Intégrer les soins de santé et les services sociaux du Québec : la réforme Couillard de 2003

Bourque, Mélanie; Quesnel‐Vallée, Amélie

doi:10.13162/hro-ors.02.02.01

Cited by 6 publications

(7 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, this reform abolished an administrative layer, that of the 18 regional health authorities formerly serving as an intermediary between the ministry and 95 local health and social services networks (Centres de santé et des services sociaux, CSSS). The 2014 reform thus rescinds administrative structures created in a previous organizational reform in 2004 that sought to promote a network of institutions in the public, private and community sectors, notably to support a population health approach to service delivery (Bourque and Quesnel-Vallée 2014). The second component of Bill 10 was a change in the governance model that instituted a direct reporting relationship between the Minister of Health and Social Services and the minister-appointed board of directors (BoD) in each CISSS/CIUSSS.…”

Section: Brief Description Of the Health Policy Reformmentioning

confidence: 99%

Improving Accessibility to Services and Increasing Efficiency Through Merger and Centralization in Québec

Quesnel‐Vallée

Carter

2018

HRO-ORS

Self Cite

View full text Add to dashboard Cite

Section: Brief Description Of the Health Policy Reformmentioning

confidence: 99%

Improving Accessibility to Services and Increasing Efficiency Through Merger and Centralization in Québec

Quesnel‐Vallée

Carter

2018

HRO-ORS

Self Cite

View full text Add to dashboard Cite

“…Dans le même sens, Gaumer (2006) souligne la fragilité des dimensions préventives et de santé publique lorsque celles-ci sont comparées aux dimensions curatives. D'autres chercheurs soulignent qu'une bonne compréhension des impacts des fusions organisationnelles nécessite de tenir compte des fondements idéologiques et politiques dans lesquels elles s'inscrivent (Bourque, 2007 ;Bourque et Quesnel-Vallée, 2014). Ainsi, Bourque et Quesnel-Vallée (2014) soulignent que la compréhension des effets de la création des CSSS nécessite de prendre en compte le fait que leur mise en place s'inscrivait dans le plan de modernisation de l'État du gouvernement Charest et qu'elle s'appuyait sur les principes du nouveau management public (NMP).…”

Section: Mise En Contexteunclassified

La perception qu’ont les gestionnaires de CSSS des rapports entre les dimensions santé et services sociaux de leur établissement

Bolduc

2018

nps

View full text Add to dashboard Cite

Dans le cadre de cet article, nous nous intéressons à la perception qu’ont les gestionnaires de CSSS des rapports de pouvoir qu’ils entretiennent avec leurs collègues. En nous appuyant sur les résultats d’une recherche empirique, nous montrons que les fusions d’établissements ayant des missions différentes imposent aux gestionnaires de prioriser les besoins de ces nouvelles organisations et qu’à ce jeu, ce sont bien souvent les besoins du centre hospitalier, et donc ceux associés à la dimension curative, qui l’emportent.

show abstract

“…Thus, the Quebec Act of Health Services and Social Services adopted in 2004 substantially reduced the number of service providers by proceeding with organizational mergers and revising the mission of these same establishments. Problems encountered during the implementation of all these changes have been highlighted by several researchers in Canada and Quebec (Bourque and Quesnel-Vallée, 2014;Contandriopoulos and Brousselle, 2010;Denis et al, 2009;Forget, 2002;Palley and Forest, 2004).…”

Section: Choice Of a Specific Sectormentioning

confidence: 99%

Dramaturgical awareness of consultants through the rhetoric and rituals of cooperation

Lalonde

Gilbert

2016

Journal of Organizational Change Management

View full text Add to dashboard Cite

Purpose – The purpose of this paper is to examine how rhetoric of cooperation is expressed and constructed during rituals of consultation and how this rhetoric is integrated into the consultant’s dramaturgical awareness that incorporates both impression management and the expression of self. Design/methodology/approach – This paper uses a discursive approach and semi-structured interviews with directors and consultants working in the healthcare sector, a sector that routinely employs consultants to accompany directors in organizational change management. Rhetoric is constructed around four narrative lines that also constitute the four ritualized phases of the consulting process. Findings – The mantra of “respect rituals of passage and avoid breaking frames” is an integral part of the consultant’s dramaturgical awareness throughout the process, so as not to infringe upon the order of the interaction established with the directors. Moreover, the development of cooperative relations with other members of the organization is based largely on a rather vast repertoire of action resources that the consultant will have to deploy to face four areas of uncertainty in the rites of interaction; namely, anticipation, interpretation, delegation and adherence. Furthermore, this cooperation is far from definitively acquired and must be reflected upon along the way to maintain control over the definition of the situation. This study expands upon the interrelations between the strategic actor and the reflective practitioner in a consultant’s dramaturgical awareness. Practical implications – Practical implications are highlighted using the notion of reflective contract (Schön, 1983) for managers as clients, the transcendental precepts of authenticity put forward by Coghland (2008) for consultants as practitioners, and progressive forms of critical theory performativity as suggested by Spicer et al. (2009) and Wickert and Schaefer (2015) for researchers. Originality/value – The concept underlying this study is dramaturgical awareness. It is a concept but sparingly explored in the literature, yet nonetheless present among advocates who promote organizational dramaturgy based on the work of Goffman. This concept is linked to Crozier and Friedberg’s theory of the strategic actor and Schön’s theory of the reflective practitioner.

show abstract

Intégrer les soins de santé et les services sociaux du Québec : la réforme Couillard de 2003

Cited by 6 publications

References 2 publications

Improving Accessibility to Services and Increasing Efficiency Through Merger and Centralization in Québec

Improving Accessibility to Services and Increasing Efficiency Through Merger and Centralization in Québec

La perception qu’ont les gestionnaires de CSSS des rapports entre les dimensions santé et services sociaux de leur établissement

Dramaturgical awareness of consultants through the rhetoric and rituals of cooperation

Contact Info

Product

Resources

About