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Codage de la performance ou performance du codage : mise en chiffre et optimisation de l'information médicale

Listed author(s):
  • Pierre-André Juven,

    ()

    (CSI i3 - Centre de Sociologie de l'Innovation i3 - MINES ParisTech - École nationale supérieure des mines de Paris - PSL - PSL Research University - CNRS - Centre National de la Recherche Scientifique)

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    De nombreux travaux se sont d'ores et déjà penchés sur la diffusion d'une logique performantielle à l'hôpital. Pourtant, cette logique peut être envisagée non pas comme une entité existante malgré les acteurs mais produite et négociée par eux. Nous montrons ici que la performance ne va pas de soi, qu'elle doit être définie au travers d'un ensemble d'épreuves, de bricolages institutionnels. Principalement appuyé par des critères quantitatifs, le discours sur la performance doit être étudié à partir de la matière même de ce qui le soutient. Cette matière est produite à partir du codage dans le système d'information des hôpitaux. Or ce codage, non seulement implique des incertitudes quant à la description de l'activité médicale mais il peut aussi être l'objet de retouches, de valorisation. La performance ne dépend alors plus seulement des mesurés, mais des outils de mesure et de l'action des mesurants.

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    Paper provided by HAL in its series Post-Print with number hal-00869366.

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    Date of creation: 2013
    Publication status: Published in Journal de Gestion et d Economie Medicales, Editions ESKA, 2013, 31 (2-3), pp.75-91
    Handle: RePEc:hal:journl:hal-00869366
    Note: View the original document on HAL open archive server: https://hal-mines-paristech.archives-ouvertes.fr/hal-00869366
    Contact details of provider: Web page: https://hal.archives-ouvertes.fr/

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