IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-04577431.html
   My bibliography  Save this paper

Les défaillances de la régulation publique des EHPAD révélées par la crise COVID

Author

Listed:
  • Laura Nirello

    (CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique)

  • Ilona Delouette

    (CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique)

  • Marion Studer

    (TVES - Territoires, Villes, Environnement & Société - ULR 4477 - ULCO - Université du Littoral Côte d'Opale - Université de Lille)

  • Florence Jany-Catrice

    (CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique)

  • Amélie Lefebvre-Chombart

Abstract

This article examines the regulation of the nursing home (Ehpad) sector in the light of the COVID-19 crisis. It is based on an investigation carried out through semi-structured interviews in a particular region of France with the sector's public regulators and with the management and other employees of eight establishments. We show that in the first three weeks of the COVID-19 crisis, the public supervisory bodies in the region under investigation (the regional health agency (ARS) and departmental councils), caught up applying routine administrative, managerial, and standardized regulations, first failed in their duties and then lost coherence, leading to a situation of radical uncertainty for the Ehpad's management and other staff. In the absence of stable, dependable public regulation, the Ehpad all set up a "system D" based on informal, territorial networks. Subsequently, the ARS and the Ehpad re-established a joint and personalized regulatory system, taking into account the needs of the establishments, which sector actors would have liked to make permanent.

Suggested Citation

  • Laura Nirello & Ilona Delouette & Marion Studer & Florence Jany-Catrice & Amélie Lefebvre-Chombart, 2024. "Les défaillances de la régulation publique des EHPAD révélées par la crise COVID," Post-Print hal-04577431, HAL.
    • Handle: RePEc:hal:journl:hal-04577431
    DOI: 10.3917/gs1.173.0043
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:hal-04577431. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.