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L’intégration de l’économique et du médical à l’hôpital français : une analyse de la littérature
Valette A. , Grenier C., Saulpic O., Zarlowski P.

Valette A., Grenier C., Saulpic O., Zarlowski P. (2015), L'intégration de l'économique et du médical à l'hôpital français : une analyse de la littérature, Politiques et Management Public, 32(3), 241-264

Abstract

The integration of medical and economic dimensions of the activities in french hospitals: analysis of french academics papers. We look at what we learn on one key issue of these reforms i.e. the integration of medical and economic dimensions of the activities in hospitals. Our analysis shows that these academic papers do not focus on the construction of medico-economic logic or the consequences of these reforms on medico-economic practices of actors, but rather on the difficulties of implementing the reforms. The medicoeconomic aspect is seen as a fact or as a contextual element rather than a challenge (or an issue?) or an object of research in itself. The study of our data highlights the central role of managerial instrumentation in the ongoing changes and a large variety of the practices in establishments, in spite of the reforms that promote standardization. Beyond these results, this literature review leads us to formulate proposals to strengthen the structuring of research on hospital management, and to make possible that research contributions which may feed public policy elaboration.

Keywords : hospital, reforms, tarification à l'activité, governance, organizational design organisationnel, management control systems, pôle. 

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