The role of regional planning and management strategies in the transformation of the healthcare system.

TitleThe role of regional planning and management strategies in the transformation of the healthcare system.
Publication TypeJournal Article
Year of Publication2003
AuthorsMJ Fleury, Denis J-L, Sicotte C
JournalHealth Serv Manage Res
Volume16
Issue1
Pagination56-69
Date Published2003 Feb
ISSN0951-4848
Abstract

Drawing on a case study, this article questions the role of planning and management strategies in the process of transforming a regional public healthcare system that involves a number of organizations and is characterized by fluidity in its functions and division of power. It examines the efficacy of the Regional Plan for the Organization of Health Services (PROS) in reforming the mental health sector in a health and social service district in Quebec, in terms of integrated regional management of mental healthcare and activities at the local level. The regional planning procedure involves a major transformation in management of the mental health system, organizational roles and clinical and professional practices. Our assessment of PROS highlights the importance of taking into account the context of implementation and the instrumental value of planning, before judging its efficacy. To transform a complex healthcare system at the regional and local level, the study suggests a revised conception of the main roles played by planning and of the process shaping its implementation. Our study concludes in favour of developing management strategies at the operational, clinical and professional levels, and integrating them as a planning aid that allows a more corporate and matrix-based system to be set up.

DOI10.1258/095148403762539149
Alternate JournalHealth Serv Manage Res
PubMed ID12626027

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