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Stakeholder Views on Solutions to Improve Health System Performance.

Astrid Brousselle1, Damien Contandriopoulos2, Jeannie Haggerty3

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Stakeholder preferences in Quebec

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Area of Science:

  • Health Services Research
  • Health Policy Analysis
  • Organizational Behavior in Healthcare

Background:

  • Quebec's healthcare system requires significant reforms for improved performance.
  • Despite knowledge of high-performing system characteristics, reforms have faced implementation challenges.
  • Stakeholder preferences are recognized as key drivers of healthcare policy adoption and implementation.

Purpose of the Study:

  • To investigate if the preferences of doctors, nurses, pharmacists, and health administrators explain Quebec's difficulties in implementing high-performing healthcare system elements.
  • To identify potential barriers to healthcare reform within Quebec.

Main Methods:

  • A questionnaire survey was distributed to 2,491 potential respondents, including healthcare professionals and administrators.
  • The survey included propositions derived from scientific literature on healthcare system improvement.
  • Response rate was 37%.

Main Results:

  • Considerable consensus was found among respondents regarding solutions for healthcare system improvement.
  • Resistance to reform was notably observed concerning information systems and changes impacting medical practice.
  • The collective positions of the surveyed groups did not adequately explain the failure to implement key high-performing system characteristics.

Conclusions:

  • The study's findings suggest that the preferences of doctors, nurses, pharmacists, and administrators alone do not account for the implementation gaps in Quebec's healthcare reforms.
  • The research indicates that the true sources of resistance to implementing high-performing healthcare system characteristics remain unidentified and warrant further investigation.