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 Marc Lemire, PhD
Institution: Université de Montréal
Department: Health Administration, IRSPUM
arc Lemire is an adjunct professor-researcher in the Health Administration Department and a regular researcher at University of Montreal's Public Health Research Institute (IRSPUM). He is also an in-house researcher at the National Public Health Institute of Quebec (INSPQ). His current research interests are innovation, improvement and knowledge in public health. Lemire holds a PhD in political sciences.