This project describes and analyzes the functioning of four centres that offer health services in French to minority francophone populations: one in each of Prince Edward Island, Ontario, Manitoba, and Alberta. The authors also examine the community links of each model and the impact of these services on the clientele. In general, they found that although community governance was weak, the clientele was highly satisfied with the services received. They conclude that no single model of health care for francophones outside Quebec can be recommended, given the diversity of political and demographic conditions. All of the centres were successful in maintaining and even increasing services in French to their communities; the multidisciplinary nature of the centres contributed to their success. The authors note, however, the vulnerability of these services in a minority situation and the importance of federal government support. They recommend further study of the health needs of minority francophones in order to better respond to the needs of this population.
This project was supported by the Health Transition Fund, which was created in 1997 to provide support for evidence-based decision-making in health care reform by supporting pilot and evaluation projects which test innovative approaches to health care delivery. The views expressed herein do no necessarily represent the official policy of federal, provincial, or territorial governments.