000 01811naa a2200205uu 4500
001 0121416231737
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005 20190211174129.0
008 101214s2010 xx ||||gr |0|| 0 eng d
100 1 _aLAVOIE, Josée
_943359
245 1 0 _aAnalysing contractual environments :
_blessons from indigenous health in Canada, Australia and New Zealand
260 _aMalden :
_bWiley-Blackwell,
_cSeptember 2010
520 3 _aContracting in health care is a mechanism used by the governments of Canada, Australia and New Zealand to improve the participation of marginalized populations in primary health care and improve responsiveness to local needs. As a result, complex contractual environments have emerged. The literature on contracting in health has tended to focus on the pros and cons of classical versus relational contracts from the funder's perspective. This article proposes an analytical framework to explore the strengths and weaknesses of contractual environments that depend on a number of classical contracts, a single relational contract or a mix of the two. Examples from indigenous contracting environments are used to inform the elaboration of the framework. Results show that contractual environments that rely on a multiplicity of specific contracts are administratively onerous, while constraining opportunities for local responsiveness. Contractual environments dominated by a single relational contract produce a more flexible and administratively streamlined system
700 1 _aBOULTON, Amohia
_943360
700 1 _aDWYER, Judith
_943361
773 0 8 _tPublic Administration: an international quarterly
_g88, 3, p. 665-679
_dMalden : Wiley-Blackwell, September 2010
_xISSN 00333298
_w
942 _cS
998 _a20101214
_b1623^b
_cDaiane
998 _a20101217
_b1719^b
_cCarolina
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c37752
_d37752
041 _aeng