Family Medicine Groups: sowing the seeds of change in primary healthcare

by Jeannie Haggerty & Jean Rodrigue | Dec 09, 2009

Session Resources

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December 9, 2009
12:00 p.m. - 12:45 p.m. EST
Call in French only

Since the creation of the Primary Health Care Transition Fund there has been a concerted effort to use a more multidisciplinary and integrated approach when implementing demonstration models of primary health care services. The experience in Quebec suggests that the introduction of innovations in the primary care reform model also opened the door to changes for traditional primary care practitioners. This Researcher on Call presents some of these changes as well as the role that research played in the implementation of the Family Medicine Group (FMG) model.

Key questions addressed:

  1. What are the key features of the FMG model and what was the initial policy objective? What role did research play in informing the model?
  2. How did the innovation of patient registration open doors to broader changes in the health system?
  3. How did the integration of nurses sow the seeds for extended nursing practice in primary health care?
  4. What research results are available about the effectiveness of FMFs? What questions need to be asked in the future?

Featured Speakers

Jeannie Haggerty Holder of a Canada Research Chair on Population Impacts of Health Services, Jeannie Haggerty trained in epidemiology & biostatistics at McGill University and did a post-doctoral fellowship in health policy analysis with the Groupe de recherche interdisciplinaire en santé.

After 5 years in the Department of Family Medicine at the Université de Montreal, she took up a position in 2005 at Université de Sherbrooke in the Département de Sciences de la santé communautaire.

Her domain of research is the factors related to accessibility and quality of primary care both here in Canada and in developing countries, particularly the impact of clinical guidelines and health system policies and reforms.

She has a special interest in profiling physician practice patterns and understanding the impact of their decision-making on population health.

One of her principal areas of research is the measure of patient and provider experience with primary care, especially continuity of care, and the relationship to organizational changes and professional practices.

Jean Rodrigue A general practitioner, Dr. Rodrigue practised family medicine in a rural environment for many years, and subsequently in Montréal.

He has held various medical and administrative positions, including that of Head of the Department of General Medicine at Hôpital Notre-Dame. From 1996 to 2007, he was Director of Planning and Regionalization at the Fédération des médecins omnipraticiens du Québec (Québec federation of general practitioners).
A member of the Family Medicine Department at the Université de Montréal, he holds a master’s degree in community health. His thesis was on the subject of the systemic modeling of a care episode.
He currently holds the post of Director of Medical and University Affairs and Professional Partnerships at the Agence de la santé et des services sociaux de la Montérégie (Montérégie health and social services agency). As such, he coordinates general and specialized medical services in that region, in collaboration with the physicians and administrators of the health and social services network.