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Mergers and integrated care: the Quebec experience


Louis Demers

About Louis
PhD , Professor, École nationale d'administration publique, 555, boulevard Charest Est, Québec (Québec), G1K 9E5, Canada.
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As a researcher, I have studied the efforts to increase the integration of health and social services in Quebec, as well as the mergers in the Quebec healthcare system. These mergers have often been presented as a necessary transition to break down the silos that compartmentalize the services dispensed by various organisations. A review of the studies about mergers and integrated care projects in the Quebec healthcare system, since its inception, show that mergers cannot facilitate integrated care unless they are desired and represent for all of the actors involved an appropriate way to deal with service organisation problems. Otherwise, mergers impede integrated care by creating increased bureaucratisation and standardisation and by triggering conflicts and mistrust among the staff of the merged organisations. It is then preferable to let local actors select the most appropriate organisational integration model for their specific context and offer them resources and incentives to cooperate.

How to Cite: Demers L. Mergers and integrated care: the Quebec experience. International Journal of Integrated Care. 2013;13(1):None. DOI:
Published on 22 Feb 2013.
Peer Reviewed


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