Coordinating primary care services: A case of policy layering

David Rudoler, Allie Peckham, Agnes Grudniewicz and Greg Marchildon

Health Policy, 2019, vol. 123, issue 2, 215-221

Abstract: In this paper, we discuss the processes of policy layering as they relate to health care reform. We focus on efforts to achieve systems of coordinated primary care, and demonstrate that material change can be achieved through processes of incremental policy layering. Such processes also have a high potential for unintended consequences. Thus, we propose new principles of 'smart' policy layering to guide decision-makers to do incrementalism better. We then apply these principles to recent primary care reforms in Ontario, Canada. This paper conceptualizes 'smart' policy layering as a mechanism to achieve productive policy change in contexts with strong institutional barriers to reform.

Keywords: Policy change; Policy reform; Policy layering; Primary care; Care coordination (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:123:y:2019:i:2:p:215-221

DOI: 10.1016/j.healthpol.2018.12.002

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