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L’agence en oncologie de l’Ontario : actifsorganisationnels et professionnels à l’amélioration des soins et des services
| Content Provider | Semantic Scholar |
|---|---|
| Author | Brault, Isabelle |
| Copyright Year | 2012 |
| Abstract | This thesis looks at the improvement of health and social services and touches upon the three major themes in the analysis of healthcare organizations: governance, change and professional practice. Based on contemporary organizational analysis, our aim is to better understand the interface between the organization and clinical practices. On the one hand, we wish to better understand how an organization structures and potentiates actors’ practices. On the other hand, from the perspective of strategic actors, we wish to better understand how professional practices contribute to the actualization of their professions and to the transformation and evolution of organizations. Our study is based on the hypothesis that a heightened synergy between the organization and professional practices stimulates improvement in the quality of healthcare and services. In 2004, the Ontario government undertook a major healthcare system reform in the cancer field and reviewed the roles and mandates of Cancer Care Ontario, the organization responsible for developing strategic orientations and for the funding of cancer services in the province. This reform called for many organizational changes and transformations in clinical practices, with the aim of improving the quality of cancer care and services. It was in the context of this reform that we analyzed the implementation of a system of care and services to improve performance and quality, as well as the role of professional practices, specifically nursing practices, in transforming this system. The research strategy we used was an in-depth case study, the case being the Ontario system of cancer care and services and the nursing professional practices that developed within this model. We deliberately selected this case based on organizational modalities that are specific to Ontario with regard to oncology. For data collection we used three main sources: semi-structured interviews (N = 25), analysis of an abundance of documentation, and non-participative observations. The thesis is organized around three articles. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://papyrus.bib.umontreal.ca/xmlui/bitstream/handle/1866/7004/Brault_Isabelle_2012_these.pdf;jsessionid=F92CFADF4C7F741F109ABAA78A1ABE2D?sequence=2 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
