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- Title
« Réduire le temps d'attente et de passage aux urgences ».
- Authors
Belorgey, Nicolas
- Abstract
While social scientists have studied the emergence of public sector reform in France, they have rarely addressed the impact of such reforms. This paper addresses this issue on the basis of a four-year study of the medical sector conducted in French emergency services in the 2000s. It shows how a governmental bureau seeks to transform what hospital workers perceive as problems related to insufficient resources into problems of organization and "performance" - a notion that actually intends to increase the pace of care-giving and immediate work productivity. These reformist plans are then diffused throughout the hospital sector, through the pathways constituted by the social trajectories of the care personnel. Finally, this reformist project takes the form of specific medical practices that lead to a lesser quality of care, which becomes particularly visible in the greater frequency of patient comebacks after a first release.
- Subjects
FRANCE; HEALTH care reform -- Social aspects; HOSPITAL emergency services; PUBLIC hospitals; HOSPITAL personnel attitudes; SERVICES for hospital patients; EMERGENCY room wait times; PATIENTS' attitudes; MEDICAL care; SOCIAL services
- Publication
Actes de la Recherche en Sciences Sociales, 2011, Issue 189, p16
- ISSN
0335-5322
- Publication type
Article
- DOI
10.3917/arss.189.0016