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Book Review


Challenges in Public Health Governance: The Canadian Experience

Challenges in Public Health Governance: The Canadian Experience

par Claude M. Rocan

Challenges in Public Health Governance: The Canadian Experience is an examination of public health from a governance perspective.

Part 1 begins with an examination of the fragmented nature of public health in Canada, identifies some major fault lines that characterize the public health realm, and reviews briefly the notion of network governance.

Part 2 looks at specific public health theatres: crisis issues such as SARS and the H1N1 pandemic, and the ongoing work of the Canadian Heart Health Initiative.  It also examines the Pan-Canadian Public Health Network as the key piece of network infrastructure at the national level. It seeks to demonstrate that current governance structures and mechanisms are inadequate to deal with the governance challenges facing public health, and that network governance, appropriately applied, is a means through which public health in Canada can better achieve its objectives.

Part 3 examines the nature of the relationships with the voluntary sector, and discovers that much of the potential of these organizations to contribute to public health is being lost. Global trends further underline the need for broader, more inclusive forms of governance.

Part 4 deals with the need to develop the tools for network governance to cope with issues related to governability, accountability, and legitimacy. The book ends with a proposal to establish a network governance regime in public health and identifies a series of practical steps that can be taken to achieve this objective.

Claude M. Rocan was born in St. Boniface, Manitoba, and earned a PhD in political science from York University. He held policy/advisory positions within the Government of Saskatchewan and the Government of Canada at the senior professional and executive levels. As Director General of the Centre for Health Promotion at the Public Health Agency of Canada, he had the opportunity to experience directly the complexities and challenges of governance in the public health sector. He was recently a Visiting Fellow with the Graduate School of Public and International Affairs at the University of Ottawa. He lives in Manotick, Ontario and is an independent public policy consultant, specializing in network governance.



Table de matières

PREFACE by Dr. Trevor Hancock

INTRODUCTION – GOVERNANCE, NETWORKS AND PUBLIC HEALTH

I – SETTING THE STAGE

CHAPTER 1 – PUBLIC HEALTH AND FRAGMENTATION: THREE FAULT LINES

Introduction
The length and breadth of public health
Three major fault lines
Conclusion

CHAPTER 2 – LOOKING AHEAD: IS NETWORK GOVERNANCE ‘THE ANSWER?’

Introduction
Network governance – what is it?
The need for ‘entanglement strategies’
Weighing the costs and benefits
Conclusion: Applying network governance to public health
II – PUBLIC HEALTH GOVERNANCE IN CANADA: THREE THEATRES

CHAPTER 3 – GOVERNANCE AND THE PUBLIC HEALTH NETWORK: TOO MUCH OR NOT ENOUGH?

Introduction
The Pan-Canadian Public Health Network (2005 edition)
The PHN (2005): A breakthrough towards network governance?
The 2011 Operational Review
The PHN (2011 edition): Increased efficiency, but at what price?
Conclusion

CHAPTER 4 – GOVERNANCE IN ‘WAR TIME’: NETWORKS AND PUBLIC HEALTH EMERGENCIES

Introduction
Brief review of the SARS events
Flawed governance prescriptions in post-SARS literature
Can network governance be applied to emergencies?
Taking stock
Emergency preparedness and response in the Canadian context
The H1N1 pandemic in Canada: What did this reveal?
Conclusion

CHAPTER 5 – GOVERNANCE IN ‘PEACE-TIME’: THE CASE OF THE CANADIAN HEART HEALTH INITIATIVE

Introduction
Analytical framework
The Canadian Heart Health Initiative
Starting conditions
Institutional design
Collaborative process
Facilitative leadership
Conclusion
III – EXPANDING THE BASE

CHAPTER 6 – THE VOLUNTARY SECTOR IN PUBLIC HEALTH GOVERNANCE: PARTNERS IN NAME ONLY?

Introduction
The voluntary sector: Terminology and context
The voluntary sector in Canada
What makes the public health voluntary sector special?
Three types of government-VSO relationships
Conclusion: A base to build on?

CHAPTER 7 – GLOBAL DRIVERS

Introduction
Westphalia and beyond
From international health governance (IHG) to global health governance (GHG)
The drive for collaborative mechanisms
Conclusion: Implications for Canada
IV – DEVELOPING THE TOOLS

CHAPTER 8 – FACING THE TOUGH QUESTIONS

Introduction
Network governance and the ‘governability’ question
Accountability, legitimacy and transparency
Operating in the ‘shadow of hierarchy

CHAPTER 9 – TOWARDS A NETWORK GOVERNANCE REGIME IN PUBLIC HEALTH

Introduction
Where to from here?
Conclusion

Bibliography



You can purchase a copy of this book through www.commonerspublishing.com or www.amazon.com.

On peut commander ce livre soit chez www.commonerspublishing.com ou chez www.amazon.com.





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