Healthcare Quarterly

Healthcare Quarterly 14(1) January 2011 : 31-35.doi:10.12927/hcq.2011.22156
Primary Care

Front-Line Services Development: The Key Element for the Success of Quebec's Healthcare Reform

David Levine

In 1966, the government of Quebec mandated Mr. Castonguay and Mr. Nepveu to prepare a report for the implementation of a universal healthcare system. In 1969, the Commission of Inquiry on Health and Social Welfare, also known as the Castonguay-Nepveu Commission, recommended the creation of the Quebec Health Insurance Plan (Régie de l'assurance-maladie du Québec) and submitted, in 1970, a report that underlies the existing healthcare system in Quebec (Government of Quebec 1970). The key recommendations of this report were the creation of three university networks (three faculties of medicine in Quebec at the time) with distinct levels of healthcare services: primary (community), secondary (hospital) and tertiary (specialized services).



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