Évaluation de l'implantation des guichets d'accès aux clientèles sans médecins de famille et ses effets


Mylaine Breton

Centre de recherche de l'Hôpital Charles LeMoyne


Domaine : services de santé

Programme recherches sur l'urgence et le continuum des soins - volet 1

Concours 2014-2015



Ministère de la Santé et des Services sociaux

Emergency room overcrowding is an important issue and a recurrent health system problem. Solutions to improve emergency room are located upstream and downstream, alongside the continuum of care. One of the main solutions is to improve the access to a regular family physician. Numerous studies have shown positive effect of having a regular family physician such as a decrease in the use of emergency room.

Among the solutions proposed to help people find a family physician, four provinces have implemented a single point of entry. These points of entry help to better coordinate the supply and demand of family physicians. Significant resources have been invested in implementing those primary healthcare innovations. Quebec has invested significantly in implementing 92 points of entry for people without family physicians across the province. It is important to assess whether these innovations can actually improve the health care system.

The objective of this study is to analyze the implementation of the single point of entry for people without family physicians and their effects on access to a family doctor, relational continuity and emergency room use. The project is based on an analysis of medical databases across the province as well as an in-depth analysis of four cases with interviews with key actors. The project is based on applied research and is developed in close collaboration with organizations involved in the issue of access to family physicians and emergency room overcrowding (MSSS, Agence de la Montérégie, FMOQ, OIIQ, INSPQ, AMQ). This study will provide knowledge and evidence relevant to policy makers in relation with the potential use of a single point of entry for people without family physicians in order to improve the health care system including a decreasing use of emergency rooms.