This article considers whether greater attention to the art and the science aspects of organizational change can help achieve a smoother transition to future regionalized health services in Canada. The reported problems with the current system are considered and a key-point checklist based on the art and science of transformation is proposed for adoption by health system planners. It is argued that this will help address the current shortcomings of Canada's health system and improve the future delivery of Canada's health care services.
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References
1.
HaleyL. Regional health care in Alberta: A good model. Medical Post2000; 36(10): 50.
2.
NaylorD. Health care in Canada: Incrementalism under fiscal duress. Health Affairs May/June1999; 18(3): 9–26.
3.
KouriD. Is regionalization working? It's been ten years since the regional model swept across Canada's health care landscape with the promise of better care and greater efficiency. But has it lived up to expectations? Canadian Healthcare Manager2002; 9(6): 20.
JiwaniB. A mandate for regional health ethics resources. HEC Forum2004; 16(4): 247–260.
7.
Association of Ontario Health Centres.A scan of the effects of regionalization on community health centres in selected regions across Canada; 2006. [Accessed June 29, 2009]. Available from: www.aohc.org/app/wa/doc?docId=164.
8.
HalsethGRyserLM. The deployment of partnerships by the voluntary sector to address service needs in rural and small town Canada. Voluntas2007; 18: 241–265.
9.
McDonaldCWarburtonJ. Stability and change in non-profit organisations: The contribution of volunteers. Voluntas2003; 14(4): 381–399.
10.
DeberRB. Health care reform: Lessons from Canada. American Journal of Public Health2003; 93(1): 20–24.
11.
NevilleDBarrowmanGFitzgeraldBTomblinS. Regionalization of health services in Newfoundland and Labrador: Perceptions of the planning, implementation and consequences of regional governance. Journal of Health Services Research and Policy2005; 10(Suppl 2): 12–21.
12.
Project Management Institute.Guide to the project management body of knowledge — Third edition. Newton Square, PA: Author; 2005.
13.
Project Management Institute Career Framework. Newton Square, PA: Author; 2007.
14.
The U.S. Office of Personnel Management.Interpretive guidance for project manager positions. Washington, DC: Author; 2003.
15.
The Australian Institute of Project Management.Professional competency standards for project management. Sydney, Australia: Author; 2008.
