Health care reform in British Columbia : dynamics without change?
department or school: Medicine, Faculty of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
degree campus: UBCV
creator: Davidson, Alan Reginald
issued: 2009-07-28T19:25:37Z
issued: 2000
related degree: Doctor of Philosophy - PhD
degree grantor: University of British Columbia
description: The case study examines impacts on the exercise of power and the allocation of resources in health care delivery in British Columbia stemming from provincial policies of regionalization and devolution. The study examines the policy implementation process from 1993 to 1999, with the emphasis falling on the policy controversy provoked by the New Directions reform (1993 to 1996). The study also contributes to theory development regarding the policy implementation process by expounding and applying an approach to policy-as-ideology. Another subsidiary purpose is to contribute to theory regarding the power and accountability of health care providers and lay members of health services' governance structures. The study demonstrates the persistence of structural power relations within the health care sector. It concludes that the health reform initiative failed to impose controls over health care professionals and providers, failed to improve accountability of programmes to the public, failed to affect a reallocation of resources in the health sector, and failed to shift the policy perspective from the delivery of health care services to a community health perspective. The reorganization that was achieved through the reform did, however, strengthen administrative arrangements and improve technical efficiency.
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/11400
extent: 16898080 bytes
format: application/pdf
note: H E A L T H C A R E R E F O R M IN BRITISH C O L U M B I A : D Y N A M I C S WITHOUT CHANGE? by A L A N REGINALD DAVIDSON B.A. Honours, The University of Alberta, 1972 M.A. , Queen's University, Kingston, 1973 A THESIS SUBMITTED IN PARTIAL F U L F I L M E N T OF T H E REQUIREMENTS FOR THE D E G R E E OF DOCTOR OF PHILOSOPHY in THE F A C U L T Y OF G R A D U A T E STUDIES Department of Health Care and Epidemiology We accept this thesis as conforming to the required standard THE UNIVERSITY OF BRITISH C O L U M B I A December 1999 © Alan Reginald Davidson In presenting this thesis in partial fulfilment of the requirements for an advanced degree at the University of British Columbia, I agree that the Library shall make it freely available for reference and study. I further agree that permission for extensive copying of this thesis for scholarly purposes may be granted by the head of my department or by his or her representatives. It is understood that copying or publication of this thesis for financial gain shall not be allowed without my written permission. Department of //e?4<-7*/ C/lsiSASQ Pzf>n> «<-<>c-The University of British Columbia Vancouver, Canada Date ^nr-o/o Z f // DE-6 (2/88) Abstract The case study examines impacts on the exercise of power and the allocation of resources in health care delivery in British Columbia stemming from provincial policies of regionalization and devolution. The study examines the policy implementation process from 1993 to 1999, with the emphasis falling on the policy controversy provoked by the New Directions reform (1993 to 1996). The study also contributes to theory development regarding the policy implementation process by expounding and applying an approach to policy-as-ideology. Another subsidiary purpose is to contribute to theory regarding the power and accountability of health care providers and lay members of health services' governance structures. The study demonstrates the persistence of structural power relations withi…
has type: Thesis/Dissertation
date issued: 2000-05
is shown at: 10.14288/1.0089813
language: eng
degree discipline: Health Care and Epidemiology
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/11400