Chair in Health System Design and Adaptation


The Chairholder is Jean-Louis Denis, professor at the School of Public Health of the University of Montreal (ESPUM) and researcher at the Research Center of the University Hospital Center of Montreal (CRCHUM).


The governments of all developed countries are looking for strategies that will enable them to get a better return on the resources they invest in their health systems. Research on care organization and health policy is a key element of efforts to improve the functioning, adaptation and performance of health systems. The Chair in Health System Design and Adaptation focuses on studying the reforms, governance and organization, and functioning of the health system with a view to improving its capacity for innovation and adaptation. The main objective of the Chair's research program is to understand the key factors and processes involved in designing, implementing, sustaining and scaling up innovations or changes that have a significant impact in improving health systems.  The Chair’s research program is organized around three axes:

1) Comparative analysis of reforms and health system transformation capabilities, in order to better understand the evolution of reformist policies and the challenges and opportunities in the context of health system transformation and improvement. The research also considers strategies and skills that promote greater consistency in policies and decisions adopted at the national, regional and local levels of the health system.

2) Study of the role of health professionals, in particular the role of the medical profession, in the evolution of health policies and systems, the development of health care networks, collaboration between professionals and also the role of health organizations in the context of change and improvement. This research also addresses the strategies adopted by governments to help health system managers and professionals better deal with the challenges they face, as well as the role of management tools in the governance of health systems and organizations.

3) Study patterns of innovation in the health system, such as the role of artificial intelligence and digital health, and the processes of innovation diffusion and design. The preferred conceptual approaches are the recent applications of pragmatism (Farjoun et al., 2015) and governmentality (Ferlie et al., 2013) in the context of change and innovation in complex systems. The methodological approaches are based on the process analysis of change (Langley, 2007) and realist evaluation (Pawson & Tilley, 2004).This research will transform the approach to challenges in the health system and foster innovative solutions by building strong partnerships with policy makers and practitioners.

This content has been updated on 23 January 2019 at 13 h 34 min.