The dynamics of change: managerial, organizational and social challenges in the hospital setting[La dynamique du changement : Enjeux managériaux, organisationnels et sociaux dans le cadre hospitalier]

In health organizations, especially Hospital a managerial dimension because they impose an evolution of the institutions and agents that make the health care system live, starting with the Hospital. In this contribution we will examine the conditions that allow, within the hospital framework, a successful integration of the change and especially its managerial dimension. More concretely, we propose to consider change as a factor that reinterrogates managerial practices in order to make them a lever for integration and cohesion in order to escape the risks of destabilization and thus become a driving force for beneficial innovations. Starting from reminders of the contributions of sociology and the hospital field, we propose to consider change as an asset in a singular context, the hospital. Here the hospital is approached as a social structure to integrate the individual logics to transform them into a collective dynamic. It is in this particular sense that we restrict the expression collective action. In a practical dimension, the intervention will help to understand the impacts of change for the various managers and those for whom they are responsible, with the focus on the requirements of the public hospital service