L’État et l’hôpital à but lucratif au Québec, 1961–1975: une expériencedécevante de partenariat

Abstract

In 1961, public hospital insurance created a new form of public-private partnership in Quebec by paying for care given in for-profit (proprietary) hospitals. How did it work? How did for-profit hospitals deal with governmental norms and regulations? Why and how was the door closed on the development of for-profit hospitals after a few years of experimentation? On the whole, this partnership proved to be chaotic and inefficient, plagued by endless negotiations. During the seventies, the government appears finally to have concluded that the partnership was not worthwhile. Public-private partnership in the hospital sector, then, existed well before the federal initiatives but has been largely forgotten, despite the reappearance of similar debates.