This project studied the way primary care services have been integrated in two largely rural Municipalités régionales de comté (MRC, regional county municipalities) in the Bas-Saint-Laurent region of Quebec. Researchers looked at factors that facilitated or constrained the integration process and examined the effects of the process on the perceptions of the population and of staff involved in service delivery. Because integration was time-consuming, particularly in an MRC that was taking the time to involve the public and practitioners, results are somewhat inconclusive. The report notes that attitudes of confidence and satisfaction both among the staff and among the public are linked to the level of education attained. In an area where many people have a low level of education, this finding highlights the importance of using communication methods adapted to low literacy levels in order to promote the acceptance of any change in service delivery.
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.