clinics implementing FMG.
  • Given the nature of the…

Highlights from the report on clinical preventive services: results of the 2010 population survey

This summary conveys highlights of the 2010 population survey results on exposure to clinical preventive services of respondents who have a regular source of primary care. Respondents were instructed to refer to preventive health services received at their regular source of care, regardless of whether the nurse or the doctor conducted the intervention. All data are weighted, taking into account sample characteristics.

Highlights from the descriptive report of the population-based survey of care experiences in the Montréal region

This summary includes highlights of the population survey results on services utilization by the Montréal population, unmet service needs and the assessments of care experiences of respondents who have a regular source of primary care. Moreover, the values obtained in 2010 are compared with those for 2005.

Highlights from the descriptive report of the population-based survey of care experiences in the Montérégie region

This summary includes highlights of the population survey results on services utilization by people living in Montérégie, unmet service needs and the assessments of care experiences of respondents who have a regular source of primary care. Moreover, the values obtained in 2010 are compared with those for 2005.

Looking Backward to Move Forward: A Synthesis of Primary Health Care Reform Evaluations in Canadian Provinces

Primary Health Care (PHC) reform is currently underway in various Canadian provinces. Emerging models and policies are at various levels of implementation across differing jurisdictions. While there have been some evaluations of the impact of these reforms, there have been few cross provincial analyses. The aim of this project is to better understand the impact of emerging models and to identify the factors that have been facilitating or hindering their implementation.

A review of grey and published literature on primary care organisational models in Canada was achieved to describe the reform process in five Canadian provinces and understand the various contexts of reforms. Experts were asked to review these case studies and generate hypotheses with regard to potential barriers and facilitators of these reforms. A one-day deliberative forum was held on November 3rd 2010, bringing together researchers (n=40) and decision-makers (n=20) from each province i…

Highlights from the overall narrative report of the population survey on care experiences in Montréal and Montérégie

In 2005, the Population Health and Health Services team, a joint team from Direction de santé publique de l'Agence de la santé et des services sociaux de Montréal and Institut national de santé publique du Québec, conducted a study in the two most populated regions of Québec (Montréal and Montérégie) to evaluate the association between primary care organizational models existing at that time and the population's care experiences. A second study was undertaken in 2010 to understand the evolution of primary care organizational models and how they have performed during the healthcare reform process, and to evaluate the organizational and contextual factors associated with these changes.

The study consists of three interrelated and hierarchically nested surveys:

  • A population survey of adults randomly selected among the population of both regions to assess patient affiliation with primary care organizations, use of services, various attributes of patient care exper…