Public managers in France aim to bring changes in the health care system. Current structures of regulating agencies are characterized by centralisation and differenciation and seem to be inadequate to imple-ment changes. The new regulatory agencies, the Agences régionales de l'hospitalisation...

In the wake of the reform of the Quebec health care system in the early 1970s, thirty-two public health units (DSCs) were created. They were administratively and geographically integrated into short-term care hospitals throughout the province. This study aimed at determining (1) the influence of...

Transforming health care organizations to improve performance requires effective strategies for engaging doctors and developing medical leadership. Most efforts in the US and UK to develop medical leadership have focused on structural changes that integrate doctors into administrative...