Decentralization
Since 1992, the ministry of health and social services (MSSS) is in charge of long-term residential care in Quebec (AEPC, n.d.) In 2015, health institutions in Montreal regrouped in five different district named Centre intégré universitaire de santé et de services sociaux (CIUSSS, 2020). Since this merger, institutions find themselves in a situation where they lose agency over what the organization and the staff can achieve, thus contributing to the dehumanization of the system (Rad, 2022). Massive shortages of frontline workers are one example proving that over-controlling these spaces affect the whole living and working environment. Decentralizing should be considered as it brings back agency at a local level, where people can directly act on their environment and be more resilient toward their immediate needs (La Converse, 2021).
Since 1992, the ministry of health and social services (MSSS) is in charge of long-term residential care in Quebec (AEPC, n.d.) In 2015, health institutions in Montreal regrouped in five different district named Centre intégré universitaire de santé et de services sociaux (CIUSSS, 2020). Since this merger, institutions find themselves in a situation where they lose agency over what the organization and the staff can achieve, thus contributing to the dehumanization of the system (Rad, 2022). Massive shortages of frontline workers are one example proving that over-controlling these spaces affect the whole living and working environment. Decentralizing should be considered as it brings back agency at a local level, where people can directly act on their environment and be more resilient toward their immediate needs (La Converse, 2021).