Quelle influence de la loi HPST sur les valeurs publiques ? Le cas d’un Centre Hospitalier Universitaire

Abstract

Cette recherche s'intéresse à l'influence de la loi HPST sur les valeurs qui sous-tendent l'hôpital public sous l'angle des missions nouvellement introduites. Elle s'appuie sur une étude qualitative de type interprétative qui a pris la forme d'une approche exploratoire auprès d'un CHU du centre de la France. Les résultats montrent que la mise en place d'une nouvelle organisation fondée sur des nouvelles instances de direction et sur l'introduction de pôles d'activités ne modifie pas la perception des acteurs sur les valeurs. Néanmoins, la dimension managériale semble influer négativement sur ces dernières en raison principalement de l'absence de compétences ou d'appétences gestionnaires pourtant nécessaires au pilotage des nouvelles missions.

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“…The medical community was then bound by an agglomeration of values rather than by an alliance of interests. 80 A study 81 on the European Union (EU) perceives and prioritizes four key public values-responsiveness, expertise, lawfulness, and transparency. Responsiveness, a defining characteristic of the French health care system, is inscribed in the law.…”