Governance tensions in the healthcare sector: a contrasting case study in France.

ABSTRACT:

Background

Political and managerial reforms affect the health sector by translating into governance tensions. As identified in the public management literature, these tensions come from the diffusion of management principles and practices from the business world. These tensions manifest at four levels: institutional, organisational, managerial and instrumental. The aim of this research is to understand how these tensions are expressed in healthcare organisations of different status.

Methods

We conduct a contrasting case study exploring the cases of two French healthcare organisations, one private for-profit (clinic) and one public not-for-profit (cancer treatment centre). Our analyses are mainly based on the content analysis of 32 semi-structured interviews conducted with st

SUBMITTER: Meriade L 

PROVIDER: S-EPMC8739355 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature