Reshaping health care governance using pilot projects as public policy implementation instruments: The case of integrated care pilot projects for chronic patients in Belgium

De Winter, Mélanie

doi:10.4000/irpp.1422

Article (Scientific journals)

Reshaping health care governance using pilot projects as public policy implementation instruments: The case of integrated care pilot projects for chronic patients in Belgium

De Winter, Mélanie

2020 • In International Review of Public Policy

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/254807

DOI
10.4000/irpp.1422

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Keywords :

pilot project; policy instrument; Integrated care

Abstract :

[en] Pilot projects are often used to test innovations; however, pilot projects, viewed as tools, are rarely addressed as an object for research. This paper, in which pilot projects are viewed as public policy instruments producing specific effects, addresses the research question: how does the use of multidisciplinary pilot projects as experimentation and implementation instruments reshape modes of public governance in the Belgian health sector in a context of transition and ongoing devolution? An ethnographic study was conducted, focusing on the specific case of the Belgian joint plan, “Integrated Care for Better Health”, which targets chronic patients and was intended to initiate a major transition from a fragmented to an integrated care system for chronic patients. The analysis concerns the specific implementation modalities designed by the authorities, which consisted of the launch of pilot projects involving professionals in the field coming from different sectors in an iterative and incremental co-creation process. This choice caused new vertical interdependences to emerge between the levels of the health care system, transforming the roles of both the authorities and hands-on professionals involved; it also denoted a transition towards a more negotiated governance, in the course of which several types of knowledge and evidence have been mobilised.

Research center :

Centre de Recherche et d'interventions sociologiques

Disciplines :

Sociology & social sciences

Author, co-author :

De Winter, Mélanie ; Université de Liège - ULiège > Département des sciences sociales > Sociologie des ress. hum. et des systèmes institutionnels

Language :

English

Title :

Reshaping health care governance using pilot projects as public policy implementation instruments: The case of integrated care pilot projects for chronic patients in Belgium

Alternative titles :

[fr] Refaçonner la gouvernance des soins de santé en utilisant des projets pilotes comme instruments de mise en œuvre des politiques publiques: Le cas des projets pilotes de soins intégrés pour les patients chroniques en Belgique

Publication date :

December 2020

Journal title :

International Review of Public Policy

ISSN :

2679-3873

eISSN :

2706-6274

Publisher :

OpenEdition, France

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://journals.openedition.org/irpp/1422

Available on ORBi :

since 06 January 2021

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