不可靠的失败：公共系统医疗改革政策分析。

Reliable in their failure: an analysis of healthcare reform policies in public systems.

机构信息

Faculty of Nursing, University of Montreal, 2375, chemin de la Côte Ste-Catherine, Montréal Québec H3T 1A8, Canada.

出版信息

Health Policy. 2010 May;95(2-3):144-52. doi: 10.1016/j.healthpol.2009.11.018.

DOI:10.1016/j.healthpol.2009.11.018

PMID:20022132

Abstract

In this paper, we analyze recommendations of past governmental commissions and their implementation in Quebec as a case to discuss the obstacles that litter the road to healthcare system reform. Our analysis shows that the obstacles to tackling the healthcare system's main problems may have less to do with programmatic (what to do) than with political and governance (how to do it) questions. We then draw on neo-institutional theory to discuss the causes and effects of this situation.

摘要

在本文中，我们分析了魁北克过去政府委员会的建议及其实施情况，以此为例讨论了医疗保健系统改革道路上的障碍。我们的分析表明，解决医疗保健系统主要问题的障碍可能与其说是与方案性（做什么）问题，不如说是与政治性和治理性（如何做）问题有关。然后，我们借鉴新制度理论来讨论这种情况的原因和影响。