Les obstacles juridico-politiques à la collaboration interprofessionnelle en santé et la nécessité de revoir certains modes de gouvernance prévus dans la LSSSS

Interprofessional collaboration in healthcare has a major impact on quality, continuity and integration of services. While there is considerable scope for studying internal factors that enhance or restrict collaboration, few studies address systemic factors, such as legal and policy factors. This essay explores four types of barriers to interprofessional collaboration: the history of medical power in developing the foundations of the healthcare system, economic barriers such as suboptimal remuneration and inequity in the allocation of financial resources, barriers related to the regulatory framework of professions in Quebec, and obstacles related to administrative law. The author chooses to focus on particular modalities of governance of public institutions in the LSSSS, namely the council of physicians, dentists and pharmacists, the multidisciplinary council and the council of nurses, because these professional councils are a place of expression of professional leadership in public health institutions. As the overhaul of the LSSSS will take place in the near future, in continuity with « Bill 10 » of 2015, the author suggests new lines of inquiry to rethink the structure of these professional councils to foster interprofessional collaboration and integration of services, in order to improve access to health care.

Name thesis:degree_name

LL. M.

Level thesis:degree_level

Maîtrise

Discipline thesis:degree_discipline

Droit et politiques de la santé

Grantor dc:publisher

Université de Sherbrooke

Year dc:date.issued

2017

Author dc:creator

• Roy, Vanessa

Advisor dc:contributor.advisor

• Savard, Anne-Marie

• Collaboration interprofessionnelle
• Gouvernance
• Conseil multidisciplinaire
• Conseil des médecins, dentistes et pharmaciens
• Pouvoir médical
• Conseil des infirmières et infirmiers
• Obstacles
• Loi sur les services de santé et les services sociaux

Licence dc:rights.uri

• http://creativecommons.org/licenses/by-sa/2.5/ca/

Language dc:language.iso

fr, en

Handle dc:identifier.uri

http://hdl.handle.net/11143/11904

OAI identifier oai:identifier

oai:usherbrooke.scholaris.ca:11143/11904