This study of perinatal clinics in the region of Quebec City evaluated new initiatives designed to provide continuity of quality care to pregnant women and their families and to identify families at risk early in the women’s pregnancy in order to refer them to other services. The evaluation aimed to provide meaningful feedback to managers and administrators on the implementation of this new approach. It also attempted to support practitioners who were adapting their practices to the clinics’ goals. Survey results indicate that the clientele was generally satisfied with the services received and that practitioners supported the goals of this approach. The goal of reaching a large proportion of at-risk families was not attained, since this population rarely used the clinics’ services. The researchers offer several conceptual categories for analyzing various approaches to service delivery. In addition, they emphasize that their results show the importance for managers of concentrating on the process of change as much as on the content.
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.