Alexandre Prud'homme

TL;DR: Reform models of primary healthcare consistent with the medical home concept did not differ from other types of organisations in the authors' study and further research looking at primary healthcare reform models at other levels of implementation should be done.

TL;DR: The local health network reform appears to have had an impact on territorializing collaborations firstly by significantly reducing collaborations outside LHNs areas for all types of primary healthcare practices, including new type ofPrimary healthcare and CLSCs, and secondly by improving collaborations among healthcare organizations within LHNs Areas for all organizations.

TL;DR: Positive results were attained, as expressed by increase in the ICIT score in the post-reform period, mainly due to implementation of new types of PHC organizations (Family Medicine Groups and Network Clinics), which supports the view that a combination of top-down and bottom-up strategy is best suited for achieving substantial changes in PHC local organization.

TL;DR: Patients’ experience of care in primary care as it pertained to the nursing role was evaluated to test the hypothesis that, in primary health care organizations (PHCOs) where patients are systematically followed by a nurse, and where nursing competencies are therefore optimally used, patients’Experience of care is better.

TL;DR: An equity-focused approach is needed in order to address persisting inequities in access to PHC which remained stable or deteriorated after the reform, and new models of PHC organizations do not appear to have improved equity.