This timely comparative study assesses the role of medical doctors in reforming publicly funded health services in England and Canada.
Respected authors from health and legal backgrounds on both sides of the Atlantic consider how the high status of the profession uniquely influences reforms. With summaries of developments in models of care, and the participation of doctors since the inception of publicly funded healthcare systems, they ask whether professionals might be considered allies or enemies of policy-makers.
With insights for future health policy and research, the book is an important contribution to debates about the complex relationship between doctors and the systems in which they practice.
“A landmark in the literature of medicine–state relations, offering a new theoretical model of co-production of system change and drawing upon careful, empirically-grounded comparative analysis of English and Canadian cases.” Carolyn Hughes Tuohy, University of Toronto
Jean-Louis Denis is Professor of Health Policy and Management in the School of Public Health at the University of Montreal, and holder of a Canada Research Chair in Health System Design and Adaptation.
Sabrina Germain is Senior Lecturer in Law in The City Law School at City, University of London.
Catherine Régis is Professor in the Faculty of Law at the University of Montreal, and holder of a Canada Research Chair in Health Law and Policy.
Gianluca Veronesi is Professor of Public Management and Accounting in the School of Management at the University of Bristol.
Introduction: Medical doctors and healthcare reforms
1. Theoretical framework
2. Research methodology: tracking the role of doctors in healthcare reforms
3. The role of doctors in healthcare reforms in two Canadian provinces
4. The role of medical doctors in health reforms in the NHS in England
5. Comparative analysis
6. Discussion and conclusion