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Deciding in turmoil : four university hospitals facing Covid-19
[Décider dans la tourmente : quatre CHU face à la Covid-19]

Author

Listed:
  • Sandra Bertezene

    (LIRSA - Laboratoire interdisciplinaire de recherche en sciences de l'action - CNAM - Conservatoire National des Arts et Métiers [CNAM])

  • David Vallat

    (Laboratoire de Recherche Magellan - UJML - Université Jean Moulin - Lyon 3 - Université de Lyon - Institut d'Administration des Entreprises (IAE) - Lyon, IEP Lyon - Sciences Po Lyon - Institut d'études politiques de Lyon - Université de Lyon)

  • Philippe Michel

    (RESHAPE - Inserm U1290 - UCBL1 - Research on Healthcare Performance - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - INSERM - Institut National de la Santé et de la Recherche Médicale)

Abstract

The objective of this article is twofold : to better understand the organizational decision-making process mobilized by hospitals during the first year of the Covid-19 pandemic in order to deal with this crisis; and verify how similar this process is to that deployed by High Reliability Organizations (HROs). The results of this exploratory research carried out in four university hospitals show that the decision-making process manifests itself differently during three successive periods : at the start of the appearance of Covid-19 in our country, the process is that of a Weberian bureaucracy; during the first wave until its end it becomes flexible, agile; and finally, from the second wave, it resumes its initial bureaucratic character. The last part highlights the contributions of HRO theory to management science and the management of French hospitals.

Suggested Citation

  • Sandra Bertezene & David Vallat & Philippe Michel, 2023. "Deciding in turmoil : four university hospitals facing Covid-19 [Décider dans la tourmente : quatre CHU face à la Covid-19]," Post-Print hal-04221984, HAL.
    • Handle: RePEc:hal:journl:hal-04221984
    DOI: 10.3166/pmp.40.2023.0013
    Note: View the original document on HAL open archive server: https://hal.science/hal-04221984
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    References listed on IDEAS

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    1. Nathalie Halgand, 2003. "L'accréditation hospitalière : contrôle externe ou levier de changement," Revue française de gestion, Lavoisier, vol. 147(6), pages 219-231.
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