translate English to French: The province-wide restructuring of health care services in Quebec has had a double impact on the English-speaking community through the consolidation of service delivery as well as structural (administrative) changes that have had an impact on the community’s ability to ensure access to English-language services.
La restructuration complète des services de santé au Québec a eu un double impact sur la communauté anglophone, d’abord par la consolidation de la livraison des services et par ailleurs au niveau des changements structurels (administratifs) qui ont eu un impact sur la capacité de la communauté à assurer un accès aux services en anglais.