Impact of Primary Health Care Reforms in Quebec's Health Care System: A Systematic Review

Introduction

Primary health care (PHC) reforms in Quebec between 2000 and 2023 aimed to improve accessibility, continuity, efficiency, and equity through organisational transformation, notably the Family Medicine Groups (FMGs), centralised waiting lists (Guichets d'accès), the advanced access model, and legislative instruments such as Bill 20. The evidence on their cumulative impact remains fragmented across disciplines, outcome domains, and study designs.