[Evaluation of implementation of a local consultation model in health and social services]

To adapt the supply of services to the needs of the community, a local health authority has developed a consultative model in health and social services. This approach, based on shared governance and various health promotion strategies, identifies targets, develops actions, and measures the effects of these actions. This study evaluates the implementation of this consultative model from three dimensions : describe (1) implementation of the model, (2) how user experience was taken into account to prioritize and draw up action plans, (3) favourable and unfavourable implementation conditions.

A qualitative methodology based on four data sources was used (i.e. individual interviews, focus groups, observations, analysis of reports). Content analysis was conducted on the individual interviews and focus groups. The observations and analysis of reports contributed to enhance the evaluation process.

Valorisation of experienced-based knowledge, citizen participation, shared leadership, support from institutions or stakeholders, and the dynamism of discussion tables were favourable to implementation. Time, language, cumbersome procedures, staff instability, the recent reform of the Quebec network and inherent elements of discussion tables were unfavourable conditions.

The model allows actions adapted to health and social needs of a local population and increases the sense of belonging to a community. Further efforts are required to preserve the relevance, flexibility, and dynamism of this model in a context of restructuring of the Quebec health and social services network.