L'implantation des conseils régionaux de la santé et des services sociaux: analyse d'un processus politique
The establishment of regional councils of health and social services: analysis of a political processBill 65 on the organization of health services and social services in Quebec interposed between the government and the community an intermediate level composed of regional councils of health and social services (crsss). Alongside people named by the different categories of institutions constituting the network of social concerns, one also finds within the councils people who are supposed to represent the population of the region. Using the concepts of resources, position, and power, the authors analyse the authority which the different actors have exercised in the course of the process which has given rise to the granting of positions on the crsss. The analysis of the process and of the composition of the first councils reveals that the minister's objective was only partially attained. The traditional institutions, whether the hospitals, the reception centres, or the social service centres, succeeded in delegating to the councils only those persons having important responsibilities within their respective institutions, while the other categories on whom the minister counted for the introduction of new figures (mayors for example) responded only weakly to these expectations. In sum, one can say that the most powerful categories of actors in the social affairs sector are still more powerful and conspicuous after the implementation of the crsss, and that the new categories of actors have not made a very significant breakthrough.