Élizabeth Côté-Boileau

Université de Montréal | UdeM · ESPUM - Département de gestion, d’évaluation et de politique de santé

The COVID-19 pandemic has magnified systemic vulnerabilities and made the global and Canadian newcomer experience even more fragile. In 2022, the Kitchener, Waterloo, Wellesley, Wilmot and Woolwich (KW4) Ontario Health Team launched a journey-mapping initiative with the aim to better understand newcomers’ lived experiences with regard to their heal...

The recent study of which enabling factors can facilitate the specific step of moving from idea generation to implementation in healthcare supports that managing innovation is a context-driven process that goes through six categories of change. While this research provides a general and rather comprehensives overview of what successful innovation w...

Introduction: Health systems around the world are being redesigned to address issues of poor care coordination, weak information flows, increase in care spending, disparate safety and quality, and inequitable population health outcomes. In the past decade, Accountable Care Organizations (ACO) have risen in the health policy landscape as promising i...

L’objectif général de la thèse était de comprendre le processus d’appropriation des salles de pilotage (outils de gestion intégrée de la performance) mandatées en contexte de réforme (2015) du système de santé au Québec. Nous présentons le développement d’un nouveau devis méthodologique qualitatif, soit celui d’une étude de cas ethnographique organ...

Purpose The purpose of this paper is to explore the appropriation of control rooms based on value-based integrated performance management tools implemented in all publicly funded health organizations in Quebec (Canada) as a form of legitimate sociomaterial work. Design/methodology/approach Multi-site organizational ethnographic case studies in two...

Problématique. Une nouvelle vague de réformes des systèmes de santé axées sur l’implantation nationale d’outils de gestion de la performance, s’est récemment développée dans les pays de l’OCDE. Le but étant de renforcer l’imputabilité des individus et des organisations envers les objectifs stratégiques de performance, et de maximiser la création de...

Background: The National Health Service Institute for Innovation and Improvement Sustainability Model (NHS SM) is recommended and used by several organisations to implement sustainable healthcare innovations. Although several knowledge syntheses have been conducted about sustainability models in general, none have focussed specifically on the NHS S...

Background As part of reforms in 2015, the Ministry of Health and Social Services in Quebec, Canada mandated the national implementation of control rooms, making health system actors accountable for implementing value-based performance management. Objective To explore how do organizational actors appropriate control rooms as managerial tools to in...

Purpose Lean-inspired approaches and performance management systems are being implemented in public healthcare organisations internationally. However, the literature is inconclusive regarding the benefits of these management tools and there is a lack of knowledge regarding processes for large-scale implementation of these tools. This article aims t...

In publicly funded health systems, reform efforts have proliferated to adapt to increasingly complex demands. In Canada, prior research (Lazar et al ., 2013, Paradigm Freeze: Why is it so Hard to Reform Health Care in Canada? , McGill-Queen's Press) found that reforms at the end of the 20th century failed to change the fundamentals of the Canadian...

In recent years, a longstanding research agenda has developed around the appropriation of management tools to tackle the journey and impact of tools in contemporary healthcare organizations. Management tools are defined as sets of technologies, processes and technical or synthetic systems that are used to guide collective action. Drawing on an exte...

Research Objective Effective health innovations are rarely scaled‐up—missing countless opportunities to improve health systems. Yet, little evidence exists on strategies to support large scale implementation of proven innovations. eConsult is an asynchronous online platform connecting primary care providers to specialists to discuss patients’ care,...

Background: Expanding healthcare innovations from the local to national level is a complex pursuit requiring careful assessment of all relevant factors. In this study (a component of a larger eConsult programme of research), we aimed to identify the key factors involved in the spread and scale-up of a successful regional eConsult model across Cana...

Effectiveness in health services research requires development of specific knowledge and skills for working in partnership with health system decision-makers. In an initial effort to frame capacity-building activities for researchers, we designed a workshop on working collaboratively within the health system. The workshop, based on recent research...

A growing body of literature suggests combining organizational ethnography and case study design as a new methodology for investigating complex organizational phenomena in health care contexts. However, the arguments supporting the potential of organizational ethnographic case studies to improve the process and increase the impact of qualitative re...

https://cahspr.ca/student-working-group-trainees-producing-meaningful-health-services-policy-research/

This chapter aims to understand how organizational actors in Academic Health Centres (AHCs) mobilize transformative capacities through the process of expanding the academic mission across the care continuum in the enactment of a policy reform. Using a realist evaluation approach, a single qualitative embedded case study was conducted in Quebec, Can...

Innovation has the potential to improve the quality of care and health service delivery, but maximising the reach and impact of innovation to achieve large-scale health system transformation remains understudied. Interest is growing in three processes of the innovation journey within health systems, namely the spread, sustainability and scale-up (3...

Background: Canada has been referred to as the land of 'perpetual pilot projects'. Effective innovations often remain small in scale, with limited impact on health systems. Several innovations have been developed in Canada to tackle important challenges such as poor access to services and excessive wait times - one of the most promising innovation...

Objective: This article has the objective show an essay on emerging themes in health system reforms, based on experience in Canada. Data synthesis: Reforms are the privileged mode of social change used by modern democratic societies. Persistent dysfunction and failure to adapt to emerging health needs and priorities within health systems in Canada...