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

Detalhes bibliográficos
Autor(a) principal: Denis, Jean-Louis
Data de Publicação: 2018
Outros Autores: Usher, Susan, Preval, Johanne, Côté-Boileau, Élizabeth
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira em Promoção da Saúde
Texto Completo: https://ojs.unifor.br/RBPS/article/view/8802
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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spelling Health system reforms in mature welfare states: tales from the northReformas de los sistemas de salud en los estados maduros de bienestar: historias del NorteHealth system reforms in mature welfare states: tales from the northHealth SystemsHealth Care ReformHealth Planning.Sistemas de SaludReforma de la Atención de SaludPlanificación en Salud.Health SystemsHealth Care ReformHealth and Welfare Planning.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.Objetivo: Ese artículo tiene el objetivo de mostrar un ensayo de temas emergentes de las reformas del sistema de salud basados en la experiencia de Canadá. Síntesis de los datos: Las reformas son un modo privilegiado de cambio social utilizado por las sociedades democráticas modernas. La disfunción persistente y el fracaso para adaptar las necesidades y prioridades de salud dentro de los sistemas de salud de Canadá aportan una política racional fuerte para buscar estrategias alternativas que puedan producir las reformas necesarias. Tres desafíos persistentes y oportunidades para la reforma en los sistemas de salud de Canadá son discutidos: el diseño de acuerdos de gobierno efectivos, el desarrollo e implementación en larga escala de mejoría y capacidades transformativas y el liderazgo y compromiso de la profesión médica en trabajar hacia los objetivos de sistema amplio. Explorando estos desafíos hemos identificado tensiones que parecen relevantes para una mejor comprensión de la reforma del sistema de salud en los estados maduros de bienestar. Conclusión: Direccionar estos desafíos necesitará un refuerzo de las habilidades del estado y del gobierno y habilidades más fuertes en todos los niveles del sistema de salud para diseñar y apoyar el cambio.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.Universidade de Fortaleza2018-12-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/880210.5020/18061230.2018.8802Brazilian Journal in Health Promotion; Vol. 31 No. 4 (2018)Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 4 (2018)Revista Brasileira em Promoção da Saúde; v. 31 n. 4 (2018)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORenghttps://ojs.unifor.br/RBPS/article/view/8802/pdfCopyright (c) 2018 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessDenis, Jean-LouisUsher, SusanPreval, JohanneCôté-Boileau, Élizabeth2022-02-16T12:40:49Zoai:ojs.ojs.unifor.br:article/8802Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2022-02-16T12:40:49Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false
dc.title.none.fl_str_mv Health system reforms in mature welfare states: tales from the north
Reformas de los sistemas de salud en los estados maduros de bienestar: historias del Norte
Health system reforms in mature welfare states: tales from the north
title Health system reforms in mature welfare states: tales from the north
spellingShingle Health system reforms in mature welfare states: tales from the north
Denis, Jean-Louis
Health Systems
Health Care Reform
Health Planning.
Sistemas de Salud
Reforma de la Atención de Salud
Planificación en Salud.
Health Systems
Health Care Reform
Health and Welfare Planning.
title_short Health system reforms in mature welfare states: tales from the north
title_full Health system reforms in mature welfare states: tales from the north
title_fullStr Health system reforms in mature welfare states: tales from the north
title_full_unstemmed Health system reforms in mature welfare states: tales from the north
title_sort Health system reforms in mature welfare states: tales from the north
author Denis, Jean-Louis
author_facet Denis, Jean-Louis
Usher, Susan
Preval, Johanne
Côté-Boileau, Élizabeth
author_role author
author2 Usher, Susan
Preval, Johanne
Côté-Boileau, Élizabeth
author2_role author
author
author
dc.contributor.author.fl_str_mv Denis, Jean-Louis
Usher, Susan
Preval, Johanne
Côté-Boileau, Élizabeth
dc.subject.por.fl_str_mv Health Systems
Health Care Reform
Health Planning.
Sistemas de Salud
Reforma de la Atención de Salud
Planificación en Salud.
Health Systems
Health Care Reform
Health and Welfare Planning.
topic Health Systems
Health Care Reform
Health Planning.
Sistemas de Salud
Reforma de la Atención de Salud
Planificación en Salud.
Health Systems
Health Care Reform
Health and Welfare Planning.
description 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.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.unifor.br/RBPS/article/view/8802
10.5020/18061230.2018.8802
url https://ojs.unifor.br/RBPS/article/view/8802
identifier_str_mv 10.5020/18061230.2018.8802
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://ojs.unifor.br/RBPS/article/view/8802/pdf
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista Brasileira em Promoção da Saúde
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de Fortaleza
publisher.none.fl_str_mv Universidade de Fortaleza
dc.source.none.fl_str_mv Brazilian Journal in Health Promotion; Vol. 31 No. 4 (2018)
Revista Brasileña en Promoción de la Salud; Vol. 31 Núm. 4 (2018)
Revista Brasileira em Promoção da Saúde; v. 31 n. 4 (2018)
1806-1230
reponame:Revista Brasileira em Promoção da Saúde
instname:Universidade de Fortaleza (Unifor)
instacron:UFOR
instname_str Universidade de Fortaleza (Unifor)
instacron_str UFOR
institution UFOR
reponame_str Revista Brasileira em Promoção da Saúde
collection Revista Brasileira em Promoção da Saúde
repository.name.fl_str_mv Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)
repository.mail.fl_str_mv
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