Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale?

International Journal of Health Services, Forthcoming

University of Alberta School of Business Research Paper

Posted: 6 Dec 2019

See all articles by Neill Hanlon

Neill Hanlon

Independent

Trish Reay

University of Alberta - Department of Strategic Management and Organization

David Snadden

Independent

Date Written: October 18, 2018

Abstract

This article critically exams efforts to achieve primary health care reform using a consultative and relationship-building approach. The study is set in a predominantly rural region of British Columbia, Canada, and concerns the efforts of a regional health authority to engage actively with community members to develop more integrated and patient-centered primary health care delivery. We examine points of tension between providers and administrators engaged in the reform process and show how these are often expressed discursively as a binary opposition involving central and local interests. We offer a critical examination of this politics of scale and seek to unpack claims of hierarchy and power as a means to offer insight into health care reform processes more generally.

Keywords: health care reform, networks, partnerships, power, Canada

Suggested Citation

Hanlon, Neill and Reay, Trish and Snadden, David, Creating Partnerships to Achieve Health Care Reform: Moving Beyond a Politics of Scale? (October 18, 2018). International Journal of Health Services, Forthcoming, University of Alberta School of Business Research Paper, Available at SSRN: https://ssrn.com/abstract=3498625

Neill Hanlon

Independent ( email )

Trish Reay (Contact Author)

University of Alberta - Department of Strategic Management and Organization ( email )

Edmonton, Alberta T6G 2R6
Canada
780-492-4246 (Phone)
780-492-3325 (Fax)

David Snadden

Independent

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