A5017970648- Primary Care and Health Outcomes
- Healthcare Systems and Practices
- Management and Organizational Studies
- Social Sciences and Governance
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Healthcare Quality and Management
- Healthcare Policy and Management
- Interprofessional Education and Collaboration
- Health, Medicine and Society
- Evaluation and Performance Assessment
- Public Policy and Administration Research
- Mental Health and Patient Involvement
- Clinical practice guidelines implementation
- Global Public Health Policies and Epidemiology
- Education, sociology, and vocational training
- Complex Systems and Decision Making
- Public Health Policies and Education
- Social Policies and Family
- Global Health Workforce Issues
- Healthcare cost, quality, practices
- Community Health and Development
- Entrepreneurship Studies and Influences
- French Urban and Social Studies
- Chronic Disease Management Strategies
University of Toronto
2013-2025
Université de Montréal
2013-2024
Centre Hospitalier de l’Université de Montréal
2013-2024
Laserax (Canada)
2024
Library and Archives Canada
2021
McGill University
2004-2021
Queens University
2021
Queen's University
2021
Comité Champagne
2021
Mount Sinai Hospital
2019-2020
In this article, we draw on five case studies in health care organizations to develop a process theory of strategic change pluralistic settings characterized by diffuse power and divergent objectives. The creation collective leadership group which members play complementary roles appears critical achieving change. However. is fragile. We identify three levels “coupling” between leaders. organization, environment that need be mobilized permit Since it difficult maintain coupling at all...
Objectives To identify ways to improve the usefulness of systematic reviews for health care managers and policy-makers that could then be evaluated prospectively. Methods We systematically reviewed studies decision-making by policy-makers, conducted interviews with a purposive sample them in Canada United Kingdom (n=29), websites research funders, producers/purveyors research, journals include among their target audiences (n=45). Results Our review identified factors such as interactions...
Pluralistic organizations characterized by multiple objectives, diffuse power and knowledge-based work processes present a complex challenge both for strategy theorists practitioners because the very nature of as usually understood (an explicit unified direction organization) appears to contradict natural dynamics these organizations. Yet pluralism is some extent always in perhaps increasingly so. This article explores usefulness three alternate complementary theoretical frames understanding...
Why are some less solidly supported health care innovations widely adopted while others with apparently stronger scientific support remain underused? Drawing on four case studies, the authors argue that way in which distribution of benefits and risks map onto interests, values, power adopting system is critical to understanding how diffuse.
This paper reviews the literature on forms of leadership that in one way or other imply plurality: is, combined influence multiple leaders specific organizational situations. We identify four streams scholarship plural leadership, each focusing somewhat different phenomena and adopting epistemological methodological assumptions. Specifically, these focus sharing teams, pooling at top organizations, spreading across boundaries over time, producing through interaction. The research vary...
This paper reviews the literature on forms of leadership that in one way or other imply plurality: is, combined influence multiple leaders specific organizational situations. We identify four streams scholarship plural leadership, each focusing somewhat different phenomena and adopting epistemological methodological assumptions. Specifically, these focus sharing teams, pooling at top organizations, spreading across boundaries over time, producing through interaction. The research vary...
This article explores and extends the concept of hybridity to understand current changes in public services organizations, notably as seen from an organizational studies perspective. The notion has become more important, given that sector increasingly blurs with other sectors social actors. Previous reliance on use ideal‐types characterizing reforms masked expanding heterogeneity. We here move beyond (i) conventional focus structural consider (ii) institutional dynamics, (iii) interactions,...
Headline Evaluating service innovations in health care and public requires flexibility, collaboration pragmatism; this collection identifies robust, innovative mixed methods to inform such evaluations.
This paper draws on a case study of large public hospital to examine the processes leadership and strategic change in organizations where goals are unclear authority is fluid ambiguous. The history describes evolution roles during period radical which general acquires university affiliation while moving towards more integrated form management. traces tactics used by members group stimulate change, corresponding impact these both progress themselves. It suggested that requires collaborat ive...
This article explores the challenges of mandated collaboration among public health care organizations. in-depth longitudinal multiple case study examines interests and values various organizational actors in three collaborative initiatives, focusing on mobilization power within governance frameworks available to them. The authors elaborate alternate readings processes examined: managerialist views poor interorganizational as a failure adequately manage process; symbolic focuses value...
This paper examines an organizational pathology that we label “escalating indecision”—where people find themselves driven to invest time and energy in activities decision processes aimed at resolving issue of common concern, but where closure appears elusive. The phenomenon is illustrated through a case history which strategic orientation involving the configuration group large teaching hospitals was continually made, unmade, remade, producing little concrete action over many years before...
Public sector organizations are under pressure to adopt private tools sustain legitimacy despite uncertainty about the compatibility of techniques with this context. We explore consequences misfit between theories underlying two widely adopted managerial (strategic planning and quality management) pluralistic power structure values public hospitals. identify four scenarios adaptation use qualitative data examine their empirical prevalence. suggest that when gap is large, there greater...
Objectives To describe researchers’ experiences with involving health system managers and public policy-makers (i.e. decision-makers) in the research process, decision-makers’ including their assessments of benefits costs involvement, recommendations for facilitating it. Methods We conducted semi-structured interviews principal investigators staff seven programmes funded by Canadian Health Services Research Foundation 1999 2000 competition years, decision-makers they involved programmes....
This article examines the practice of leadership in organizations characterized by ambiguous authority relationships. Drawing on three empirical case studies illustrative a long-term research program change health care organizations, we examine as practical activity focusing particularly its dynamic, collective, situated, and dialectical nature. We invite researchers to look carefully at embeddedness roles context type consequences practices that leaders develop such contexts. Implications...
The scholarship on responsible research and innovation (RRI) aims to align the processes outcomes of with societal values by involving a broad range stakeholders from very early stage. Though this offers new lens consider challenges health technologies raise for systems around world, there is need define dimensions that specifically characterise in (RIH). present article introduce an integrative RIH framework drawing RRI literature, international literature as well specific bodies knowledge...
This article draws on recent developments in institutional theory to better understand the managerial efforts implicated implementation of government-led reforms public sector services. Based a longitudinal study massive reform effort aimed at transforming province Quebec’s publicly-funded healthcare system, applies notion work how managers responsible for newly formed organizations defined and carried out their individual missions while simultaneously clarifying operationalizing...
Purpose Artificial intelligence (AI) raises many expectations regarding its ability to profoundly transform health care delivery. There is an abundant literature on the technical performance of AI applications in clinical fields (e.g. radiology, ophthalmology). This article aims bring forward importance studying organizational readiness integrate into Design/methodology/approach The reflection based our experience digital technologies, diffusion innovations and healthcare organizations...