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UBC Theses and Dissertations
Health care reform in British Columbia : dynamics without change? Davidson, Alan Reginald
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 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.
Item Metadata
Title |
Health care reform in British Columbia : dynamics without change?
|
Creator | |
Publisher |
University of British Columbia
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Date Issued |
2000
|
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.
|
Extent |
16898080 bytes
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Genre | |
Type | |
File Format |
application/pdf
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Language |
eng
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Date Available |
2009-07-28
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Provider |
Vancouver : University of British Columbia Library
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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.
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DOI |
10.14288/1.0089813
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
2000-05
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Campus | |
Scholarly Level |
Graduate
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Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
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.