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Les adaptations comportementales des médecins sous le régime de performance-accountability : Une étude de cas d’un hôpital public chinois

Author

Listed:
  • Linlin Zhou

    (IAE Limoges - Ecole universitaire de management [Limoges], CREOP - Centre de Recherches sur l'Entreprise, les Organisations et le Patrimoine - GIO - Gouvernance des Institutions et des Organisations - UNILIM - Université de Limoges)

  • Évelyne Lande

    (CEREGE [Poitiers, La Rochelle] - Centre de recherche en gestion [UR 13564] - UP - Université de Poitiers = University of Poitiers - ULR - La Rochelle Université - Excelia Group | La Rochelle Business School, MPT [Cerege] - Management Public et Territoires [Équipe du Cerege] - CEREGE [Poitiers] - Centre de recherche en gestion [UR 13564] - UP - Université de Poitiers = University of Poitiers)

  • Bruno Féral

    (CEREGE [Poitiers] - Centre de recherche en gestion [UR 13564] - UP - Université de Poitiers = University of Poitiers, MPT [Cerege] - Management Public et Territoires [Équipe du Cerege] - CEREGE [Poitiers] - Centre de recherche en gestion [UR 13564] - UP - Université de Poitiers = University of Poitiers)

Abstract

Cette communication analyse, à partir d'une étude longitudinale (2021–2025) menée dans un hôpital public chinois, l'institutionnalisation des dispositifs de gestion opérationnels fondé sur la performance. En mobilisant le régime du performance–accountability et la théorie de l'anomie institutionnelle, elle montre que l'accountability managériale exacerbent les tensions et les conflits des valeurs chez les médecins. Dans le prolongement de Robert K. Merton, quatre formes d'adaptation des médecins sont identifiées : conformité active, conformité symbolique, résistance fondée sur les valeurs et compétition anxieuse. La communication contribue à la littérature sur la performance-accountability et étend l'analyse de l'anomie institutionnelle aux organisations hospitalières.

Suggested Citation

  • Linlin Zhou & Évelyne Lande & Bruno Féral, 2026. "Les adaptations comportementales des médecins sous le régime de performance-accountability : Une étude de cas d’un hôpital public chinois," Post-Print hal-05641964, HAL.
    • Handle: RePEc:hal:journl:hal-05641964
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