Health care systems are under pressure to control their increasing costs, to better adapt to evolving demands, to improve the quality and safety of care, and ultimately to ameliorate the health of their populations. This article looks at a battery of organizational options aimed at transforming health care systems and argues that more attention must be paid to reforming the delivery mechanisms ...

The healthcare sector globally is confronted with increasing internal and external pressures that urge for a radical reform of health systems' status quo. The role of technological innovations such as Electronic Health Records (EHR) is recognized as instrumental in this transition process as it is expected to accelerate organizational innovations. This is why the widespread uptake of EHR system...

This paper argues that it is of crucial importance that information systems (IS) research and practice associates technology innovation with the context within which it is embedded. It identifies three principles to be followed in order to address the contextual processes involved in IS implementation: first, technology innovation should be considered in relation to socio-organizational change;...

BACKGROUND The Canadian healthcare system is currently experiencing important organizational transformations through the reform of primary healthcare (PHC). These reforms vary in scope but share a common feature of proposing the transformation of PHC organizations by implementing new models of PHC organization. These models vary in their performance with respect to client affiliation, utilizati...

is concerned with the development of health systems based on primary health care. Its support to countries is organized through three sub-programmes, reflecting the different levels and approaches necessary in implementing an integrated primary health care strategy. The sub-prograrnmes are: National Health Systems and Policies; The Current Concerns series is intended to give a wider audience to...

This analysis has been previously published under the title "Stuck!? Organizational Reforms and Feminization of Middle Management: The Common Mechanism and Societal Differences" in the working paper series of the Helsinki School of Economics. Summary In this article, we analyze the longitudinal relationship between organizational reforms (with downsizing elements) and feminization of a specific...

S v e t l a n a P r o s k u r o v s k a