IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v125y2021i12p1543-1549.html
   My bibliography  Save this article

The beginnings of health system transformation: How Ontario Health Teams are implementing change in the context of uncertainty

Author

Listed:
  • Embuldeniya, Gayathri
  • Gutberg, Jennifer
  • Sibbald, Shannon S.
  • Wodchis, Walter P.

Abstract

The launch of Ontario Health Teams (OHTs) by the Canadian province of Ontario in 2019 represented a milestone in the journey towards integrated care and population health management. However, early model development was riddled with uncertainty. We explore what makes transformation possible even in the context of uncertainty.

Suggested Citation

  • Embuldeniya, Gayathri & Gutberg, Jennifer & Sibbald, Shannon S. & Wodchis, Walter P., 2021. "The beginnings of health system transformation: How Ontario Health Teams are implementing change in the context of uncertainty," Health Policy, Elsevier, vol. 125(12), pages 1543-1549.
    • Handle: RePEc:eee:hepoli:v:125:y:2021:i:12:p:1543-1549
    DOI: 10.1016/j.healthpol.2021.10.005
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851021002530
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2021.10.005?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Yang, Yung-Kai, 2016. "An exploration of ambiguity logic in organizations," Journal of Management & Organization, Cambridge University Press, vol. 22(4), pages 517-534, July.
    2. Paul K. J. Han & William M. P. Klein & Neeraj K. Arora, 2011. "Varieties of Uncertainty in Health Care," Medical Decision Making, , vol. 31(6), pages 828-838, November.
    3. Grudniewicz, Agnes & Tenbensel, Tim & Evans, Jenna M. & Steele Gray, Carolyn & Baker, G. Ross & Wodchis, Walter P., 2018. "‘Complexity-compatible’ policy for integrated care? Lessons from the implementation of Ontario's Health Links," Social Science & Medicine, Elsevier, vol. 198(C), pages 95-102.
    4. Embuldeniya, Gayathri & Gutberg, Jennifer & Wodchis, Walter P., 2021. "The reimagination of sustainable integrated care in Ontario, Canada," Health Policy, Elsevier, vol. 125(1), pages 83-89.
    5. Gerard Scholten & Linda Muijsers‐Creemers & Jan Moen & Roland Bal, 2019. "Structuring ambiguity in hospital governance," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 443-457, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Changsaar CHAI, 2023. "Navigating the Path to Construction 4.0: Policies, Challenges, and Strategies in Malaysian Construction Industry ," GATR Journals jber241, Global Academy of Training and Research (GATR) Enterprise.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Robin Gregory & Ralph L. Keeney, 2017. "A Practical Approach to Address Uncertainty in Stakeholder Deliberations," Risk Analysis, John Wiley & Sons, vol. 37(3), pages 487-501, March.
    2. Basile, L.J. & Carbonara, N. & Panniello, U. & Pellegrino, R., 2024. "The role of big data analytics in improving the quality of healthcare services in the Italian context: The mediating role of risk management," Technovation, Elsevier, vol. 133(C).
    3. repec:cup:judgdm:v:17:y:2022:i:4:p:849-882 is not listed on IDEAS
    4. Xavier Romão & Esmeralda Paupério, 2016. "A framework to assess quality and uncertainty in disaster loss data," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 83(2), pages 1077-1102, September.
    5. repec:jdm:journl:v:17:y:2022:i:4:p:849-882 is not listed on IDEAS
    6. Lise Saffran & Sisi Hu & Amanda Hinnant & Laura D Scherer & Susan C Nagel, 2020. "Constructing and influencing perceived authenticity in science communication: Experimenting with narrative," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-17, January.
    7. Costa, Nathalia & Mescouto, Karime & Dillon, Miriam & Olson, Rebecca & Butler, Prudence & Forbes, Roma & Setchell, Jenny, 2022. "The ubiquity of uncertainty in low back pain care," Social Science & Medicine, Elsevier, vol. 313(C).
    8. Hillen, Marij A. & Gutheil, Caitlin M. & Strout, Tania D. & Smets, Ellen M.A. & Han, Paul K.J., 2017. "Tolerance of uncertainty: Conceptual analysis, integrative model, and implications for healthcare," Social Science & Medicine, Elsevier, vol. 180(C), pages 62-75.
    9. Rouven Edgar Haschka & Katharina Schley & Helmut Herwartz, 2020. "Provision of health care services and regional diversity in Germany: insights from a Bayesian health frontier analysis with spatial dependencies," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(1), pages 55-71, February.
    10. Maria Therese Jensen & Olaug Øygarden & Aslaug Mikkelsen & Espen Olsen, 2022. "Competence Development and Collaborative Climate as Antecedents of Job Performance, Job Commitment and Uncertainty: Validation of a Theoretical Model across Four Hospitals," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    11. Iles, Irina A. & Gillman, Arielle S. & O'Connor, Lauren E. & Ferrer, Rebecca A. & Klein, William M.P., 2022. "Understanding responses to different types of conflicting information about cancer prevention," Social Science & Medicine, Elsevier, vol. 311(C).
    12. Loïc Berger, 2012. "Essays on the economics of risk and uncertainty," ULB Institutional Repository 2013/209676, ULB -- Universite Libre de Bruxelles.
    13. Diamond-Brown, Lauren, 2016. "The doctor-patient relationship as a toolkit for uncertain clinical decisions," Social Science & Medicine, Elsevier, vol. 159(C), pages 108-115.
    14. Erin Polka & Ellen Childs & Alexa Friedman & Kathryn S. Tomsho & Birgit Claus Henn & Madeleine K. Scammell & Chad W. Milando, 2021. "MCR: Open-Source Software to Automate Compilation of Health Study Report-Back," IJERPH, MDPI, vol. 18(11), pages 1-12, June.
    15. N. Baptista & José Carlos Pinho & Helena Alves, 2021. "Examining social capital and online social support links: a study in online health communities facing treatment uncertainty," International Review on Public and Nonprofit Marketing, Springer;International Association of Public and Non-Profit Marketing, vol. 18(1), pages 57-94, March.
    16. Brianti, Marco & Magnani, Marco & Menegatti, Mario, 2018. "Optimal choice of prevention and cure under uncertainty on disease effect and cure effectiveness," Research in Economics, Elsevier, vol. 72(2), pages 327-342.
    17. Fereshteh Ghahramani & Jingguo Wang, 0. "Impact of Smartphones on Quality of Life: A Health Information Behavior Perspective," Information Systems Frontiers, Springer, vol. 0, pages 1-16.
    18. Javier Urquizo & Carlos Calderón & Philip James, 2017. "Using a Local Framework Combining Principal Component Regression and Monte Carlo Simulation for Uncertainty and Sensitivity Analysis of a Domestic Energy Model in Sub-City Areas," Energies, MDPI, vol. 10(12), pages 1-22, December.
    19. Fereshteh Ghahramani & Jingguo Wang, 2020. "Impact of Smartphones on Quality of Life: A Health Information Behavior Perspective," Information Systems Frontiers, Springer, vol. 22(6), pages 1275-1290, December.
    20. Merluzzi, Thomas V. & Salamanca-Balen, Natalia & Philip, Errol J. & Salsman, John M., 2023. "“Letting go” - Relinquishing control of illness outcomes to God and quality of life: Meaning/peace as a mediating mechanism in religious coping with cancer," Social Science & Medicine, Elsevier, vol. 317(C).
    21. Scherr, Courtney L. & Getachew-Smith, Hannah J. & Sudec, Laura & Brooks, John J. & Roberts, Megan, 2020. "Parents’ sensemaking processes in the identification of developmental delays and engagement with early intervention services," Social Science & Medicine, Elsevier, vol. 255(C).
    22. Matt Andrews, 2022. "Getting Real about Unknowns in Complex Policy Work," CID Working Papers 406, Center for International Development at Harvard University.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:125:y:2021:i:12:p:1543-1549. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.