Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

If You Use a Screen Reader

This content is available through Read Online (Free) program, which relies on page scans. Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.

Referral Continuity Between Private and Public Health Care for the Patient Under 18 in the Montreal Metropolitan Region

RAYNALD PINEAULT and JOELLE LESCOP
Canadian Journal of Public Health / Revue Canadienne de Santé Publique
Vol. 80, No. 2 (March/April 1989), pp. 115-119
Stable URL: http://www.jstor.org/stable/41989696
Page Count: 5
  • Read Online (Free)
  • Subscribe ($19.50)
  • Cite this Item
Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Preview not available
Preview not available

Abstract

One of the objectives of the health and social services reform launched in Quebec in the early 70s was to achieve continuity between the public and the private sector. This study focusses on specific aspects of continuity, namely referral continuity as measured by the degree to which physicians refer to public health resources in the care they provide to patients under 18, as well as their perception of these resources. A telephone survey conducted in February, 1984 gathered information on the way Montreal general practitioners and pediatricians use other medical, paramedical and public health resources. The findings indicate that the objective of continuity has not been fully achieved. Among the factors which explain such results are the lack of communication between the two sectors and the perception by physicians that these other resources, especially CLSCs, offer competitive rather than complementary services. Such a view constitutes a major constraint to the effective and efficient coexistence of the private and public sectors in a medical care system. L'un des objectifs poursuivis par la réforme des services sociaux et de santé amorcée au Québec au début des années 1970, visait la continuité entre les secteurs privés et publics. La présente étude porte sur un aspect de la continuité soit le degré de référence à des ressources publiques de malades âgés de 0 à 18 ans. A partir d'un questionnaire administré par téléphone auprès d'omnipraticiens et de pédiatres de la région de Montréal, on a recueilli diverses informations relatives à l'utilisation par ces médecins des ressources non médicales et de santé publique. Les résultats indiquent que la continuité entre les deux secteurs n'a pas été complètement réalisée. Certains facteurs peuvent expliquer cet état de fait, notamment le manque de communication entre les deux parties et la perception par les médecins que ces autres ressources, surtout les CLSCs, se comportent plutôt comme des concurrents que comme ressources complémentaires. Une telle situation semble constituer un obstacle majeur à une coexistence efficace et rentable des secteurs privé et public dans un système de santé.

Page Thumbnails

  • Thumbnail: Page 
115
    115
  • Thumbnail: Page 
116
    116
  • Thumbnail: Page 
117
    117
  • Thumbnail: Page 
118
    118
  • Thumbnail: Page 
119
    119