The crisis of regionalization

Healthcare Management Forum
Gregory P Marchildon

Abstract

Currently in Canada, there is no consensus concerning the efficacy of regionalization, a reversal of the strong commitment in favour only a decade earlier. Instead, provincial governments are either dismantling regional health authorities in favour of highly centralized structures under the control of ministries of health or actively considering more centralized approaches. There is a general feeling among political leaders that regionalization has failed to achieve its original objectives. However, by not including physicians and primary care within regionalized governance, provincial governments have never given regionalization a real chance. Moreover, given the fact that the status quo prior to regionalization was far from an ideal state and would be almost impossible to return to in any event, some provincial governments should consider implementing a more full-blooded version of regionalization before abandoning the approach.

References

Oct 22, 2004·HealthcarePapers·Steven Lewis, Denise Kouri
Jan 1, 2009·Canadian Bulletin of Medical History = Bulletin Canadien D'histoire De La Médecine·Terry Boychuk
Aug 2, 2011·Healthcare Policy = Politiques De Santé·Cam Donaldson

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Citations

Mar 16, 2017·International Journal of Health Services : Planning, Administration, Evaluation·Paul Barker, John Church
Apr 6, 2019·Healthcare Management Forum·Liza Yurie Teruya UchimuraGregory P Marchildon
Feb 11, 2016·Surgical Neurology International·Mohamed Kassem
Aug 15, 2019·Cadernos de saúde pública·Gregory Marchildon
Apr 27, 2017·Ciência & saúde coletiva·Guilherme Arantes MelloAna Luiza d'Ávila Viana

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