Gouvernance et accompagnement du changement : le cas de la phase expérimentale du Plan Alzheimer du Québec (notice n° 678052)
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| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121202135.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Guillette, Maxime |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Gouvernance et accompagnement du changement : le cas de la phase expérimentale du Plan Alzheimer du Québec |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 42 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Les écrits scientifiques montrent que l’implantation des politiques visant la transformation des systèmes sociosanitaires est souvent freinée en raison d’une forte centralisation de la gouvernance et d’un manque d’accompagnement du changement. Cet article propose une analyse de l’implantation du Plan Alzheimer du Québec, caractérisé par la décentralisation de responsabilités aux acteurs locaux et par la mise en place d’un important dispositif d’accompagnement du changement. L’analyse découle de huit entretiens réalisés auprès d’acteurs ayant exercé des fonctions aux niveaux national et régional, ainsi que 15 focus groups regroupant des cliniciens et des gestionnaires. Les résultats montrent l’importance de la bonne articulation entre les divers paliers de gouvernance et la nécessité de mettre en place des dispositifs d’accompagnement du changement, dès la phase de conception de l’innovation, afin de favoriser l’équilibre entre l’adaptation des changements aux réalités locales et le respect des principes fondamentaux qui guident la politique. Codes JEL : I80 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Scientific literature shows that the implementation of policies aimed at changing the system is frequently slowed down by centralization of the governance and lack of support in change management. In this paper, we analysis the implementation process of the experimental phase of the Québec Alzheimer Plan, characterized by decentralization of responsibilities to local actors and an extensive change management system. The analysis is based on eight semi-directed interviews with actors who played a role in the implementation process at the national and regional level, and 15 focus group interviews with local actors. The results of our study show more specifically the importance of the complementarity between the different levels of governance and the importance of implementing change management strategies from the beginning of the innovation design, to promote balance between adaptation of change to local realities and respect of the fundamental principles guiding the public policy. JEL Codes: I80 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Travail institutionnel |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Accompagnement des changements |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Soins primaires |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Innovation en santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Changements institutionnels |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Gouvernance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Change Management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Primary Care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Institutional Change Process |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health Innovations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Governance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Institutional Work |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Couturier, Yves |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Moreau, Olivier |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gagnon, Dominique |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bergman, Howard |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Vedel, Isabelle |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Innovations | 60 | 3 | 2019-07-31 | p. 145-168 | 1267-4982 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-innovations-2019-3-page-145?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-innovations-2019-3-page-145?lang=fr&redirect-ssocas=7080</a> |
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