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Demander aux personnes atteintes de maladies chroniques d’évaluer l’impact de leurs soins sur leur santé et leur expérience de soins primaires est l’étape la plus importante pour en rehausser la qualité. Le système de santé québécois collecte massivement des données médico-administratives qui peuvent fournir de l’information pertinente à l’orientation des politiques et à la mise en place de soins primaires pour répondre à leurs besoins. Cependant, peu d’information est disponible en ce qui a trait à la perception de ce public quant à leurs expériences de soins et leur santé. De plus, aucune collecte systématisée de données au niveau provincial ou canadien en santé primaire n’a été réalisée. La perspective du patient ou de la patiente est souvent absente des indicateurs collectés pour moduler les soins primaires et les politiques ministérielles. Pourtant, ces données sont essentielles à considérer pour : 1) la mise en place de plans d’intervention centrés sur leurs besoins réels; 2) l’établissement de politiques en santé en soins primaires, permettant une meilleure prise en charge de cette clientèle atteinte de maladies chroniques et; 3) pour l’amélioration (continue) des soins et services de santé. Notre équipe a été mandatée pour réaliser la portion québécoise de l’enquête internationale PaRIS (Patientreported Indicator Surveys) de l’Organisation de coopération et de développement économiques (OCDE), qui vise à dresser un portrait comparatif de l’expérience de soins et des résultats de santé de la patientèle atteinte de maladies chroniques bénéficiant de soins primaires. Afin de développer une méthodologie efficace et optimale, nous avons réalisé un colloque dans le cadre du 88e congrès de l’ACFAS, ayant eu lieu le 7 mai 2021. Celuici avait pour titre : Enjeux, priorités et leçons apprises pour les enquêtes sur la qualité des soins primaires selon la perspective des patients et des patientes. Nous avons réuni un groupe de personnes provenant de différents secteurs

Amédé Gogovor,1,2 Regina Visca,3,4 Mark A Ware,4,5 Marie-France Valois,6 Gillian Bartlett,4 Matthew Hunt,7 Sara Ahmed2,4,71Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada; 2Centre for Outcomes Research and Evaluation, McGill University Health Centre, Montreal, Quebec, Canada; 3RUIS McGill Centre of Expertise in Chronic Pain, Montreal, Quebec, Canada; 4Department of Family Medicine, McGill University, Montreal, Quebec, Canada; 5Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, Quebec, Canada; 6Department of Medicine, McGill University, Montreal, Quebec, Canada; 7School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, CanadaCorrespondence: Sara AhmedSchool of Physical and Occupational Therapy, Faculty of Medicine, McGill University, 3654 Prom Sir-William-Osler, Montreal, QC H3G 1Y5, CanadaTel +1 514-398-4400 Ext 00531Fax +1 514-398-6360Email sara.ahmed@mcgill.caBackground and purpose: Measuring patients’ experiences of health services has become an essential part of quality of care reporting and a means for identifying opportunities for improvement. This study aimed to evaluate change in patient experience in an interdisciplinary primary care program and to estimate the impact on patient experience of sociodemographic, function, pain and general health status, resource utilization, and process variables.Patients and methods: A 6-month interdisciplinary care program for individuals with low back pain (LBP) was implemented at four primary care settings and evaluated using an observational pre/post study design. The change in patient experience was evaluated using the Patient Assessment of Chronic Illness Care questionnaire (PACIC) completed at baseline and 6 months post-intervention (n=132). Descriptive and multivariable analyses were performed using SAS version 9.3.Results: The average patient age was 57 (SD: 14) years of age and the

BACKGROUND: Seven chronic disease prevention and management programs were implemented across Quebec with funding support from a provincial-private industry funding initiative. Given the complexity of implementing integrated primary care chronic disease management programs, a knowledge transfer meeting was held to share experiences across programs and synthesize common challenges and success factors for implementation. METHODS: The knowledge translation meeting was held in February 2014 in Montreal, Canada. Seventy-five participants consisting of 15 clinicians, 14 researchers, 31 knowledge users, and 15 representatives from the funding agencies were broken up into groups of 10 or 11 and conducted a strengths, weaknesses, opportunities, and threats analysis on either the implementation or the evaluation of these chronic disease management programs. Results were reported back to the larger group during a plenary and recorded. Audiotapes were transcribed and summarized using pragmatic thematic analysis. RESULTS AND DISCUSSION: Strengths to leverage for the implementation of the seven programs include: (1) synergy between clinical and research teams; (2) stakeholders working together; (3) motivation of clinicians; and (4) the fact that the programs are evidence-based. Weaknesses to address include: (1) insufficient resources; (2) organizational change within the clinical sites; (3) lack of referrals from primary care physicians; and (4) lack of access to programs. Strengths to leverage for the evaluation of these programs include: (1) engagement of stakeholders and (2) sharing of knowledge between clinical sites. Weaknesses to address include: (1) lack of referrals; (2) difficulties with data collection; and (3) difficulties in identifying indicators and control groups. Opportunities for both themes include: (1) fostering new and existing partnerships and stakeholder relations; (2) seizing funding opportunities; (3) knowledge transfer; (4) supporting the transformation o