Healths Systems Research Seminar Series presents: ''Transcending the “paradigm freeze”: A research program on health reforms in Canada''

Thursday, November 17, 2016, 2:00 p.m. to 4:00 p.m.

Reforms of healthcare systems are on the political agendas of all OECD countries and include a wide range of policies aiming at improving healthcare delivery systems, optimizing the use of resources, and advancing population health. Canada is no exception and has seen repeated reorganizations or reforms (and often deceiving) responding to pressing contingencies and conditioned by predominant political ideologies. Provinces in Canada, which operate under a common set of principles (Canada Health Act) but rely on different approaches to reform, represent a unique natural laboratory to understand processes of change and their impact on health systems’ performance and adaptation. In this presentation, we will present our approach to study health reforms in seven Canadian provinces and some (very) preliminary findings. The conceptual model that guides our empirical research is developed around three themes related to transformative capacity, namely capacity within governments and policy networks, agency and managerial and professional leadership capacities within organizations, and clinical micro-system capacities. Data sources include policy documents, performance reports and data, and interviews with key informants. Three aspects of reforms will be discussed with their consequences on health systems’ evolution: 1) the influence of the strategies pursued to reform the healthcare system, 2) the nature of transformative capacities mobilized at macro, meso, and micro levels in a given jurisdiction to achieve reforms, and 3) the contextual factors that enable or limit the development and mobilization of transformative capacities to support healthcare reforms.    

Thursday, November 17, 2016
2:00 p.m. to 4:00 p.m.
Telfer School of Management
Desmarais Building
DMS 7170
55 Laurier Avenue East
Ottawa, Ontario K1N 6N5
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About the speaker

Jean-Louis Denis is Full Professor and holds the Canada research chair on governance and transformation of health care organizations and systems at École Nationale d’Administration Publique (ÉNAP). He is a visiting professor at the Department of Management, King's College London and researcher at the Institut de recherche en santé publique de l'Université de Montréal. He is a member of the Royal Society of Canada and fellow of the Canadian Academy of Health Sciences.

He pursues research on governance and change process in health care organizations and systems. Recent papers have been published in Journal of Health Politics, Policy and Law, Organization Science, Milbank Quarterly and Administration and Society. 

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