La dynamique sociomatérielle des logiques institutionnelles dans la profession médicale

Abstract : This research is in depth interpretative case study looking at the raised of contesting practices in the medical profession. In the 1970s, a social movementemerged in France defending the return of professional values that have been absorbed by the prevalent managerial logic. Actors shaped an innovative ‘hybrid’logic (Reay & Hinings, 2009) setting in between professional and evidence - based of medicine logic (Mendel & Scott, 2010). This study explains how a social movement have challenged successfully the dominant logic, and how the vision came to be incorporated into the field configuration. A large amount of qualitative datawere collected via interviews, archives, and ethnography, and analysed withhermeneutics cycles methodology (Bleicher, 1980; Myers, 2013). I created fifty biographies and focused on the different epistemic objects professionals were using to defend and diffuse the project (Knorr-Cetina, 2001). The contribution of analysing sociomateriality in the process of change is twofold. Theoretically it explained the performative dimensions of a transformation of logic (Orlikowski, 2005). Methodologically it offers new possibilities for identifying institutional logics in a field (Thornton et al., 2012). Findings allow me to illustrate the Austinian perspective of performativity which highlights the formal cooperation between actors (Austin, 1965).
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Hélène Lambrix. La dynamique sociomatérielle des logiques institutionnelles dans la profession médicale. Gestion et management. Université Paris Dauphine - Paris IX, 2015. Français. ⟨NNT : 2015PA090011⟩. ⟨tel-01176866⟩



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