Reflexion Autour Des Modes De Structuration Des Reseaux De Sante Et Des Organisations En Sante

REFLEXION AUTOUR DES MODES DE STRUCTURATION DES RESEAUX DE SANTE ET DES ORGANISATIONS EN SANTE

Bertrand PAUGET

EuropeanBusinessSchool, Paris, France,

Abstract: This theoretical paper is based on previous articles written by the author. Indeed, we believe that the organizations must be analyzed beyond the classic opposition between mechanistic and organic organizations (Burn and Stakler, 1961 Wine et al., 2006). The organizations in the health sector are seen as a relational organization. We explore the potential outcomes of this vision of the organization.

Key words: structuring, organization, relation, metaphysics of action

JEL Classification Codes: I10, L23, L32

DECENTRALIZATION OF HEALTH SERVICES IN ROMANIA

Daniela PIRVU, Ionel DIDEA

Faculty of Economics, University of Piteşti,

Faculty of Law and Administrative Sciences, University of Pitesti,

Abstract: This paper aims to provide an analytical framework for decentralization of health services in Romania. Decentralization, intended as a measure to increase quality of health services provided to the population, and to a better functioning of these some health units far not led to the expected results

Key words: decentralization, health services, reform.

JEL Classification Codes: I15, I18, L32

VERS UNE SOCIETE RELATIONNELLE EN FRANCE: IMPACT ET DIVERGENCE AVEC UNE SOCIETE ORIENTEE PAR L’ECONOMIE ET LE PIB: LE CAS DE LA PROTECTION SOCIALE

Martine PEYRARD-MOULARD, Bertrand PAUGET

EuropeanBusinessSchool, Paris, France,

Abstract: This theoretical article based on economy and management is trying to underline the limits of the GDP as well as the limits of the gross national happiness. Our contribution is to look after a different way to look at the creation of the relations (in a positive or a negative way) in the process of the creation of the services.

Key words: GDP, gross national happiness, wealth, relational society

JEL Classification Codes: I10, I31

PROSPECTIVE PAYMENT SYSTEMS AND EVOLUTION OF MANAGEMENT CONTROL IN FRENCH HOSPITALS: AN OVERVIEW

Jérôme LARTIGAU

Conservatoire national des arts et métiers, Paris, France,

Abstract: This analysis aims at contributing to the debate by exploring recent changes in French public hospitals. It will try to show how a new financing system can entail deep changes inside the management architecture. The structuring of the management control function is still in gestation. In most hospitals surveyed, this function is still at its early stages. There is still a long way for management control in acquiring a real legitimacy, especially from professionals. A key to success lies in the ability of institutions to recruit (and retain) a staff up to the current stakes, both able to overcome technical difficulties of the hospital management (including the T2A) and place themselves in intermediation between medical and management logics.

Key words: prospective payment, management control, hospitals, France.

JEL Classification Codes: M40, I10

THE E-HEALTH SYSTEMS IN POLAND

Małgorzata WALCZAK, Zdzisław PÓLKOWSKI

The LowerSilesianUniversity of Entrepreneurship and Technology in Polkowice, Poland,

Abstract: Information Technologies are disruptive technologies that have caused major changes in health system in Poland. Current digital economy is driven by modern information and new IT tools, which offer hospitals, doctors and patient access to any type of information, regardless of its form of existence, storage type or geographical location. These tools encourage the development of new activities, health services. The purpose of this article is to analyze the the current state of development of e-services in Poland in the context of nowadays health system. In the first part of the paper, the authors present various programmes, which enable the access to the medical services and patients’ data online. The next part of the paper is devoted to examining the technical aspects of the said programmes and presenting their advantages as well as the areas which might be improved.

The last part of the work will be focused on the websites of the selected health institutions. According to the authors, WWW services provide much information on how the process of computer systems are being implemented, what data the services include and the capacity of the equipment as well as the software, human resources and the knowledge in this sphere.

Moreover this section highlights the latest trends in e-health with particular emphasis on aspects such as the use of private and public cloud computer and t heir integration with web sites of health institutions.This study brings its contribution to the understanding of the change of health system in Poland behavior by using a new perspective e-health systems and IT tools above by doctors, officers and patients.

Key words: health, e-health, IT systems, e-services.

JEL Classification Codes: I1, O31, M15

L’INTUITION DES DIRIGEANTS: ESSAI DE DEFINITION ET CONCEPTIONS MANAGERIALES

Ahmed DAMMAK

Groupe ESC Troyes, Troyes, France,

Résumé: Différentes recherches en gestion ont attribué un rôle important à l’utilisation de l’intuition par les dirigeants dans leurs pratiques organisationnelles.Les dirigeants, eux même, confessent de plus en plus, être enclin, face à un environnement turbulent, à se fier à leurs intuitions.Cependant de quelle intuition parle-t-on? Est-il possible de la définir?En fait l’intuition a toujours eu des acceptions différentes que ce soit dans l’imaginaire collectif ou pour les différents chercheurs (médecins, philosophes, psychologues ou «gestionnaires») qui s’y sont intéressés.Elle est tour à tour une illumination, du flair, une source de connaissance, une analyse raccourcie basée sur l’expérience etc.Face à cette multitude de définitions, nous avons essayé d’approcher l’intuition par les représentations que s’en font ses principaux utilisateurs, les dirigeants. Nous avons pour ce faire interrogé une cinquantaine de haut dirigeant de petits et moyens tours opérateurs français.La constatation principales que nous pouvons ressortir de nos résultats sont: Un rejet par les managers d’une conception de l’intuition comme un don inné, synonyme de sixième sens irrationnel. Elle serait plutôt la résurgence parfois inconsciente d’expériences et de connaissances emmagasinées face à une situation donnée. Cette acception «rationnelle» de l’intuition laisse les dirigeants avouer plus librement l‘utiliser essentiellement dans des activités de création et de relations humaines.

Mot clés: Intuition, pratiques managériales, dirigeants, expérience

JEL Classification Codes: L20, L26

THE FRENCH PARADOX: HOW CAN WE EXPLAIN THE ASSIMILATION OF HEALTH BIOTECHNOGIES?

Bertrand PAUGET, Xavier PARISOT

EuropeanBusinessSchool, Paris, France,

EuropeanBusinessSchool, Paris, France

Abstract: There is in France and more generally in Europe a paradox. In the agro industry business, the use of biotechnology is suspicious and controversy (see for example the emblematic case of GMOs), the subject is little debate in the health sector. Yet, in those two sectors, the production process of biotechnology is the same. How can we explain those differences? This article aims to explain the reasons for the acceptance of biotechnology in the business of health. Health professionals interviewed in this study leave use the biotechnology as a tool to improve their practices and benefiting their patients. In doing so, they play a key role to facilitate their consumption by the public.This article is based on a qualitative and exploratory methodology. Our sample consists of leaders of biotech companies or selling biotechnology and doctors who use them.

Key words: biotechnology, acceptance, technological assimilation, identity

JEL Classification Codes: L20, I19

THE ROLE OF RELATIONAL COMPETENCE IN THE HEALTHCARE SECTOR

Bertrand PAUGET, Mathieu CABROL

EuropeanBusinessSchool, Paris, France,

Université de Savoie, IAE, Chambéry, France

Abstract: The role of entrepreneurs is highly regarded in our societies. It is widely recognized that their roles are not limited to the private sector, but can affect all sectors of the economy. In view of this, we focus on entrepreneurs acting in the healthcare sector. We concentrate more particularly on these entrepreneurs' specific competences. We propose to conceptualise the concept of relational competence, defined as the act of building and structuring relationships in order to adapt and innovate in a given environment. The aim of this exploratory study is to better understand why this type of competence is expected on the construction site of a new hospital in France.

Key words: Entrepreneur, relational processes, relational competence, hospital, healthcare system

JEL Classification Codes: L20, L26