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Book Cover
Author Boase, Joan Price.

Title Shifting sands : government-group relationships in the health care sector / Joan Price Boase
Published Montreal ; Buffalo : McGill-Queen's University Press, [1994]
Online access available from:
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Description 1 online resource (xxv, 213 pages) : illustrations
Series Canadian public administration series = Collection administration publique canadienne
Canadian public administration series.
Contents Pt. 1. Health Care Policy Communities and Networks. 1. The Nature of the Health Care Policy Community. 2. Group-State Traditions and Policy Networks -- Pt. 2. The Evolving Environment. 3. The Evolving Environmental Background. 4. First Steps Toward Anticipatory Policy Making. 5. A Policy Community in Action -- Pt. 3. Provincial Responses. 6. Culture, Institutions, and Traditions. 7. The Ontario Review. 8. Slowly Shifting Sands -- App. A: Questionnaire to Selected Health Disciplines in Ontario -- App. B: Questionnaire to Selected Health Disciplines in Alberta and Nova Scotia -- App. C: Questionnaire after HPLR Submission of Proposed Legislation
Summary "In this comparative study Joan Boase traces the evolution of relationships among governments and health care interest groups in four provinces - Ontario, Quebec, Nova Scotia, and Alberta - and finds that, although they have faced similar problems, they have responded in different ways." "The author employs several theoretical approaches to explain these responses, including community/policy networks, institutionalism, and state traditions, and uses case studies to illustrate the intense interest group activity that has occurred in this sector. Boase reaches three conclusions: (1) with the development of a national health insurance plan, government actions have shifted from reliance on interest group liberalism towards concerted efforts to plan the structure of the welfare system; (2) the different systems of interest intermediation that evolved in the provinces reflect the underlying political and administrative culture and institutional structures within the provinces; and (3) the unique proactive approach taken by Ontario in the 1980s was a deliberate effort to modify the institutional arrangements through which groups had traditionally influenced policy. Boase suggests that the complexities of modern government and the move towards redistributive politics will lead the positive state to make extraordinary efforts to control its environment in the future." "Shifting Sands will be of particular interest to health care specialists and activists as well as policy-makers and legislators."--BOOK JACKET
Notes "Institute of Public Administration of Canada."
Bibliography Includes bibliographical references (pages [181]-207) and index
Notes Description based on print version record
Subject Medical policy -- Alberta.
Medical policy -- Canada.
Medical policy -- Nova Scotia.
Medical policy -- Ontario.
Medical policy -- Québec (Province)
Health Planning Organizations.
Health Policy.
Interinstitutional Relations.
Nova Scotia.
Form Electronic book
ISBN 0773564519 (electronic bk.)
9780773564510 (electronic bk.)