Gouvernance publique hospitalière : entre paradoxes et tensions. Le point de vue des cadres de santé (notice n° 645686)
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| fixed length control field | 04292cam a2200517 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121182932.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Maquart, Angélique |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Gouvernance publique hospitalière : entre paradoxes et tensions. Le point de vue des cadres de santé |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2024.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 69 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Over the years, hospitals have undergone a series of reforms (Debrosse, 2010; Dent, 2005), resulting in the implementation of a new form of hospital governance (Fray, 2009). The hospital has become a business (Vallancien, 2008), where a managerial rationale, inspired by liberal policies, comes up against the historical culture of care. We can now ask whether these new management methods can be integrated into public hospitals, and what are the inevitable paradoxes that may then arise. The aim of this article is to examine the point of view of healthcare executives in the light of this managerial rationale, to identify their perception of public hospital governance, as well as the prevalent tensions. Based on works by the Proximity School (Boschma, 2005), the aim is also to gain a better understanding of institutional paradoxes and tensions, and to identify the managerial role of healthcare executives. Does the solution lie in the governance model or in management itself? Semi-structured interviews with 40 healthcare executives, conducted in 2020, were analysed using the Alceste software. Two main results emerged: a better understanding of the nature of public hospital governance in the occurrence of the tensions observed, and the role of management in managing the tensions and paradoxes of the public hospital. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L’hôpital a connu des réformes au fil du temps (Debrosse, 2010 ; Dent, 2005) se manifestant par la mise en œuvre d’une nouvelle gouvernance hospitalière (Fray, 2009). L’hôpital est devenu une entreprise (Vallancien, 2008) où se confrontent une logique managériale inspirée des politiques libérales et la culture historique du soin. On peut alors s’interroger sur la possibilité d’intégrer ces nouveaux modes de gestion au sein de l’hôpital public et les inévitables paradoxes qui peuvent en découler. L’objectif de cet article est de confronter le point de vue des cadres de santé avec cette logique managériale, d’identifier leur perception de la gouvernance publique hospitalière et d’en identifier les tensions. À partir des travaux de l’école de proximité (Boschma, 2005), il s’agit également de mieux comprendre les paradoxes et les tensions institutionnelles, et d’identifier le rôle managérial des cadres de santé. La solution réside-t-elle dans le modèle de gouvernance ou bien dans le management lui-même ? Les entretiens semi-directifs, réalisés en 2020, auprès de 40 cadres de santé ont été analysés à l’aide du logiciel Alceste. Il en ressort deux principaux résultats : une meilleure compréhension de la nature de la gouvernance publique hospitalière dans la survenance des tensions observées et le rôle du management dans la gestion des tensions et paradoxes de l’hôpital public. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Gouvernance hospitalière |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paradoxes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tensions |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health managers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hospital governance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cadres de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Gouvernance hospitalière |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paradoxes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tensions |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health managers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hospital governance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cadres de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Gouvernance hospitalière |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paradoxes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tensions |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health managers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hospital governance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cadres de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Gouvernance hospitalière |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Paradoxes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Tensions |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health managers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hospital governance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Cadres de santé |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lethielleux, Laëtitia |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gestion et management public | 12 | 3 | 2024-09-20 | p. 49-70 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-gestion-et-management-public-2024-3-page-49?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-gestion-et-management-public-2024-3-page-49?lang=fr&redirect-ssocas=7080</a> |
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