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

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  • Contandriopoulos, Damien
  • Brousselle, Astrid

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.

Suggested Citation

  • Contandriopoulos, Damien & Brousselle, Astrid, 2010. "Reliable in their failure: An analysis of healthcare reform policies in public systems," Health Policy, Elsevier, vol. 95(2-3), pages 144-152, May.
    • Handle: RePEc:eee:hepoli:v:95:y:2010:i:2-3:p:144-152
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    References listed on IDEAS

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    1. Wilson, Kathi & Rosenberg, Mark W., 2004. "Accessibility and the Canadian health care system: squaring perceptions and realities," Health Policy, Elsevier, vol. 67(2), pages 137-148, February.
    2. Bachrach, Peter & Baratz, Morton S., 1962. "Two Faces of Power1," American Political Science Review, Cambridge University Press, vol. 56(4), pages 947-952, December.
    3. Lewis, Jenny M. & Considine, Mark, 1999. "Medicine, economics and agenda-setting," Social Science & Medicine, Elsevier, vol. 48(3), pages 393-405, February.
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    1. Contandriopoulos, Damien & Brousselle, Astrid & Breton, Mylaine & Sangster-Gormley, Esther & Kilpatrick, Kelley & Dubois, Carl-Ardy & Brault, Isabelle & Perroux, Mélanie, 2016. "Nurse practitioners, canaries in the mine of primary care reform," Health Policy, Elsevier, vol. 120(6), pages 682-689.
    2. Williams, Colin C. & Horodnic, Adrian V., 2017. "Rethinking informal payments by patients in Europe: An institutional approach," Health Policy, Elsevier, vol. 121(10), pages 1053-1062.
    3. Contandriopoulos, Damien & Brousselle, Astrid & Larouche, Catherine & Breton, Mylaine & Rivard, Michèle & Beaulieu, Marie-Dominique & Haggerty, Jeannie & Champagne, Geneviève & Perroux, Mélanie, 2018. "Healthcare reforms, inertia polarization and group influence," Health Policy, Elsevier, vol. 122(9), pages 1018-1027.
    4. Marianne Beaulieu & Mylaine Breton & Astrid Brousselle, 2018. "Conceptualizing 20 years of engaged scholarship: A scoping review," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.

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