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Tous droits réservés © Les Presses de l'Université de Montréal, 1977 This document is protected by copyright law. Use of the services of Érudit (including reproduction) is subject to its terms and conditions, which can be viewed online. https://apropos.erudit.org/en/users/policy-on-use/ This article is disseminated and preserved by Érudit. Érudit is a non-profit inter-university consortium of the Université de Montréal, Université Laval, and the Université du Québec à Montréal. Its mission is to promote and disseminate research. https://www.erudit.org/en/ Document generated on 08/29/2021 1:54 p.m. Sociologie et sociétés Études sur l’assurance-maladie du Québec A. D. McDonald, J. C. McDonald and P. E. Enterline La gestion de la santé Volume 9, Number 1, avril 1977 URI: https://id.erudit.org/iderudit/001490ar DOI: https://doi.org/10.7202/001490ar See table of contents Publisher(s) Les Presses de l'Université de Montréal ISSN 0038-030X (print) 1492-1375 (digital) Explore this journal Cite this article McDonald, A. D., McDonald, J. C. & Enterline, P. E. (1977). Études sur l’assurance-maladie du Québec. Sociologie et sociétés, 9(1), 55–75. https://doi.org/10.7202/001490ar Article abstract Surveys of households, physicians and emergency rooms and a review of hospitat admissions were conducted in metropolitan Montreal before and after the 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 in low income families. Before QHI there was an economic gradient in the proportion of persons who consulted a physician for selected symptoms thought to require medical advice; this was virtually eliminated after QHI. Physicians worked an average 8.8 hours a day after QHI compared with 10.3 before; they saw a larger number of patients in their offices, but reduced telephone consultations and cut home visits severely. A considerable increase in the use of emergency rooms was observed and in certain surgical operations, but there was no evidence of a decrease in hospital admissions. The effect on health, so far, of this social legislation cannot be established.
