Arianna’s research explores the instrumentalization of economic ideology in constructing organizational structures and shaping our social reality.

Specifically, her investigation focuses on Ontario’s The People’s Health Care Act, 2019, aimed at creating an equitable and efficient health system by organizing public institutions, not-for-profit organizations and independent primary care physicians into collaborative, community-based Ontario Health Teams (OHTs). With over 50 OHTs across the province at different levels of development and displaying various organizational forms and delivery systems, there is an emerging challenge for OHTs to establish shared governance and create new rules of collective clinical and fiscal accountability towards community-driven population health.  Moreover, the Act does not clearly define equity and efficiency in terms of a new model of healthcare nor does it outline how it will facilitate a shared understanding of these concepts for OHTs to realize these aims.

The objective of this research is to understand how equity and efficiency are being interpreted and how likely decentralizing service delivery management to OHTs is perceived to achieve equitable and efficient care. Health system reform is an invisible process and so this study strives to inform Ministry and health sector leaders of the pitfalls and opportunities to constructing a more efficient and equitable health system as well as illuminate how the experience of healthcare is being reshaped and whether or not it aligns with the health interests of Ontarians.