Over the past ten years, our healthcare and social services system has undergone numerous reforms. What is the impact of these changes? Is our system functional? Under the leadership of Douglas Hospital researcher Marie-Josée Fleury, along with Mireille Tremblay, Hung Nguyen, and Luc Bordeleau, 50 Quebecers from different university, management, and healthcare environments have collaborated on a publication called Le système sociosanitaire au Québec. Régulation, gouvernance et participation [The Quebec Sociosanitary System: Regulation, Governance and Participation]. Available in bookstores today, this book covers a diverse range of current topics and draws a contemporary portrait of the Quebec sociosanitary system, along with its major challenges and issues.

“We wrote this book in order to examine the modalities of governance and regulation tools associated with our health and social services,” said Marie-Josée Fleury, PhD. “In the context of the reform currently taking place, it is without doubt an opportune moment to further reflect on the political, organizational and management issues related to health and social services in Quebec,” she added.

This book targets a wide audience: decision-makers, health professionals, researchers, and students. It is comprised of four sections: 

- Governance and regulation: Can we make sense of the image of perpetual change that the health and social services system has presented over the past few years?
- Service networks: Are our integrated service networks doing an adequate job?
- Accountability and information systems: How can we make sense of a complex health system? What accountability must we have in order to ensure quality and what information systems should be established?
- Participation: What place do citizens and democratic participation have in the Quebec health and social services network?

"I am very pleased with this work and hope it will spark discussion and reflection, allowing us to find solutions to recurring problems in our health and social services system," concludes Marie-Josée Fleury.