LA GOUVERNE DU SYSTÈME DE SANTÉ ET DE SERVICES SOCIAUX. PROPOSITIONS À LA COMMISSION CLAIR.

Tout comme l’imputabilité, la gouverne est un terme rébarbatif, mais le concept émerge avec force dans le secteur public. Appliqué à l’ensemble des services de santé et des services sociaux, ce terme réfère à l’arrangement institutionnel des principaux éléments du système de santé et de services sociaux.

Le nombre et le type de structures adoptés pour l’organisation du système ont des conséquences directes sur l’équité et sur l’efficacité des services. Par ailleurs, il faut d’abord reconnaître que les mécanismes de la gouverne sont d’ordre instrumental et visent à se doter des moyens pour réaliser les objectifs visés. En outre, l’arrangement institutionnel d’un système vaste et complexe comme le système sociosanitaire québécois découle à la fois de ses racines historiques et de la vision globale que l’on en a…

R_LaGouverneDuSystèmeDeSantéEtDeServicesSociaux_CommissionClair_2000

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