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Réformer l’hôpital comme une entreprise. Les errements de trente ans de politique hospitalière (1983-2013)

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  • Domin, Jean-Paul

Abstract

Cet article tente de comprendre pourquoi, depuis une trentaine d’années, les réformes hospitalières ont suscité la vive opposition des personnels. La période qui commence à la fin des années 1970 correspond à un changement de référentiel qui se traduit par une nouvelle façon de penser l’hôpital prenant appui sur l’approche standard étendue, notamment la théorie des contrats et la théorie de l’agence. Cette transformation théorique incite les pouvoirs publics à expérimenter de nouveaux dispositifs de gestion promouvant la participation des médecins à la gestion des établissements. Dans les faits, cette approche de l’hôpital se heurte à son histoire et plus généralement à son compromis fondateur qui s’est construit au début du xixe siècle.

Suggested Citation

  • Domin, Jean-Paul, 2015. "Réformer l’hôpital comme une entreprise. Les errements de trente ans de politique hospitalière (1983-2013)," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    • Handle: RePEc:rvr:journl:2015:11293
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    References listed on IDEAS

    as
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    More about this item

    Keywords

    hôpital; gouvernance; management public; politique de santé; hospital; governance; public management; healthcare policy; hospital; governanza; gestión pública; política de salud;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • B52 - Schools of Economic Thought and Methodology - - Current Heterodox Approaches - - - Historical; Institutional; Evolutionary; Modern Monetary Theory;
    • N32 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - U.S.; Canada: 1913-

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