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The Role of Community Organizations in the Transformation of the Health Services Delivery System in the Montreal Metropolitan Area

Rosario Rodríguez and Katherine L. Frohlich
Canadian Journal of Public Health / Revue Canadienne de Santé Publique
Vol. 90, No. 1 (JANUARY / FEBRUARY 1999), pp. 41-44
Stable URL: http://www.jstor.org/stable/41992966
Page Count: 4
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Abstract

In 1995 the Montreal Regional Health and Social Services Board began a major process of change to its health care system. This transformation places particular emphasis on primary health care and increases the role of local community services centres (CLSCs) and community organizations (COs). In order to understand this process as experienced by COs, the present exploratory study was conducted during the summer and fall of 1996. We targeted 12 COs, 4 CLSCs, the Quebec Federation of CLSCs, and the Montreal CLSC Working Group. Semistructured group interviews and CO documents were used as sources of information. Most participants believe in the need for change but feel that the strategies and implementation have been mismanaged. COs are feeling the pressure to professionalize and specialize current and future services. The "social economy" appears to be gaining momentum in the health sector. En 1995, la Régie régionale de la Santé et des Services sociaux de Montréal-Centre amorçait une démarche de changement majeur du système de soins. Cette transformation met l'accent sur la première ligne et souligne l'importance des centres locaux des services communautaires (CLSC) et des organismes communautaires (OC). Une étude exploratoire a été développée, afin de comprendre ce processus de transformation tel qu'il est perçu par les OC. Douze OC, quatre CLSC, la Fédération de CLSC du Québec et le Regroupement de CLSC de Montréal ont été rencontrés. Les sources d'information ont été des entrevues semistructurées de groupe et des documents des organismes interviewés. La plupart des participants sont de l'avis que la transformation était nécessaire mais que le processus d'implantation n'est pas adéquat. Les OC se sentent sous pression pour professionaliser et spécialiser leurs services. L' «économie sociale» semble prendre la place dans le secteur de la santé.

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