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

Damien Contandriopoulos; Astrid Brousselle

doi:10.1016/j.healthpol.2009.11.018

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.

Authors

Damien Contandriopoulos¹, Astrid Brousselle

Affiliation

¹ Faculty of Nursing, University of Montreal, 2375, chemin de la Côte Ste-Catherine, Montréal Québec H3T 1A8, Canada. damien.contandriopoulos@umontreal.ca

PMID: 20022132
DOI: 10.1016/j.healthpol.2009.11.018

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.

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