Contenu de l'article

Titre Quels cadres pour l'administration des affaires sanitaires et sociales ?
Auteur Christian Rollet
Mir@bel Revue Revue française d'administration publique
Numéro no 43, 1987/3 La santé est-elle sous-administrée ?
Rubrique / Thématique
La santé est-elle sous-administrée ?
 Les hommes
Page 8 pages
Résumé anglais What are senior personnel needs for public health and social services administration ? Why do public health and social services have a poor reputation ? Where do their weaknesses lie ? This falling prestige concerns neither the competence nor the dedication of civil servants, but the weak appeal of civil servant status and the limited degree of independence that departments enjoy vis-à-vis Prefects. These weaknesses stem from ministerial and institutional organizational structures whose history has been affected by mutual societies, business associations and individual initiative. The State, as tutor and guardian of law, has been intervening with limited means only since recently through disjointed external structures and centralized structures with changing duties. Specialized schooling was instituted only recently and Public Health physicians have not set up new career paths. The tradition of volunteer work has inhibited unionization and modernized management. The image of public health and social services could be improved by (1) strengthening decision-making mechanisms, (2) enhancing senior personnel training and (3) improving working conditions through greater decompartmentalization, job and geographical mobility. Although job mobility depends on standardized statutes of service, the difficulties facing the Ministry of Social Affairs include its current teething problems. Its recent creation, lack of tradition and statutes may prove to be strong points in facing the challenges of growth and modernization.
Source : Éditeur (via Persée)
Article en ligne https://www.persee.fr/doc/rfap_0152-7401_1987_num_43_1_1838