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| Titre : |
When over-rationality causes sub-rationality |
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| Numéro : |
58 |
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| Année : |
2018 |
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| Volume : |
XXIV |
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| Auteur(s) : |
Johan BERNARDINI-PERINCIOLO, Marius BERTOLUCCI |
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| Résumé : |
The public hospital or the place of confrontation between the healthcare and the economic institutional logics
Our article questionne the effects of the managerialization of the french public hospital with the institutional logic approach. From the study of one French public hospital, based on 31 semi-structured interviews, participant observations and the analysis of internal and external reports and documentations, we highlight a case of uncontrolled hybridity where the presence of two competing institutional logics creates tensions between groups of actors and, finally, management difficulties. Indeed, management staff, guided by economic and managerial practices and values (i.e. institutional logic) tends to the healthcare logic that is endorsed by medical and paramedical staff. We show that this opposition, in favor of the economico-managerial logic, produces contre-finalités : the over-rationality of one group causes the sub-rationality of another one. |
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| Pages : |
91 - 109 |
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| Type : |
Research paper |
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| APA : |
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| Citations : |
- |
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| CAIRN : |
https://www.cairn.info/revue-internationale-de-psychosociologie-de-gestion-des-comportements-organisationnels-2018-58-page-91.htm |
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