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Marc-Antoine JACOB

Defense

11, December 2023

Marc-Antoine JACOB

The Contribution of the Use of a Portfolio of Management Tools to Role Hybridization: The Case of Healthcare Executives in Public Hospitals

Jury Membership
Annick VALETTE Université Grenoble Alpes Thesis Advisor
Celia Lemaire Jean Moulin University Lyon III Rapporteur
Irene GEORGESCU University of Montpellier Rapporteur
Christian DEFELIX Université Grenoble Alpes Examiner
Benoît JOURNE University of Nantes Examiner
Abstract

The reforms stemming from New Public Management that affect hospitals reinforce the managerial role of healthcare executives, who are notably responsible for managing hospital paramedical teams while controlling their payroll in a context of budgetary constraints. Furthermore, these managers are also assigned a caregiving role, which consists of improving the quality of care, preserving the working conditions of healthcare professionals, and fostering interprofessional reflection on patient care pathways. Consequently, role tensions arise between the managerial and caregiving roles of healthcare executives. In the climate of accountability that characterizes the current public hospital system, the work of healthcare executives relies heavily on management tools, particularly a portfolio of workforce management tools. While the literature is rather lacking regarding the study of the situated uses of management tools in hospitals, and particularly by healthcare professional managers, we intend to contribute by proposing a qualitative and quantitative typology of the uses of a portfolio of management tools in hospitals by paramedical managers. Furthermore, we highlight how the uses of this portfolio of management tools by healthcare managers can facilitate the hybridization of their managerial and caregiving roles.

Date

11, December 2023
Date Update

13H

Location

Additional Location Information

CERAG - Ground Floor Room
150 rue de la Chimie
38400 ST Martin d'Hères

Published on 28, June 2024

Updated on 10, March 2026