Healthcare reforms, inertia polarization and group influence

Simple item page
dc.contributor.authorContandriopoulos, Damien
dc.contributor.authorBrousselle, Astrid
dc.contributor.authorLarouche, Catherine
dc.contributor.authorBreton, Mylaine
dc.contributor.authorRivard, Michele
dc.contributor.authorBeaulieu, Marie-Dominique
dc.contributor.authorHaggerty, Jeannie
dc.contributor.authorChampagne, Genevieve
dc.contributor.authorPerroux, Melanie
dc.date.accessioned2018-11-02T07:29:18Z
dc.date.available2018-11-02T07:29:18Z
dc.date.copyright2018en_US
dc.date.issued2018
dc.description.abstractHealthcare systems performance is the focus of intense policy and media attention in most countries. Quebec (Canada) is no exception, where successive governments have struggled for decades with apparently intractable problems in care accessibility overall, poor performance, and rising costs. This article explores the underlying causes of the disconnection between the high salience of healthcare system dysfunctions in both media and policy debates and the lack of policy change likely to remedy those dysfunctions. Academically, public policies’ evolution is usually conceptualized as the product of complex, long-term interactions among diverse groups with specific power sources and preferences. In this context, we wanted to examine empirically whether divergences in stakeholders’ views concerning various healthcare reform options could explain why certain policy changes are not implemented despite consensus on their programmatic coherence. The research design was an exploratory sequential design. Data were analyzed narratively as well as graphically using a method derived from social network analysis and graph theory. Results showed striking intergroup convergence around a programmatically sound policy package centred on the general objective of strengthening primary care delivery capacities. Those results, interpreted in light of political science elitist perspectives on the policy process, suggest that the incapacity to reform the system might be explained by one or two groups’ having a de facto veto in policy-making.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis study was supported by a grant from the Canadian Institutes of Health Research (CIHR)#272944. The authors are grateful to the Fonds de Recherche du Québec – Santé and CIHR, which funded Astrid Brousselle’s Canada Research Chair, and CIHR, which funds Damien Contandriopoulos’ Applied Public Health Research Chair.en_US
dc.identifier.citationContandriopoulos, D., Brousselle, A., Larouche, C., Breton, M., Rivard, M., Beaulieu, M., … Perroux, M. (2018). Healthcare reforms, inertia polarization and group influence. Health Policy, 122, 1018-1027. https://doi.org/10.1016/j.healthpol.2018.07.007en_US
dc.identifier.urihttps://doi.org/10.1016/j.healthpol.2018.07.007
dc.identifier.urihttp://hdl.handle.net/1828/10219
dc.language.isoenen_US
dc.publisherHealth Policyen_US
dc.subjectHealth policy
dc.subjectPolitics
dc.subjectMedical unions
dc.subjectSocial network analysis
dc.subjectQuebec (Canada)
dc.subject.departmentSchool of Nursing
dc.subject.departmentSchool of Public Administration
dc.titleHealthcare reforms, inertia polarization and group influenceen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Contandriopoulos_Damien_HealthPol_2018.pdf
Size:
1.02 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Faculty and Staff Publications
 
University of Victoria Libraries

We acknowledge and respect the Lək̓ʷəŋən (Songhees and Esquimalt) Peoples on whose territory the university stands, and the Lək̓ʷəŋən and W̱SÁNEĆ Peoples whose historical relationships with the land continue to this day.