𝔖 Bobbio Scriptorium
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Regional planning implementation and its impact on integration of a mental health care network

✍ Scribed by Marie Josée Fleury; Céline Mercier; Jean-Louis Denis

Publisher
John Wiley and Sons
Year
2002
Tongue
English
Weight
156 KB
Volume
17
Category
Article
ISSN
0749-6753

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✦ Synopsis

Abstract

This article questions the effectiveness of a managerial tool in changing a health‐care system. The process of implementing regional planning and its impact on creating integrated service networks is examined, using a case study and a multi‐dimensional analytic model. This model highlights the influence of contextual, structural, cultural and dynamic factors on forming networks. The regional planning developed in the province of Québec (Canada), aimed at a major transformation of the mental health‐care system. In each district, organizations working with people who have serious mental disorders were mobilized to plan and implement a more coordinated, continuous and diversified supply of services, under the direction of a regional health body. This study outlines the limitations of regional planning as a tactic for transforming the system. It recommends instead developing more diversified integration strategies to further the process of forming integrated service networks within a complex system. In conclusion, a brief discussion deals with the difficulties related to the study of systemic change implementation. Copyright © 2002 John Wiley & Sons, Ltd.

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