Integrating Health Services in Ontario Through Mergers and Centralization
On 18 April 2019, the Legislative Assembly of Ontario passed Bill 74, The People’s Health Care Act, which provided new authorities to the Ministry of Health and a newly createdOntario Health super agency to facilitate the integration of health care services across Ontario. This reform represents a s...
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| Format: | Article |
| Language: | English |
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McMaster University Library Press
2020-12-01
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| Series: | Health Reform Observer - Observatoire des Réformes de Santé |
| Subjects: | |
| Online Access: | https://mulpress.mcmaster.ca/hro-ors/article/view/4219/3780 |
| _version_ | 1818426994375786496 |
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| author | Krithika Ragupathi |
| author_facet | Krithika Ragupathi |
| author_sort | Krithika Ragupathi |
| collection | DOAJ |
| description | On 18 April 2019, the Legislative Assembly of Ontario passed Bill 74, The People’s Health Care Act, which provided new authorities to the Ministry of Health and a newly createdOntario Health super agency to facilitate the integration of health care services across Ontario. This reform represents a shift away from the previous regionalized system of Local Health Integration Networks (LHINs). While centralization is intended to improve efficiency within the system and create a patient-centred model of care, it also equips the Ministry and Ontario Health with greater authority over health agencies. Ontario’s reform represents another move towards centralization in a wave of regionalization reversal that has swept across the country. Implementation of this reform will take several years to roll out. An analysis of centralization reforms in other jurisdictions can provide insight into Ontario’s decision to reform. Though this bill was presented as a modernization of Ontario’s health system to meet people’s needs, a common theme in stakeholders’ opinions is the lack of consultation with the public. |
| first_indexed | 2024-12-14T14:38:40Z |
| format | Article |
| id | doaj.art-f125f530eb5f4a0cbdacf6bee44de2d0 |
| institution | Directory Open Access Journal |
| issn | 2291-6369 |
| language | English |
| last_indexed | 2024-12-14T14:38:40Z |
| publishDate | 2020-12-01 |
| publisher | McMaster University Library Press |
| record_format | Article |
| series | Health Reform Observer - Observatoire des Réformes de Santé |
| spelling | doaj.art-f125f530eb5f4a0cbdacf6bee44de2d02022-12-21T22:57:30ZengMcMaster University Library PressHealth Reform Observer - Observatoire des Réformes de Santé2291-63692020-12-018210.13162/hro-ors.v8i2.4219Integrating Health Services in Ontario Through Mergers and CentralizationKrithika Ragupathi0McGill UniversityOn 18 April 2019, the Legislative Assembly of Ontario passed Bill 74, The People’s Health Care Act, which provided new authorities to the Ministry of Health and a newly createdOntario Health super agency to facilitate the integration of health care services across Ontario. This reform represents a shift away from the previous regionalized system of Local Health Integration Networks (LHINs). While centralization is intended to improve efficiency within the system and create a patient-centred model of care, it also equips the Ministry and Ontario Health with greater authority over health agencies. Ontario’s reform represents another move towards centralization in a wave of regionalization reversal that has swept across the country. Implementation of this reform will take several years to roll out. An analysis of centralization reforms in other jurisdictions can provide insight into Ontario’s decision to reform. Though this bill was presented as a modernization of Ontario’s health system to meet people’s needs, a common theme in stakeholders’ opinions is the lack of consultation with the public.https://mulpress.mcmaster.ca/hro-ors/article/view/4219/3780 centralizationintegrationmergerhealth systemontariolocal health integration networks |
| spellingShingle | Krithika Ragupathi Integrating Health Services in Ontario Through Mergers and Centralization Health Reform Observer - Observatoire des Réformes de Santé centralization integration merger health system ontario local health integration networks |
| title | Integrating Health Services in Ontario Through Mergers and Centralization |
| title_full | Integrating Health Services in Ontario Through Mergers and Centralization |
| title_fullStr | Integrating Health Services in Ontario Through Mergers and Centralization |
| title_full_unstemmed | Integrating Health Services in Ontario Through Mergers and Centralization |
| title_short | Integrating Health Services in Ontario Through Mergers and Centralization |
| title_sort | integrating health services in ontario through mergers and centralization |
| topic | centralization integration merger health system ontario local health integration networks |
| url | https://mulpress.mcmaster.ca/hro-ors/article/view/4219/3780 |
| work_keys_str_mv | AT krithikaragupathi integratinghealthservicesinontariothroughmergersandcentralization |