Health care services for linguistic minorities: our findings
The 2006-2007 survey on users satisfaction
Normand Trempe Amadou Diogo Barry
Avec la collaboration de Marie-Hélène Lussier et de Ernest Lo Survey on health care services satisfaction by users, Québec, 2006-2007
• Survey conducted among 38 000 respondants in 16 health regions in Québec.
• Over 2000 respondants spoke English at home.
• In order to get sufficient numbers, we divided Québec into 4 territories that correspond to the sum of health regions.
• Few statistical tests were made between linguistic groups due to technical and methodological complexities. The regions studied Grouped regions for analysis purposes and number of English speaker respondants
01 – Bas-St-Laurent
02 – Saguenay-Lac-St-Jean
03 – Capitale nationale
04 – Mauricie-Centre-du-Québec
05 - Estrie 06 – Montréal 534 505,3 07 -Outaouais 08 – Abitibi-Témiscamingue
09 – Côte-Nord
10 - Nord-du-Québec 555,2 11- Gaspésie-Iles-de-la-Madeleine
12 – Chaudières - Appalaches
13 - Laval
14 - Lanaudière 473,1 15 - Laurentides
16 - Montérégie Two main analysis topics
ü General opinion about the health care system
ü The general satisfaction about the services received in: § Hospitals § Private medical clinic § CLSC General opinion about the health care system Finding 1
• Anglophones more • But they also report often say that they more often than think the health care Francophones that the system works relatively system should be re- well when compared to built, especially in the Francophones. That Laval-Montérégie, situation is observed in Montréal and all of Québec. Outaouais-Estrie regions. General opinion of Anglophones and Francophones regarding the health care system Works relatively well To be re-built
28,4
16,1
16,9
17,0 General opinion regarding the health care system Finding 2
• Anglophones aged 15-24 • The younger Anglophones years old report more are more critical of the often than those aged 65 health care system and and over that the health think more often it needs care system works to be re-built than their relatively well. same-age francophone counterparts. That is observed almost everywhere in Québec. General opinion of health care system, Anglophones and Francophones, by age group, Québec
Works relatively well To be re-built
39,2
20,3
49,4 13,0 General opinion of health care system, Anglophones and Francophones, by age group and region
Works relatively well To be re-built Works relatively well To be re-built
20,3 20,2
12,7 17,6
Montréal Laval et Montérégie General opinion of health care system, Anglophones and Francophones, by age group and region
Works relatively well To be re-built Works relatively well To be re-built
22,3 17,8
9,2 10,4
Outaouais et Estrie Reste du Québec The general satisfaction about the health care services received according to region Finding 3
• Anglophones are more • However, a marginal satisfied than portion of Anglophones in Francophones all over the Montreal and « rest of province. Québec » are somewhat or very unsatisfied. Satisfaction globale à l’égard des services de santé selon la région Somewhat or very unsatisfied Very satisfied The general satisfaction about the services received in hospitals, private medical clinics and CLSCs according to language and region
Finding 4 • Overall, Anglophones • However, Anglophones are as or more are more dissatisfied than satisfied than Francophones for: – Hospital services received in Francophones for Montreal and in the “rest of serviced received in all Québec” three types of – Private clinics services premises. received in Outaouais-Estrie – CLSC services received anywhere in Québec except Montreal. The general satisfaction about the services received according to the type of premise, to language and region
Somewhat or very unsatisfied Very satisfied Somewhat or very unsatisfied Very satisfied
In hospitals In private medical clinics The general satisfaction about the services received according to the type of premise, to language and region
Somewhat or very unsatisfied Very satisfied
In CLSCs The general satisfaction about the services received according to the type of premise, to language and age Finding 5
• No matter the age or • However, the age the type of premise, groupe 25-44 among Anglophones are Anglophones is more always as or more dissatisfied than their satisfied than Francophone Francophones. counterparts in all three types of premises. The general satisfaction about the services received according to the type of premise, to language and age
Somewhat or very unsatisfied Very satisfied Somewhat or very unsatisfied Very satisfied
In hospitals In private medical clinics The general satisfaction about the services received according to the type of premise, to language and age
Somewhat or very unsatisfied Very satisfied
En CLSC Conclusions • A satisfaction and opinion survey does not necessarily convey the exact image of the quality of health care services but can provide ideas for improvement. • The general conclusion is that Anglophones in Québec generally have a more positive opinion of the health care system than Francophones. • But, like some indicators seen this morning, there are also some contrasting findings. Anglophones are also more likely to think the health care system needs to be re-built than Francophones, especially in Montreal. • The same kind of division occurs among age groups. The Anglophones aged 15-44 years old have both more likely to think the health care system works relatively well and think that it should be re-built than Francophones of the same age. • Anglophones express more general satisfaction than Francophones towards the health care system, with a few nuances according to place of residence and type of medical premises. • But Anglophones aged 25-44 years old have some reservations: they are more likely than the Francophones to report dissatisfaction from services received in all three type of medical premises. Health care services for linguistic minorities: our findings
The 2006-2007 survey on users satisfaction
Normand Trempe Amadou Diogo Barry
Avec la collaboration de Marie-Hélène Lussier et de Ernest Lo