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War and peace in hospitals: Humans, objects and paradoxes

Author

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  • Patrick Gilbert

    (IAE Paris - Sorbonne Business School)

  • Marie-Eve Laporte

    (IAE Paris - Sorbonne Business School)

Abstract

Patient-centered care (PCC) in French hospitals has become highly topical. As it challenges people's roles and positions in the health care system, it generates tensions that can produce paradoxes when elements perceived as contradictory are both present and persistent. However, the actors most often learn to deal with them. The aim of this research is to examine how actors cope with the paradoxes created by PCC. Linking the theory of paradox to the concepts of situated action and object agency, this paper studies the orthopedics department of a major PCC public hospital in Paris based on shadowing, interviews and secondary documents. It highlights three ways in which technical objects play a key role in managing belonging, learning, organizing and performing paradoxes generated by PCC: enactment, mediation and interpretive flexibility. It thus extends the dynamic equilibrium model of organizing in the theory of paradox developed by Smith and Lewis (2011).

Suggested Citation

  • Patrick Gilbert & Marie-Eve Laporte, 2022. "War and peace in hospitals: Humans, objects and paradoxes," Post-Print halshs-03510926, HAL.
    • Handle: RePEc:hal:journl:halshs-03510926
    DOI: 10.1016/j.jbusres.2021.12.015
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-03510926
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    References listed on IDEAS

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    2. Ray J Paul & Inas Ezz & Jasna Kuljis, 2012. "Healthcare information systems: a patient-user perspective," Health Systems, Taylor & Francis Journals, vol. 1(2), pages 85-95, December.
    3. de Kok, B.C. & Widdicombe, S. & Pilnick, A. & Laurier, E., 2018. "Doing patient-centredness versus achieving public health targets: A critical review of interactional dilemmas in ART adherence support," Social Science & Medicine, Elsevier, vol. 205(C), pages 17-25.
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