Les défaillances de la régulation publique des Ehpad révélées par la crise Covid (notice n° 652934)
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| fixed length control field | 03254cam a2200337 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121185728.0 |
| 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 | Delouette, Ilona |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Les défaillances de la régulation publique des Ehpad révélées par la crise Covid |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2024.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 15 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Cet article interroge la régulation du secteur des Établissements d’hébergement pour personnes âgées dépendantes (Ehpad) à l’aune de la crise Covid. Il repose sur une enquête par entretiens semi-directifs dans une région particulière, auprès des régulateurs publics du secteur et auprès des directions et des salariées de 8 établissements. Nous montrons que dans les trois premières semaines de la crise Covid, les tutelles publiques de la région enquêtée (Agence Régionale de Santé (ARS) et Conseils Départementaux), prises dans des routines d’une régulation de contrôle administrative, gestionnaire et standardisée, se sont montrées d’abord défaillantes, puis désorganisées, conduisant à une situation d’incertitude radicale pour les directions et les personnels des Ehpad. En l’absence de régulation publique stable et solide, les Ehpad ont tous mis en place un système D reposant sur des réseaux informels et territorialisés. Par la suite, l’ARS et les Ehpad réinstaurent une régulation conjointe et personnalisée prenant en compte les besoins des établissements, régulation que les acteurs auraient aimé pérenniser. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | This article examines the regulation of the nursing home (Ehpad) sector in the light of the COVID-19 crisis. It is based on an investigation carried out through semi-structured interviews in a particular region of France with the sector’s public regulators and with the management and other employees of eight establishments. We show that in the first three weeks of the COVID-19 crisis, the public supervisory bodies in the region under investigation (the regional health agency (ARS) and departmental councils), caught up applying routine administrative, managerial, and standardized regulations, first failed in their duties and then lost coherence, leading to a situation of radical uncertainty for the Ehpad’s management and other staff. In the absence of stable, dependable public regulation, the Ehpad all set up a “system D” based on informal, territorial networks. Subsequently, the ARS and the Ehpad re-established a joint and personalized regulatory system, taking into account the needs of the establishments, which sector actors would have liked to make permanent. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | régulation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ARS |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | tutelle |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Ehpad |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | regulatory authority |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | regulation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | nursing homes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ARS |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | COVID-19 |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Jany-Catrice, Florence |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Lefebvre-Chombart, Amélie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Nirello, Laura |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Studer, Marion |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gérontologie et société | 46/ 173 | 1 | 2024-05-28 | p. 43-61 | 0151-0193 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-gerontologie-et-societe-2024-1-page-43?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-gerontologie-et-societe-2024-1-page-43?lang=fr&redirect-ssocas=7080</a> |
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