Promise and peril: how health system reforms impacted public health in three Canadian provinces.

ABSTRACT:

Objectives

Several Canadian provinces and territories have reformed their health systems by centralizing power, resources, and responsibilities. Our study explored motivating factors and perceived impacts of centralization reforms on public health systems and essential operations.

Methods

A multiple case study design was used to examine three Canadian provinces that have undergone, or are in the process of undergoing, health system reform. Semi-structured interviews were conducted with 58 participants within public health at strategic and operational levels, from Alberta, Ontario, and Québec. Data were analyzed using a thematic analytical approach to iteratively conceptualize and refine themes.

Results

Three major themes were developed to describe the context and impa

SUBMITTER: Jarvis T 

PROVIDER: S-EPMC10484823 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature