Études sur l’assurance-maladie du Québec · McDonald, A. D., McDonald, J. C. & Enterline, P. E....
Transcript of Études sur l’assurance-maladie du Québec · McDonald, A. D., McDonald, J. C. & Enterline, P. E....
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Sociologie et sociétés
Études sur l’assurance-maladie du QuébecA. D. McDonald, J. C. McDonald and P. E. Enterline
La gestion de la santéVolume 9, Number 1, avril 1977
URI: https://id.erudit.org/iderudit/001490arDOI: https://doi.org/10.7202/001490ar
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Publisher(s)Les Presses de l'Université de Montréal
ISSN0038-030X (print)1492-1375 (digital)
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Cite this articleMcDonald, A. D., McDonald, J. C. & Enterline, P. E. (1977). Études surl’assurance-maladie du Québec. Sociologie et sociétés, 9(1), 55–75.https://doi.org/10.7202/001490ar
Article abstractSurveys of households, physicians and emergency rooms and a review ofhospitat admissions were conducted in metropolitan Montreal before and afterthe introduction, in November 1970, of Quebec Heaith Insurance (QHI).Following QHI there was a small overall increase in utilization of physicians'services, but a considerable redistribution with increased use by persons inlow income families. Before QHI there was an economic gradient in theproportion of persons who consulted a physician for selected symptomsthought to require medical advice; this was virtually eliminated after QHI.Physicians worked an average 8.8 hours a day after QHI compared with 10.3before; they saw a larger number of patients in their offices, but reducedtelephone consultations and cut home visits severely. A considerable increasein the use of emergency rooms was observed and in certain surgicaloperations, but there was no evidence of a decrease in hospital admissions. Theeffect on health, so far, of this social legislation cannot be established.