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Piercing the Public-Private Debate: An Asset-Based Approach to Transforming Canadian Healthcare.

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Canadian healthcare reform debates are political, not evidence-based. Shifting to values and an assets-based approach, alongside recognizing practical challenges, is key for system changes.

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Area of Science:

  • Health Policy
  • Healthcare Management
  • Public Administration

Background:

  • Canadian healthcare system faces significant challenges.
  • Reform discussions are often framed by the "public vs. private" debate, which is largely settled by evidence.
  • The core of the reform debate is political rather than evidence-based.

Purpose of the Study:

  • To analyze the political nature of Canadian healthcare reform debates.
  • To propose alternative approaches to overcome the "public vs. private" paradigm.
  • To identify strategies for effective healthcare system reform.

Main Methods:

  • Analysis of the existing evidence base on healthcare reform.
  • Examination of the political discourse surrounding healthcare.
  • Conceptualization of an assets-based approach grounded in values.

Main Results:

  • The "public vs. private" debate in Canadian healthcare reform is politically driven, not evidence-based.
  • A return to core values and an assets-based approach can help reframe the debate.
  • Acknowledging practical and material realities is crucial for successful reform.

Conclusions:

  • Healthcare reform in Canada requires moving beyond the "public vs. private" dichotomy.
  • Operationalizing values through design and adopting an assets-based perspective are vital.
  • Significant social and political capital are necessary for implementing any healthcare system changes.