Vers une performance hospitalière non pluraliste ? Analyse de l’outillage formel de gestion dans la diffusion isomorphique de la performance au sein des organisations de santé
Since 2002, hospital management reforms promote a more efficient way of managing these organizations, with the aim of considering the multi-dimensionality of performance. Literature suggests that performance in healthcare organizations, so called pluralistic, is multi-dimentional, far from a strictl...
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| Główni autorzy: | , |
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| Format: | Article ou chapitre numérique |
| Język: | Français |
| Wydane: |
2024
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| Hasła przedmiotowe: | |
| Dostęp online: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
| Streszczenie: | Since 2002, hospital management reforms promote a more efficient way of managing these organizations, with the aim of considering the multi-dimensionality of performance. Literature suggests that performance in healthcare organizations, so called pluralistic, is multi-dimentional, far from a strictly economic focus. What does it mean for practitioners ? We seek to understand the way management tools can be conveyors for the spread of the institutional performance logic within healthcare organizations ? Through the analysis of internal contracts during 13 years, we show that the dimensions supported by these tools are not as multi-dimensional as the main institutional logic pretends : economic and organizational dimensions supplant social utility and employees’ satisfaction. We discuss three contributions : the spread of a poorly pluralistic performance in management tools; a coercive isomorphism in the implementation of tools; a weak legitimization of these tools. |
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