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Défi de la performance et vision partagée des acteurs : application à la gestion hospitalière

Abstract : Our Ph.D. deals with the issue of hospital performance: its context, background, and conditions of improvement. The search for performance appears to face a crisis of legitimacy both in the private and public sectors. In particular, in the health care organizations sector, the government is reforming health care ways of control, but these reforms stumble over the lack of actors' common vision of performance. Indeed, the ways of thinking performance are either based on rational goal models, on resource acquisition models, on internal decision process models or on human relations models. These theoretical models, even when they are combined, convey the lack of common vision that leads to divergences in decisions and actions. Since, performance is a social construct, its improvement implies to look for a common definition of this term, rather than to set up additional tools to monitor hospitals' activity. This is why we worked on the means to obtain a common vision of performance among health professionals, to a priori ensure the convergence of individual actions and decisions toward global health care mission. Within hospitals, common vision depends on a common vision of the stakes of performance, of the hospital diagnostic and of the priorities of performance. These three points of common vision lie within the three dimensions of performance (horizontal, vertical and lateral) and come in a variety of forms in each hospital, depending on their environment.
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Contributor : Alice Teil <>
Submitted on : Monday, May 30, 2011 - 11:02:37 PM
Last modification on : Monday, October 19, 2020 - 11:05:21 AM
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  • HAL Id : tel-00597030, version 1



Alice Teil. Défi de la performance et vision partagée des acteurs : application à la gestion hospitalière. Sciences de l'Homme et Société. Université Jean Moulin - Lyon III, 2002. Français. ⟨tel-00597030⟩



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