{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:24:22Z","timestamp":1777674262809,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T00:00:00Z","timestamp":1583798400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Healthc Manage Forum"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>In the last 12 years, every Canadian province and territory has undertaken significant health services restructuring, with the pace of change accelerating recently. When the H1N1 Pandemic Influenza (PI) hit Alberta in the spring of 2009, the province had just begun a restructuring of health services of a scale unprecedented in Canada. The new province-wide entity, Alberta Health Services (AHS), was faced with mounting an effective response to a global communicable disease outbreak during a time of great organizational flux. In this retrospective, the authors reflect on challenges and opportunities presented during the AHS PI response related to the coordination of public health, laboratory services, emergency and disaster management, communications, and health services delivery. Lessons learned are shared that may be helpful to other provinces and territories as they continue to evolve their systems, so that they may be better prepared to respond to an untimely event such as a pandemic.<\/jats:p>","DOI":"10.1177\/0840470420909121","type":"journal-article","created":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T06:17:54Z","timestamp":1583821074000},"page":"170-173","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Health services restructuring in Alberta and the 2009 pandemic influenza\u2014An untimely concurrence"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7348-7695","authenticated-orcid":false,"given":"Richard","family":"Musto","sequence":"first","affiliation":[{"name":"O\u2019Brien Institute of Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy","family":"MacDonald","sequence":"additional","affiliation":[{"name":"O\u2019Brien Institute of Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Ulrich","sequence":"additional","affiliation":[{"name":"Alberta Health Services, Calgary, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Provincial Laboratory, Alberta Precision Laboratories, Calgary, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,10]]},"reference":[{"key":"bibr1-0840470420909121","unstructured":"Public Health in the Context of Health System Renewal in Canada. Background Document. Ottawa, Ontario, Canada: Canadian Public Health Association; 2019. Available at: https:\/\/www.cpha.ca\/sites\/default\/files\/uploads\/policy\/positionstatements\/phhsr-backgrounddocument-e.pdf. Accessed February 24, 2020."},{"key":"bibr2-0840470420909121","unstructured":"Learning from SARS\u2014Renewal of Public Health in Canada. A Report of the National Advisory Committee on SARS and Public Health. Ottawa, Ontario, Canada: Government of Canada; 2003. Available at: https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/learning-sars-renewal-public-health-canada.html. Accessed February 24, 2020."},{"key":"bibr3-0840470420909121","unstructured":"Review of Alberta\u2019s Response to the 2009 H1N1 Influenza Pandemic. Health Quality Council of Alberta; 2010. Available at: https:\/\/hqca.ca\/wp-content\/uploads\/2018\/05\/H1N1_OfficialReport_December_2010.pdf. Accessed February 24, 2020."},{"key":"bibr4-0840470420909121","unstructured":"Pandemic (H1H1) 2009 Influenza: The Alberta Experience. Alberta Health Services and Alberta Health and Wellness; 2010. Available at: https:\/\/www.albertahealthservices.ca\/assets\/healthinfo\/poph\/hi-poph-surv-h1n1-ab-experience-2009.pdf. Accessed February 24, 2020."}],"container-title":["Healthcare Management Forum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0840470420909121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0840470420909121","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0840470420909121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:11:25Z","timestamp":1777450285000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0840470420909121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,10]]},"references-count":4,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1177\/0840470420909121"],"URL":"https:\/\/doi.org\/10.1177\/0840470420909121","relation":{},"ISSN":["0840-4704","2352-3883"],"issn-type":[{"value":"0840-4704","type":"print"},{"value":"2352-3883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,10]]}}}