Accountability in the Ontario Cancer Services System: A Qualitative Study of System Leaders’ Perspectives

Healthcare policy

Jessica Bytautas¹ 

关键词: accountability;    governance;    chronic disease management;    cancer care;    performance management;   

DOI  :  10.12927/hcpol.2014.23919

学科分类：地球科学(综合)

来源: Longwoods Publishing Corp.

【 摘 要 】

Cancer Care Ontario (CCO), the provincial cancer agency, operates under a model of accountable governance that has been hailed as exemplary. We explored cancer system leaders' views on the balance and perceived efficacy of approaches to accountability in this context. Semi-structured interviews were conducted with 19 participants (MOHLTC=5, CCO=14). Adopting a qualitative descriptive approach, we coded data for four policy instruments used in approaches to accountability. Financial incentives are a key lever used by both parties to effect change. Cancer-specific regulations were somewhat weak, but agency-wide directives were a necessary nuisance that had great force. The effect of public reporting on mobilizing consumer sovereignty was questioned; however, transparency for its own sake was highly valued. Professionalism and stewardship, with an emphasis on trust-based partnerships and clinical engagement, were critical to CCO's success. These approaches were seen to work together, but what made each have force was reliance on professionalism and stewardship.

【 授权许可】

Unknown