Gouvernance et accompagnement du changement: le cas de la phase expérimentale du Plan Alzheimer du Québec

Maxime Guillette, Yves Couturier, Olivier Moreau, Dominique Gagnon, Howard Bergman and Isabelle Vedel

Innovations, 2019, vol. N° 60, issue 3, 145-168

Abstract: 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

Keywords: Health Innovations; Governance; Change Management; Institutional Change Process; Institutional Work; Primary Care (search for similar items in EconPapers)
Date: 2019
References: Add references at CitEc
Citations:

Downloads: (external link)
http://www.cairn.info/load_pdf.php?ID_ARTICLE=INNO_060_0145 (application/pdf)
http://www.cairn.info/revue-innovations-2019-3-page-145.htm (text/html)
free

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:cai:inndbu:inno_060_0145

Access Statistics for this article

More articles in Innovations from De Boeck Université
Bibliographic data for series maintained by Jean-Baptiste de Vathaire ().