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Leadership and Innovation in Healthcare Governance

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The Palgrave International Handbook of Healthcare Policy and Governance

Abstract

Healthcare systems in high-income countries are once again under pressure to develop major reforms to achieve cost control and high standards of qual- ity and safety (Birnbaum, 2012; Maynard, 2013; Saltman and Cahn, 2013). Yet the reform models of the past — system restructuring and severe budget cuts — are no longer a viable option (Denis et al., 1999), and alternative routes are necessary (Institute of Medicine, 2012; McQueen et al., 2012; Nasmith et al., 2010; Starfield, 2011). For example, the political scientist Carolyn Tuohy (2012) argues that institutional entrepreneurs at the me so and operational levels increasingly play a key role in the design and implementation of innovative healthcare delivery. Due to their in-depth knowledge of the healthcare needs and organizational practices, these entrepreneurs may be in a better position to test new ideas about the organization and delivery of healthcare, and consequently bring more appropriate solutions to broad policy dilemmas.

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Author information

Authors and Affiliations

  1. École Nationale d’Administration Publique, Montréal, Canada

    Jean-Louis Denis (Canada Research Chair on Governance and Transformation of Healthcare Organizations and Systems)

  2. TIAS School for Business and Society, Tilburg University, the Netherlands

    Nicolette van Gestel (Professor of New Modes of Governance in Social Security)

Authors
  1. Jean-Louis Denis
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  2. Nicolette van Gestel
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Editor information

Editors and Affiliations

  1. Karolinska Institutet, Sweden

    Ellen Kuhlmann

  2. University of Canterbury, Christchurch, New Zealand

    Robert H. Blank (Adjunct Professor) (Adjunct Professor)

  3. Institute of Population Health and the Telfer School of Management, University of Ottawa, Canada

    Ivy Lynn Bourgeault (Professor) (Professor)

  4. University of Siegen, Germany

    Claus Wendt (Professor of Sociology of Health and Healthcare Systems) (Professor of Sociology of Health and Healthcare Systems)

Copyright information

© 2015 Jean-Louis Denis and Nicolette van Gestel

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Denis, JL., van Gestel, N. (2015). Leadership and Innovation in Healthcare Governance. In: Kuhlmann, E., Blank, R.H., Bourgeault, I.L., Wendt, C. (eds) The Palgrave International Handbook of Healthcare Policy and Governance. Palgrave Macmillan, London. https://doi.org/10.1057/9781137384935_26

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