Reliable in Their Failure: an Analysis of Healthcare Reform Policies in Public Systems

Overview

Journal Health Policy

Specialties Health Services
Public Health

Date 2009 Dec 22

PMID 20022132

Citations 11

Authors

Damien Contandriopoulos

Astrid Brousselle

Affiliations

Soon will be listed here.

Abstract

In this paper, we analyze recommendations of past governmental commissions and their implementation in Quebec as a case to discuss the obstacles that litter the road to healthcare system reform. Our analysis shows that the obstacles to tackling the healthcare system's main problems may have less to do with programmatic (what to do) than with political and governance (how to do it) questions. We then draw on neo-institutional theory to discuss the causes and effects of this situation.

Citing Articles

Organizational innovations related to Primary Care Access Points (GAP) for unattached patients in Quebec: a multi-case qualitative study.

Breton M, Deslauriers V, Lamoureux-Lamarche C, Smithman M, Sauve C, Beausejour M BMC Prim Care. 2024; 25(1):363.

PMID: 39395972 PMC: 11475358. DOI: 10.1186/s12875-024-02614-y.

Current Healthcare Systems in Light of Hyperendemic NCDs and the COVID-19 Pandemic: Time to Change.

Buhmeida A, Assidi M, Budowle B Healthcare (Basel). 2023; 11(10).

PMID: 37239667 PMC: 10218054. DOI: 10.3390/healthcare11101382.

Factors Associated With Failure of Health System Reform: A Systematic Review and Meta-synthesis.

Bayat M, Kashkalani T, Khodadost M, Shokri A, Fattahi H, Seproo F J Prev Med Public Health. 2023; 56(2):128-144.

PMID: 37055355 PMC: 10111098. DOI: 10.3961/jpmph.22.394.

Closing the Virtual Gap in Health Care: A Series of Case Studies Illustrating the Impact of Embedding Evaluation Alongside System Initiatives.

Desveaux L, Budhwani S, Stamenova V, Bhattacharyya O, Shaw J, Bhatia R J Med Internet Res. 2021; 23(9):e25797.

PMID: 34477560 PMC: 8449303. DOI: 10.2196/25797.

Stakeholder Views on Solutions to Improve Health System Performance.

Brousselle A, Contandriopoulos D, Haggerty J, Breton M, Rivard M, Beaulieu M Healthc Policy. 2018; 14(1):71-85.

PMID: 30129436 PMC: 6147368. DOI: 10.12927/hcpol.2018.25547.