Changing Health Care In Canada

by Forest, Pierre-Gerlier; Marchildon, Gregory P.; McIntosh, Tom

• ISBN13: 9780802086181
• ISBN10: 0802086187
• Format: Paperback
• Copyright: 2004-01-01
• Publisher: Univ of Toronto Pr

Summary

The second in a series of three volumes presenting a selection of the best studies prepared for the Romanow Commission, this volume focuses on the problem of change in health care and health systems. Combining the talents of experienced health policy experts with innovative researchers, the resulting studies provide unique perspectives on the difficult issues under scrutiny, including complexity in health systems, management of human resources, organizational control and regulation, and public engagement.Commissioned and prepared with applicability as the foremost criteria, all of the studies presented in this volume offer solutions in managing obstacles to change. Each study also includes an appraisal of the most recent literature in the field.

Author Biography

Pierre-Gerlier Forest is an associate professor in the Department of Political Science at UniversitT Laval. Gregory P. Marchildon is a Canada Research Chair in Public Policy and Economic History and professor in the Faculty of Administration at the University of Regina. Tom McIntosh is an assistant professor in the Department of Political Science, and Research Faculty at the Saskatchewan Population Health and Evaluation Research Branch, University of Regina.

Table of Contents

ACKNOWLEDGMENTS	vii
CONTRIBUTORS	ix
Introduction: Changing Health Care in Canada
PIERRE-GERLIER FOREST	3	(18)
Part One: System Change, Organization Change
1 Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like?
SHOLOM GLOUBERMAN AND BRENDA ZIMMERMAN	21	(33)
2 Financial Rules As a Catalyst for Change in the Canadian Health Care System
IAN MCKILLOP	54	(28)
3 Governance and Management of Change in Canada's Health System
JEAN-LOUIS DENIS	82	(35)
Part Two: Change and Providers
4 Planning for Care: Approaches to Human Resources Policy and Planning in Health Care
PAT ARMSTRONG AND HUGH ARMSTRONG	117	(33)
5 How Do Human Resource Policies and Practices Inhibit Change in Health Care? A Plan for the Future
GAIL TOMBLIN MURPHY AND LINDA O'BRIEN-PALLAS	150	(33)
6 Changes and a Few Paradoxes: Some Thoughts on Health System Personnel
CLÉMENCE DALLAIRE AND SONIA NORMAND	183	(24)
7 The Influence of Physician-Payment Methods on the Efficiency of the Health Care System
MICHEL GRIGNON, VALÉRIE PARIS, AND DOMINIQUE POLTON, WITH THE COOPERATION OF AGNÉS COUFFINHAL AND BERTRAND PIERRARD	207	(36)
Part Three: Change and the Public
8 Public Involvement in the Development of a Health Care Vision
HARLEM D. DICKINSON	243	(36)
9 Public Participation and Citizen Governance in the Canadian Health System
JULIA ABELSON AND JOHN EYLES	279	(33)
10 Practical Strategies for Facilitating Meaningful Citizen Involvement in Health Planning
JAYNE RENEE PIVIK	312	(37)
11 The Responsiveness of the Canadian Health Care System towards Newcomers
ANITA J. GAGNON	349