Originating from a concern on the linkage between health policies and immigration policies within healthcare organizations, our goal is to understand how and why healthcare organizations adapt their services to the needs and characteristics of migrant populations. In doing so, we used three angles of analysis: (1) interactions between the stakeholders within an organization viewed as a Complex Adaptive System (CAS), especially between an organization’s various levels of governance; (2) the levers of action implemented by the multiple stakeholders; and (3) the factors that influence the stakeholders. We propose a conceptual model of multilevel adaptive governance able to reconcile two paradoxical adaptation mechanisms: (1) multiple autonomous stakeholders are able to self-organize while acting in a heterogeneous manner; (2) governance allows these heterogeneous actions, through levers of action, to converge toward a more homogeneous collective process.
Dr Bernard Roy, PhD
Institution: Université Laval
Department: Faculty of Nursing
Bernard Roy is a professor at the Faculty of Nursing, Laval University (2004) and holds a PhD in Anthropology (2002). It is in his nursing course in Aboriginal communities that is initially interested in this important event of iniquity whose health was and still experienced by men and women of First Nations diabetes. His work on this health issue were supported Diabetes Québec and have been the subject of numerous publications and conferences. His book “Sweet sugar, powers coded and bitter medicine” was awarded in 2005 by the Luc-Lacourcière medal which recognizes excellence of a anthropology’s book published in French language in North America. In fact, the heart of the work of this teacher-researcher is the desire to increase the value of the word of these people too often left behind in a world where, increasingly, the evidence are popular.