000			01518cam a2200181 4500500
005			20250121141326.0
041			_afre
042			_adc
100	1	0	_aTurgeon, Jean _eauthor
700	1	0	_a Jacob, Robert _eauthor
700	1	0	_a Denis, Jean-Louis _eauthor
245	0	0	_aQuébec: Fifty Years of Change through the Lens of Reforms (1916–“2010)
260			_c2011.
500			_a43
520			_aFor fifty years, there have been numerous and virtually continuous reforms of the Quebec healthcare system. Four major phases of its evolution can be identified: 1961-85, State take-over of the system and bureaucratization of governance; 1985-2000, technocratization and democratization; 2000-07, managerial push; 2007-10, the inclination to privatize. Structural changes have largely dominated and reveal a continuing trend toward integrated management and the “populational approach” to responsibility. However, such important aspects as the status of doctors and the providers’ payment terms have scarcely changed. Now, after all these efforts, the performance of the system is still perceived as unsatisfactory and solutions remain elusive. The more conspicuous presence of ideologies is therefore hardly surprising and more recently, that of privatization has become the subject of renewed interest.
786	0		_nLes Tribunes de la santé | o 30 | 1 | 2011-04-01 | p. 57-85 | 1765-8888
856	4	1	_uhttps://shs.cairn.info/journal-les-tribunes-de-la-sante1-2011-1-page-57?lang=en&redirect-ssocas=7080
999			_c582069 _d582069