Agences régionales de santé : mission impossible (notice n° 852466)
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| fixed length control field | 03194cam a2200289 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123145816.0 |
| 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 | Pierru, Frédéric |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Agences régionales de santé : mission impossible |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 85 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Créées en 2010, issues d’une fusion des services déconcentrés de l’État et des services régionaux de l’assurance maladie, les agences régionales de santé (ARS) sont, depuis la crise dite des « gilets jaunes » et, surtout, la pandémie de Covid-19, sur la sellette. À rebours des analyses de type ingénierie administrative, cet article cherche à comprendre la fragilité de ces fausses agences en les ré-encastrant dans leur environnement économique, social et politique. Il souligne en particulier que les ARS sont dans une position structurellement intenable entre l’État central, entré en mode de consolidation budgétaire depuis 2010, et des acteurs « territoriaux » qu’elles ont pour charge de tenir et de piloter à distance. De plus, déjà mal dotées en moyens humains et matériels, elles ont subi le rabot budgétaire alors que leurs missions sont des plus larges. Cet article est donc la chronique de l’échec programmé d’agences n’ayant pas les moyens de répondre aux attentes d’une société sécularisée et politiquement désenchantée pour qui la protection de la vie est devenue une sorte d’idéologie de remplacement. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | — — Regional health agencies (ARS) were created in 2010 from a merger of decentralized state services and regional sickness funds. Since the so-called “yellow vests” crisis, and, above all, the Covid-19 pandemic, they have been on the hot seat. Contrary to administrative engineering analysis, this paper seeks to understand the fragility of this “fake” agencies by re-embedding them in their economic, social and political environments. It emphasizes that the ARS are in a structurally untenable position between the central State, which focuses on budgetary cuts since 2010, and the “territorial” actors that they are responsible for maintaining and steering at a distance. ARS were poorly endowed in human and material resources. They also suffered from budget cuts even though their missions were very broad. This article is therefore the chronicle of the RSA inevitable failure, as they lack the means to meet the expectations of a secularized and politically disenchanted society for which the protection of life has become a sort of replacement ideology. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Raison humanitaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Agences régionales de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | politiques publiques de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | État de consolidation budgétaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Regional Health Agencies |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Consolidation State |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Humanitarian Reason |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Health policies |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Revue française d'administration publique | 174 | 2 | 2020-10-28 | p. 385-403 | 0152-7401 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-francaise-d-administration-publique-2020-2-page-385?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-francaise-d-administration-publique-2020-2-page-385?lang=fr&redirect-ssocas=7080</a> |
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