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Tensions contradictoires et accountability dans un processus de décisions collectives d'achat de produits de santé

Author

Listed:
  • Béatrice Vincent

    (LGCO - Laboratoire Gouvernance et Contrôle Organisationnel - UT3 - Université Toulouse III - Paul Sabatier - UT - Université de Toulouse)

  • Carole Jean-Amans

    (LGCO - Laboratoire Gouvernance et Contrôle Organisationnel - UT3 - Université Toulouse III - Paul Sabatier - UT - Université de Toulouse)

  • Marie-Annick Montalan

    (LGCO - Laboratoire Gouvernance et Contrôle Organisationnel - UT3 - Université Toulouse III - Paul Sabatier - UT - Université de Toulouse)

Abstract

Cet article met en évidence le double paradoxe auquel est soumis un pharmacien d'établissement de santé qui doit rendre compte, à titre individuel, de décisions d'achats prises collectivement au sein d'un groupement d'achats de produits de santé et qui, par ailleurs, est confronté à la tension entre exigences médicales et contraintes budgétaires. En s'appuyant sur différents modèles de gestion proposés par la littérature en réponse à des situations de tensions paradoxales, l'étude réalisée dans deux groupements régionaux conventionnels d'achats de produits de santé a analysé les effets, sur le fonctionnement du processus d'achat mutualisé, des mécanismes organisationnels de gestion mis en oeuvre et identifié des pratiques leviers ou freins à l'implication du pharmacien dans ce processus.

Suggested Citation

  • Béatrice Vincent & Carole Jean-Amans & Marie-Annick Montalan, 2016. "Tensions contradictoires et accountability dans un processus de décisions collectives d'achat de produits de santé," Post-Print hal-03830819, HAL.
    • Handle: RePEc:hal:journl:hal-03830819
    Note: View the original document on HAL open archive server: https://hal.science/hal-03830819
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    References listed on IDEAS

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