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Understanding Multilevel Governance Processes through Complexity Theory

An Empirical Case Study of the Quebec Health-Care System

Datos Bibliográficos

ID23211400
AutoresNassera Touati (0000-0002-8387-1850, École Nationale d’Administration Publique (ENAP), Montreal, Quebec, Canada, autor de correspondencia), Lara Maillet (0000-0001-6192-183X, Institut Universitaire de première ligne en santé et services sociaux, CIUSSS Estrie CHUS, Sherbrooke, Quebec, Canada), Marie-Andrée Paquette (0000-0003-4419-7071, Université de Sherbrooke), J L Denis (0000-0003-1295-332X, Département de gestion, d’évaluation et de politique de santé (DGEPS), Ecole de santé publique de l’Université de Montréal, Montréal, Quebec, Canada), Jean-Louis Denis (Département de gestion, d’évaluation et de politique de santé (DGEPS), Ecole de santé publique de l’Université de Montréal, Montréal, Quebec, Canada), Charo Rodríguez (0000-0003-3799-8399, McGill University)
Año2019
Volumen42
Número3
Páginas205-217
Fecha de publicación2019-02-17
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaInternational Journal of Public Administration (JOURNAL)
Identificadores de la revistaISSN: 0190-0692 • E-ISSN: 1532-4265
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01900692.2017.1423501
OpenAlexW2793049056
IdiomaEN
Citas recibidas6
Referencias citadas27

This paper aims to contribute to a better understanding of multilevel governance processes. We do so by focusing on the in-depth examination of the institutional changes recently implemented in the Quebec health care delivery system that require a close collaboration between interdependent actors acting at various levels of governance. Our three research questions are: (1) How does multi-level governance emerge in a pluralist institutuional context? (2) How do multi-level governance processes shape the adaptive capacity of the organization to its environment? (3) How does institutional context influence these multi-governance processes?Our empirical investigation is inspired by the theory of complexity which invites us to pay attention to three processes: self-organization, eco-self organization and co-evolution. This study shows that the effectiveness of multi-level governance processes do not only go through the implementation of instruments aiming at aligning the action of lower government levels with the objectives of the upper levels as suggested by numerous existing works. More precisely, it suggests that more distributed and coordinated processes favor a more homogenous form of adaptation (Miller and Page, 2007) taking into account the interdependence between stakeholders.

Adaptation (eye) · Business · Complex adaptive system · Context (archaeology) · Corporate governance · Empirical research · Epistemology · Government (linguistics) · Information governance · Information system · Institutional theory · Interdependence · Knowledge management · Multi-level governance · Political science · Process management · Project governance · Public relations · Social science · Sociology · Complex Systems and Decision Making · Computer Science · Management and Organizational Studies · Psychology · Social Sciences and Governance

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Obras citantes distintas6
Citas por año1,2
Intervalo de citas2021 - 2026 (6)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 6
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