Why has health care reform proved a stumbling block for provincial governments across Canada? What efforts have been made to improve a struggling system, and how have they succeeded or failed? In Paradigm Freeze, experts in the field answer these fundamental questions by examining and comparing six essential policy issues - regionalization, needs-based funding, alternative payment plans, privatization, waiting lists, and prescription drug coverage - in five provinces. Noting hundreds of recommendations from dozens of reports commissioned by provincial governments over the last quarter century - the great majority to little or no avail - the book focuses on careful diagnosis, rather than unplanned treatment, of the problem. Paradigm Freeze is based on thirty case studies of policy reform in Alberta, Saskatchewan, Ontario, Quebec, and Newfoundland and Labrador. The contributors assess the nature and extent of healthcare reform in Canada since the beginning of the 1990s. They account for the generally limited extent of reform that has occurred, and identify the factors associated with the relatively few cases of large reform. An insightful new perspective on a problem that has plagued Canadian governments for decades, Paradigm Freeze is an important addition to the field of health policy. Contributors include John Church (University of Alberta), Michael Ducie (Alberta Health and Wellness), Pierre-Gerlier Forest (Pierre Elliott Trudeau Foundation), Stephen Tomblin (Memorial University), Jeff Braun Jackson (Ontario Professional Firefighters Association, Burlington, ON), Marie-Pascale Pomey (Université de Montréal), John N. Lavis (McMaster University), Harvey Lazar (Queen's University), Elisabeth Martin (Université Laval),Tom McIntosh (University of Regina), Dianna Pasic (McMaster University), Neale Smith (University of British Columbia), and Michael G. Wilson (McMaster University).

Health systems worldwide are grappling with the challenge of coordinating difference in an increasingly complex care environment. In response this book features the latest research on organizational studies in healthcare and explores the relationship between strategic and organic change and what this means for the way we organize health work. Focusing on the complexity of healthcare environments, it discusses the need to cross professional and organizational boundaries. Specifically, this book focuses on the implications for health systems in the way that they continue to balance planning and intervention with organic learning systems. Comprising the best contributions from the 2018 Conference on Organizational Behaviour in Health Care (OBHC), this book is an important resource for healthcare researchers, as well as policy-makers and managers within the industry. Contributors explore the extent to which healthcare is codified through empirical analysis of practical interventions and conceptual debate.

A wide-ranging generative analysis of the typology of possession sentences, solving long-standing puzzles in their syntax and semantics. A major question for linguistic theory concerns how the structure of sentences relates to their meaning. There is broad agreement in the field that there is some regularity in the way that lexical semantics and syntax are related, so that thematic roles (the different participant roles in an event: agent, theme, goal, etc.) are predictably associated with particular syntactic positions. In this book, Neil Myler examines the syntax and semantics of possession sentences, which are infamous for appearing to diverge dramatically from this broadly regular pattern. On the one hand, Myler points out, possession sentences have too many meanings; in any given language, the construction used to express archetypal possessive meanings (such as personal ownership) is also often used to express other apparently unrelated notions (body parts, kinship relations, and many others). On the other hand, possession sentences have too many surface structures; languages differ markedly in the argument structures used to convey the same possessive meanings. Myler argues that recent work on the syntax-semantics interface in the generative tradition has developed the tools needed to solve these puzzles. Examining and synthesizing ideas from the literature and drawing on data from many languages (including some understudied Quechua dialects), Myler presents a novel way to understand the apparent irregularity of possession sentences while preserving explanations of general cross-linguistic regularities, offering a unified approach to the syntax and semantics of possession sentences that can also be integrated into a general theory of argument structure.

This book offers global evidence about the increasing longevity, its consequences and its potential for societal benefits. Based on statistics, academic literature, policy initiatives and numerous country experiences, it explains the interconnected effects of a longer later life, lifelong learning and more productive societies. This larger picture shows how the future can be managed by making strategic choices today. Choosing the right policies allows gaining the maximum benefits from the longevity dividend for current and future generations. This book explains how investing in lifelong learning can enrich the longevity dividend. It gives valuable insights for policy advisors, decision makers, researchers, health professionals, practitioners, students of aging and late life educators.

How will the ecological and economic crises of the 21st century transform health systems and human wellbeing?

This timely comparative study assesses the role of medical doctors in reforming publicly funded health services in England and Canada. Respected authors from health and legal backgrounds on both sides of the Atlantic consider how the high status of the profession uniquely influences reforms. With summaries of developments in models of care, and the participation of doctors since the inception of publicly funded healthcare systems, they ask whether professionals might be considered allies or enemies of policy-makers. With insights for future health policy and research, the book is an important contribution to debates about the complex relationship between doctors and the systems in which they practice.

Turning a critical eye to the health care system in Nova Scotia, Katherine Fierlbeck outlines the frameworks structuring provincial health care, while providing a detailed assessment of Nova Scotia's health financing, physical infrastructure, and service provision.