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Rochon\u7684\u536b\u751f\u5385\u957fPauline Marois\uff081998-2001\uff09\u4efb\u547dMichel Clair\u7387\u9886\u533b\u7597\u7cfb\u7edf\u8c03\u67e5\u59d4\u5458\u4f1a\u5bf9\u9b41\u7701\u7684\u533b\u7597\u7cfb\u7edf\u8fdb\u884c\u5b9e\u5730\u8c03\u67e5\u548c\u5206\u6790\uff0c\u5e76\u63d0\u4f9b\u6539\u8fdb\u5efa\u8bae\u3002\u8fd9\u4e2a\u59d4\u5458\u4f1a\u63d0\u51fa\u7684\u5efa\u8bae\u90e8\u5206\u6cbf\u7528\u81f3\u4eca\uff0c\u5305\u62ec\u521b\u5efa\u5bb6\u5ead\u533b\u5b66\u5c0f\u7ec4GMF\uff08Groupe de m\u00e9decine de famille \uff09\uff1b\u63a8\u5e7f\u6267\u4e1a\u62a4\u58eb\uff08infirmi\u00e8res praticiennes\uff09\u8ba4\u8bc1\u5236\u5ea6\uff1b\u8001\u4eba\u7684\u533b\u7597\u4fdd\u9669\uff1b\u8bbe\u7acb\u6bcf\u54687\u5929\u3001\u6bcf\u592924\u5c0f\u65f6\u4e0d\u95f4\u65ad\u7684\u5065\u5eb7\u54a8\u8be2\u70ed\u7ebf\u7b49\u3002<\/p>\n<p>\u51ed\u501fMichel 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Legault\u8fdb\u884c\u4e86\u53c8\u4e00\u6b21\u7684\u533b\u7597\u7cfb\u7edf\u6539\u9769\uff0c\u76ee\u6807\u662f\u52302004\u5e74\u8ba9\u6bcf\u4e00\u4e2a\u9b41\u5317\u514b\u6c11\u4f17\u53ef\u4ee5\u968f\u65f6\u80fd\u770b\u4e0a\u5bb6\u5ead\u533b\u751f\uff0c\u5e76\u521b\u5efa\u4e86\u7b2c\u4e00\u4e2aGMF\uff0c\u8fd8\u901a\u8fc7\u4e86\u4e00\u9879\u7279\u522b\u6cd5\u6848\uff0c\u5f3a\u5236\u5bb6\u5ead\u533b\u751f\u770b\u66f4\u591a\u7684\u75c5\u4eba\uff0c\u5426\u5219\u5c06\u63a5\u5230\u5de8\u989d\u7f5a\u5355\uff0c\u4f46\u4ed6\u5fd8\u8bb0\u4e86\u9b41\u7701\u7684\u5bb6\u5ead\u533b\u751f\u90fd\u662f\u81ea\u96c7\u804c\u4e1a\u8005\uff0c\u5e76\u4e0d\u662f\u533b\u9662\u7684\u96c7\u5458\uff0c\u4ed6\u7684\u5f3a\u5236\u8981\u6c42\u5bf9\u4ed6\u4eec\u4e0d\u4ea7\u751f\u4f5c\u7528\u3002<\/p>\n<p>2003\u5e74\u9b41\u7701\u5927\u9009\uff0c\u9b41\u5317\u514b\u4eba\u515a\u843d\u8d25\uff0cJean Charest\u9886\u5bfc\u7684\u9b41\u7701\u81ea\u7531\u515a\u83b7\u5f97\u4e86\u7ade\u9009\u80dc\u5229\uff0c\u5360\u636e\u4e86\u9b41\u7701\u56fd\u6c11\u8bae\u4f1a\u7684\u591a\u6570\uff0c\u4e8e\u662f\u81ea\u7531\u515a\u653f\u5e9c\u7684\u536b\u751f\u5385\u957f\u3001\u795e\u7ecf\u5916\u79d1\u533b\u751fPhilippe Couillard\uff082003-2008\uff09\u4e3b\u5bfc\u7684\u6539\u9769\u65b9\u6848\u5e9f\u9664\u4e86\u5730\u533a\u59d4\u5458\u4f1a\uff0c\u628aCLSC\u3001CHSLD\u7b49\u76f8\u5173\u673a\u6784\u4e0e\u533b\u9662\u5408\u5e76\uff0c\u521b\u5efa\u536b\u751f\u548c\u793e\u4f1a\u670d\u52a1\u673a\u6784(ASSS) \u4ee5\u53ca\u536b\u751f\u548c\u793e\u4f1a\u670d\u52a1\u4e2d\u5fc3 (CSSS)\u3002\u8fd9\u4e2a\u60f3\u6cd5\u5728\u7406\u8bba\u4e0a\u662f\u53ef\u884c\u7684\uff0c\u53ef\u8ba9\u5404\u4e2a\u673a\u6784\u6709\u6548\u8fde\u63a5\u5bf9\u540c\u4e00\u4e2a\u75c5\u4eba\u8d1f\u8d23\uff0c\u6bd4\u5982\u4e00\u4e2a\u8001\u4eba\u751f\u75c5\u4f4f\u9662\uff0c\u51fa\u9662\u540e\u4f1a\u5f97\u5230CLSC \u7684\u5bb6\u5ead\u62a4\u7406\uff0c\u5982\u679c\u8eab\u4f53\u60c5\u51b5\u7ee7\u7eed\u6076\u5316\uff0c\u4f1a\u8f6c\u5230CHSLD\u3002\u4f46\u5728\u5b9e\u9645\u64cd\u4f5c\u4e2d\u5374\u5728\u8499\u7279\u5229\u5c14\u9047\u5230\u5de8\u5927\u7684\u95ee\u9898\uff0c\u90a3\u5c31\u662f\u4efb\u4f55\u4e00\u5bb6\u533b\u9662\u90fd\u5e0c\u671b\u72ec\u7acb\u81ea\u4e3b\uff0c\u4e0d\u613f\u610f\u88ab\u5408\u5e76\uff0c\u4e8e\u662f\u60f3\u5c3d\u529e\u6cd5\u62b5\u5236\uff0c\u518d\u52a0\u4e0a\u884c\u653f\u533a\u5212\u7684\u9650\u5236\uff0c\u51fa\u73b0\u5c45\u6c11\u4e0d\u80fd\u5f97\u5230\u8857\u5bf9\u9762CLSC\u7684\u670d\u52a1\uff0c\u6216\u8005\u8d1f\u8d23\u57fa\u672c\u533b\u7597\u7684CSSS\u8f96\u533a\u5185\u5c45\u7136\u6ca1\u6709\u533b\u9662\u4e4b\u7c7b\u7684\u602a\u73b0\u8c61\u3002\u800c\u6ca1\u6709\u88ab\u5408\u5e76\u7684\u533b\u9662\u5219\u4e89\u76f8\u6784\u5efa\u8d85\u7ea7\u533b\u7597\u4e2d\u5fc3\uff0c\u50ac\u751f\u4e86\u8499\u7279\u5229\u5c14\u56db\u5927\u533b\u9662\u9879\u76ee\u7684\u5efa\u8bbe\uff0c\u5373\u8499\u7279\u5229\u5c14\u5927\u5b66\u533b\u5b66\u4e2d\u5fc3\uff08CHUM\uff09\u3001\u5176\u7814\u7a76\u4e2d\u5fc3\uff08CRCHUM\uff09\u3001\u9ea6\u5409\u5c14\u5927\u5b66\u533b\u5b66\u4e2d\u5fc3(CUSM) \u548cCentre hospitalier universitaire (CHU) Sainte-Justine\u3002\u603b\u4f53\u6765\u8bf4\uff0c\u8fd9\u56db\u4e2a\u9879\u76ee\u7684\u603b\u5efa\u8bbe\u6210\u672c\u9ad8\u8fbe70 \u4ebf\u5143\uff0c\u8fd8\u7206\u51faSNC-Lavalin\u516c\u53f8\u4e3a\u4e86\u53d6\u5f97\u5efa\u8bbe\u5408\u540c\uff0c\u800c\u5411CUSM\u4e24\u540d\u9ad8\u5b98\u884c\u8d3f2250\u4e07\u5143\u7684\u4e11\u95fb\uff0c\u6700\u7ec8\u5374\u6ca1\u6709\u89e3\u51b3\u9b41\u7701\u533b\u9662\u4e0d\u582a\u91cd\u8d1f\u7684\u95ee\u9898\u3002\u8fde\u6539\u9769\u7684\u4e3b\u5bfc\u8005Philippe Couillard\u6700\u540e\u90fd\u627f\u8ba4\u6539\u9769\u6ca1\u6709\u8fbe\u5230\u9884\u671f\u76ee\u6807\u3002<\/p>\n<p>2008\u5e74\u63a5\u4efb\u536b\u751f\u5385\u957f\u7684Yves Bolduc\uff082008-2012\uff09\u5219\u5e0c\u671b\u5728\u533b\u7597\u7cfb\u7edf\u4e2d\u5f15\u5165\u4e30\u7530\u7cbe\u76ca\u751f\u4ea7\u6cd5\uff0c\u50cf\u5de5\u4e1a\u751f\u4ea7\u90a3\u6837\u5728\u533b\u7597\u7cfb\u7edf\u5185\u4f18\u5316\u6d41\u7a0b\uff0c\u63d0\u9ad8\u6548\u7387\u3001\u964d\u4f4e\u6d6a\u8d39\u3002\u8fd9\u4f4d\u533b\u751f\u51fa\u8eab\u7684\u536b\u751f\u5385\u957f\u5728\u91cd\u7ec4Alma\u548cVal-d\u2019Or\u4e24\u4e2a\u5730\u533a\u7684\u533b\u7597\u7cfb\u7edf\u65f6\u4f7f\u7528\u4e86\u8fd9\u79cd\u65b9\u6cd5\uff0c\u53d6\u5f97\u4e86\u4ee4\u4eba\u77a9\u76ee\u7684\u6210\u679c\uff0c\u4e00\u5e74\u5185\u8ba9Val-d&#8217;Or 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H\u00e9bert\uff082012-2014\uff09\u4e5f\u8bd5\u56fe\u5bf9\u9b41\u7701\u7684\u533b\u7597\u7cfb\u7edf\u8fdb\u884c\u6539\u9769\uff0c\u5e76\u63d0\u51fa\u4e86\u4e00\u9879\u8d44\u52a9\u5c45\u5bb6\u62a4\u7406\u7684\u4fdd\u9669\uff0c\u53ef\u60dc\u7684\u662f\u5c11\u6570\u515a\u653f\u5e9c\u77ed\u547d\uff0c\u518d\u52a0\u4e0a\u9884\u7b97\u7279\u522b\u7d27\u5f20\uff0c\u6839\u672c\u6ca1\u94b1\u8ba9\u8fd9\u4f4d\u5c45\u5bb6\u62a4\u7406\u7684\u524d\u6cbf\u5b66\u8005\u628a\u4ed6\u7684\u8ba1\u5212\u4ed8\u8bf8\u4e8e\u5b9e\u8df5\u3002<\/p>\n<p>\u63a5\u4e0b\u6765\u5c31\u662f\u5927\u5200\u9614\u65a7\u5bf9\u9b41\u7701\u7cfb\u5217\u7cfb\u7edf\u8fdb\u884c\u6539\u9769\u7684Ga\u00e9tan Barrette\uff082014-2018\uff09\uff0c\u4ed6\u5728\u66fe\u6539\u9769\u5931\u8d25\u7684\u7701\u957fPhilippe Couillard\u7684\u652f\u6301\u4e0b\uff0c\u57282014\u5e74\u30012015\u5e74\u8fde\u7eed\u8fdb\u884c\u4e24\u6b21\u91cd\u5927\u533b\u7597\u7cfb\u7edf\u6539\u9769\u3002\u5728\u524d\u81ea\u7531\u515a\u653f\u5e9c\u770b\u6765\uff0c\u539f\u6765\u5168\u7701\u670930\u591a\u4e2a\u5730\u533a\u533b\u62a4\u7ba1\u7406\u673a\u6784\uff0c\u9020\u6210\u591a\u5934\u7ba1\u7406\u3001\u534f\u8c03\u884c\u52a8\u6548\u7387\u4f4e\u4e0b\u3001\u533b\u62a4\u8d44\u6e90\u5206\u914d\u4e0d\u7545\u7b49\u5f71\u54cd\u533b\u62a4\u670d\u52a1\u7684\u95ee\u9898\uff0c\u4e3a\u6b64\u8fdb\u884c\u7684\u6539\u9769\u65b9\u6848\u662f\u628a\u5404\u4e2a\u5730\u533a\u4e3a\u653f\u7684\u533b\u62a4\u7ba1\u7406\u673a\u6784\u6574\u5408\u6210\u8d85\u5730\u533a\u754c\u9650\u7684CISSS\u4e2d\u5fc3\uff0c\u5168\u7701\u8bbe\u7acb\u4e8622\u4e2a\u7efc\u5408\u4fdd\u5065\u548c\u793e\u4f1a\u670d\u52a1\u4e2d\u5fc3CISSS\uff08centre int\u00e9gr\u00e9 de sant\u00e9 et de services sociaux\uff09\uff0c\u8fd8\u67099\u4e2a\u56e0\u4e3a\u56f4\u7ed5\u533b\u79d1\u5927\u5b66\u4e3a\u4e3b\uff0c\u53c8\u88ab\u79f0\u4e3aCIUSSS\u7684\u5927\u5b66\u7efc\u5408\u4fdd\u5065\u4e0e\u793e\u4f1a\u670d\u52a1\u7efc\u5408\u4e2d\u5fc3\uff08centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de 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Charest\u9886\u5bfc\u7684\u9b41\u7701\u81ea\u7531\u515a\u83b7\u5f97\u4e86\u7ade\u9009\u80dc\u5229\uff0c\u5360\u636e\u4e86\u9b41\u7701\u56fd\u6c11\u8bae\u4f1a\u7684\u591a\u6570\uff0c\u4e8e\u662f\u81ea\u7531\u515a\u653f\u5e9c\u7684\u536b\u751f\u5385\u957f\u3001\u795e\u7ecf\u5916\u79d1\u533b\u751fPhilippe Couillard\uff082003-2008\uff09\u4e3b\u5bfc\u7684\u6539\u9769\u65b9\u6848\u5e9f\u9664\u4e86\u5730\u533a\u59d4\u5458\u4f1a\uff0c\u628aCLSC\u3001CHSLD\u7b49\u76f8\u5173\u673a\u6784\u4e0e\u533b\u9662\u5408\u5e76\uff0c\u521b\u5efa\u536b\u751f\u548c\u793e\u4f1a\u670d\u52a1\u673a\u6784(ASSS) \u4ee5\u53ca\u536b\u751f\u548c\u793e\u4f1a\u670d\u52a1\u4e2d\u5fc3 (CSSS)\u3002\u8fd9\u4e2a\u60f3\u6cd5\u5728\u7406\u8bba\u4e0a\u662f\u53ef\u884c\u7684\uff0c\u53ef\u8ba9\u5404\u4e2a\u673a\u6784\u6709\u6548\u8fde\u63a5\u5bf9\u540c\u4e00\u4e2a\u75c5\u4eba\u8d1f\u8d23\uff0c\u6bd4\u5982\u4e00\u4e2a\u8001\u4eba\u751f\u75c5\u4f4f\u9662\uff0c\u51fa\u9662\u540e\u4f1a\u5f97\u5230CLSC 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