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- Title
Stakeholder Views on Solutions to Improve Health System Performance.
- Authors
BROUSSELLE, ASTRID; CONTANDRIOPOULOS, DAMIEN; HAGGERTY, JEANNIE; BRETON, MYLAINE; RIVARD, MICHÈLE; BEAULIEU, MARIE-DOMINIQUE; CHAMPAGNE, GENEVIÈVE; PERROUX, MÉLANIE
- Abstract
Context: Significant reforms are needed to improve healthcare system performance in Quebec. Even though the characteristics of high-performing healthcare systems are well-known, Quebec's reforms have not succeeded in implementing many critical elements. Converging evidence from political science models suggests stakeholders' preferences are central in determining policy content, adoption, and implementation. Objective: To analyze whether doctors', nurses', pharmacists' and health administrators' preferences could explain the observed inability to implement known characteristics of high-performing healthcare systems. Design: A questionnaire on various propositions identified in the scientific literature was sent to 2,491 potential respondents. Results: Overall response rate was 37%. There was considerable consensus on identified solutions to improve the healthcare system. Resistance was observed in two major areas: information systems and changes directly affecting doctors' practice. The groups' positions cannot explain the inability to implement important characteristics of high-performing systems. The findings raise new questions on the actual sources of resistance.
- Subjects
QUEBEC (Province); HEALTH policy; CLINICAL medicine; HEALTH care teams; INTERVIEWING; RESEARCH methodology; EVALUATION of medical care; MEDICAL quality control; PRIMARY health care; QUALITY assurance; QUESTIONNAIRES; SCALE analysis (Psychology); SURVEYS; DATA analysis software; ELECTRONIC health records
- Publication
Healthcare Policy, 2018, Vol 14, Issue 1, p71
- ISSN
1715-6572
- Publication type
Article