Health system reforms in mature welfare states: tales from the north

Autores

  • Jean-Louis Denis Université de Montréal
  • Susan Usher École nationale d’administration publique
  • Johanne Preval Centre hospitalier de l’Université de Montréal
  • Élizabeth Côté-Boileau Université de Sherbrooke

DOI:

https://doi.org/10.5020/18061230.2018.8802

Palavras-chave:

Health Systems, Health Care Reform, Health and Welfare Planning.

Resumo

Objective: This article has the objective show an essay on emerging themes in health system reforms, based on experience in Canada. Data synthesis: Reforms are the privileged mode of social change used by modern democratic societies. Persistent dysfunction and failure to adapt to emerging health needs and priorities within health systems in Canada provide a strong policy rationale to search for alternative strategies that might produce much-needed reforms. Three persistent challenges and opportunities for reform in Canadian health systems are discussed: the design of effective governance arrangements, the large-scale development and implementation of improvement and transformative capacities, and the leadership and engagement of the medical profession in working toward broad system goals. In exploring these challenges, we identify tensions that seem relevant to better understanding health system reform in mature welfare states. Conclusion: Addressing these tensions will require both a reinforcement of state and government capacities and stronger capacities at all levels of the health system to design and support change.

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Publicado

2018-12-21

Como Citar

Denis, J.-L., Usher, S., Preval, J., & Côté-Boileau, Élizabeth. (2018). Health system reforms in mature welfare states: tales from the north. Revista Brasileira Em Promoção Da Saúde, 31(4). https://doi.org/10.5020/18061230.2018.8802

Edição

Seção

Fórum Internacional de Sistemas Universais de Saúde