Regional planning implementation and its impact on integration of a mental health care network.
Title | Regional planning implementation and its impact on integration of a mental health care network. |
Publication Type | Journal Article |
Year of Publication | 2002 |
Authors | MJ Fleury, Mercier C, Denis J-L |
Journal | Int J Health Plann Manage |
Volume | 17 |
Issue | 4 |
Pagination | 315-32 |
Date Published | 2002 Oct-Dec |
ISSN | 0749-6753 |
Abstract | This article questions the effectiveness of a managerial tool in changing a health-care system. The process of implementing regional planning and its impact on creating integrated service networks is examined, using a case study and a multi-dimensional analytic model. This model highlights the influence of contextual, structural, cultural and dynamic factors on forming networks. The regional planning developed in the province of Québec (Canada), aimed at a major transformation of the mental health-care system. In each district, organizations working with people who have serious mental disorders were mobilized to plan and implement a more coordinated, continuous and diversified supply of services, under the direction of a regional health body. This study outlines the limitations of regional planning as a tactic for transforming the system. It recommends instead developing more diversified integration strategies to further the process of forming integrated service networks within a complex system. In conclusion, a brief discussion deals with the difficulties related to the study of systemic change implementation. |
DOI | 10.1002/hpm.684 |
Alternate Journal | Int J Health Plann Manage |
PubMed ID | 12476640 |