Reliable in their failure: an analysis of healthcare reform policies in public systems

Health Policy. 2010 May;95(2-3):144-52. doi: 10.1016/j.healthpol.2009.11.018.


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.

MeSH terms

  • Advisory Committees
  • Goals
  • Health Care Reform / organization & administration*
  • Health Plan Implementation / organization & administration*
  • Health Planning Guidelines*
  • Health Policy*
  • Health Services Research
  • Humans
  • Models, Theoretical
  • National Health Programs / organization & administration*
  • Organizational Objectives
  • Politics
  • Public Sector / organization & administration
  • Quebec