caa a22 4500 46789664X CHVBK 20180406152806.0 cr unu---uuuuu 170328e20060301xx s 000 0 eng 10.1007/s11019-005-3602-8 doi (NATIONALLICENCE)springer-10.1007/s11019-005-3602-8 Organizing the Public Health-clinical Health Interface: Theoretical Bases [Elektronische Daten] [Michèle St-Pierre, Daniel Reinharz, Jacques-Bernard Gauthier] This article addresses the issue of the interface between public health and clinical health within the context of the search for networking approaches geared to a more integrated delivery of health services. The articulation of an operative interface is complicated by the fact that the definition of networking modalities involves complex intra- and interdisciplinary and intra- and interorganizational systems across which a new transversal dynamics of intervention practices and exchanges between service structures must be established. A better understanding of the situation is reached by shedding light on the rationale underlying the organizational methods that form the bases of the interface between these two sectors of activity. The Quebec experience demonstrates that neither the structural-functionalist approach, which emphasizes remodelling establishment structures and functions as determinants of integration, nor the structural-constructivist approach, which prioritizes distinct fields of practice in public health and clinical health, adequately serves the purpose of networking and integration. Consequently, a theoretical reframing is imperative. In this regard, structuration theory, which fosters the simultaneous study of methods of inter-structure coordination and inter-actor cooperation, paves the way for a better understanding of the situation and, in turn, to the emergence of new integration possibilities. Springer, 2006 health care network nationallicence organizational network nationallicence organizational theory nationallicence public health nationallicence systems interface nationallicence St-Pierre Michèle Faculté des sciences de l'administration, Département de management, Pavillon Palasis-Prince, Université Laval, G1K 7P4, Québec, Canada aut Reinharz Daniel Département de médecine sociale et preventive, Université Laval et Direction régionale de la santé publique de Québec, Canada aut Gauthier Jacques-Bernard Département des sciences administratives, Université du Québec en Outaouais, Canada aut Medicine, Health Care and Philosophy Kluwer Academic Publishers 9/1(2006-03-01), 97-106 1386-7423 9:1<97 2006 9 11019 https://doi.org/10.1007/s11019-005-3602-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11019-005-3602-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- St-Pierre Michèle Faculté des sciences de l'administration, Département de management, Pavillon Palasis-Prince, Université Laval, G1K 7P4, Québec, Canada aut NATIONALLICENCE 700 1- Reinharz Daniel Département de médecine sociale et preventive, Université Laval et Direction régionale de la santé publique de Québec, Canada aut NATIONALLICENCE 700 1- Gauthier Jacques-Bernard Département des sciences administratives, Université du Québec en Outaouais, Canada aut NATIONALLICENCE 773 0- Medicine, Health Care and Philosophy Kluwer Academic Publishers 9/1(2006-03-01), 97-106 1386-7423 9:1<97 2006 9 11019 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer