Penser la gestion médico-sociale. Peut-on gérer un établissement social ou médico-social comme une entreprise ?

Manage social or medicosocial institutions, where the heart of the business is meeting the human, is also managing the tension between the resources allocated by the funding and the needs of people with disabilities. In a context of reduced public spending, national solidarity is facing a dilemma: identifying needs but no longer have the resources to respond. Beyond a political challenge, this dilemma reveals a major management issue. How could we complete our education missions, while budgetary resources are falling steadily on the needs of the people? This article reports on observations and analysis of a director of medicosocial institutions in the field of disability based, cross-referenced with data collected from interviews with managers and professionals. These qualitative data are put into perspective in a multi-referential approach, linking the contributions of management science with knowledge generally mobilized in the analysis of social work practices.