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Decentralization/regionalization in health care: the Quebec experience
Health Care Management Review
|January 1, 1984
Summary
Canada's decentralization policy aimed to manage services regionally, involving stakeholders in priority setting and resource allocation. The Quebec experience reveals the challenges and consequences of this decentralized approach.
Area of Science:
- Public Administration
- Health Services Management
- Policy Studies
Background:
- Decentralization policies aim to improve service delivery through regional management.
- Stakeholder involvement is key to establishing priorities and allocating resources effectively.
- Assessing program efficiency and effectiveness is a critical component of decentralized systems.
Purpose of the Study:
- To analyze the implementation and outcomes of Canada's decentralization policy.
- To examine the specific experience of Quebec in decentralizing service management.
- To identify the difficulties and implications associated with decentralization.
Main Methods:
- Qualitative analysis of the Quebec decentralization experience.
- Review of policy documents and stakeholder participation frameworks.
- Assessment of program efficiency and effectiveness metrics.
Main Results:
- Decentralization involved creating regional bodies for service management.
- Stakeholders participated in priority setting, program elaboration, resource allocation, and assessment.
- The Quebec experience highlighted significant difficulties and implications of this policy.
Conclusions:
- Decentralization policies require careful planning and stakeholder engagement for success.
- Regional management structures present unique challenges in resource allocation and program assessment.
- The Quebec case study offers valuable lessons for future decentralization initiatives.