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D'Hippocrate à Mercure : praticiens hospitaliers ou médecins gestionnaires ? Évolutions du métier et tensions de rôles ?

  • Guylaine Loubet

    ()

    (MRM - Montpellier Recherche en Management - Université Montpellier II - Sciences et Techniques du Languedoc : EA4557 - Université Montpellier I - Université Paul Valéry - Montpellier III - Groupe sup de Co Montpellier)

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    En raison des évolutions au niveau international dans le management public, les praticiens hospitaliers ont vu progressivement leur métier évoluer. Certains auteurs évoquent alors l'hybridation du métier, d'autres la polarisation. Qu'en est-il dans notre pays ? Cette évolution pourrait-elle être responsable de tensions de rôle ? Pour tenter de répondre à ces questions, l'auteur a observé dans plusieurs établissements des médecins au cours des 10 dernières années. Cette recherche montre que l'évolution du métier est réelle, qu'elle semble générer, sur l'échantillon étudié, des tensions de rôle et que les conflits de rôle s'établissement à un niveau très élevé par rapport à ce qui avait pu être observé pour ce type d'acteurs dans la littérature.

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    File URL: http://hal.archives-ouvertes.fr/docs/00/65/05/49/PDF/Loubet.pdf
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    Paper provided by HAL in its series Post-Print with number hal-00650549.

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    Date of creation: 2011
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    Publication status: Published - Presented, Comptabilités, économie et société, 2011, Montpellier, France
    Handle: RePEc:hal:journl:hal-00650549
    Note: View the original document on HAL open archive server: http://hal.archives-ouvertes.fr/hal-00650549/en/
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    1. Kurunmaki, Liisa, 2004. "A hybrid profession--the acquisition of management accounting expertise by medical professionals," Accounting, Organizations and Society, Elsevier, vol. 29(3-4), pages 327-347.
    2. Covaleski, Mark A. & Dirsmith, Mark W. & Michelman, Jeffrey E., 1993. "An institutional theory perspective on the DRG framework, case-mix accounting systems and health-care organizations," Accounting, Organizations and Society, Elsevier, vol. 18(1), pages 65-80, January.
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