Titre | Les carrières des directeurs d'hôpital | |
---|---|---|
Auteur | M. François-Xavier Schweyer, Professeur de sociologie à l'Ecole nationale de la santé publique | |
Revue | Revue française d'administration publique | |
Numéro | no 116, mars 2006 Gérer les carrières ? | |
Rubrique / Thématique | Gérer les carrières ? Parcours de carrière des cadres et pratiques de gestion |
|
Page | 623 | |
Résumé anglais |
Hospital Directors Careers.
Hospital directors constitute a statutory profession in the French sense. Analysis
shows how the link has slowly been forged between a career in the sense of rank or
hierarchy and one based on professional experience. Historically, career management can
be divided into three periods : first a pre-bureaucratic period characterised by the
mobilisation of a professional group which, between 1941 — 1969 continually
demanded improved status (the competitive examination for access to the profession had
no real impact on the constitution of the professional body and there was no definite
career profile); then, during the bureaucratic period, from 1969 to 1988, a hospital policy
led by the state was gradually put in place, along with the constitution of a true career
model (recruitment by an effective, impartially marked competitive examination, and the
appearance of differentiated functions); and finally a third period under the banner of
modernisation and the adoption of the categories of new public management : from 1988
onwards, career strategies and profiles became diversified and a recognition of competencies slowly emerged. Although this last period has continued to align itself along the
bureaucratic rationale of a statutory career, it now takes into account the career itself,
assessed in terms of the posts occupied. So far, whatever opposition may exist between
these two notions has been overcome thanks to the fact that the corps of hospital directors
has been in control of the production of its elites and that the recognition of competence
has been based on professional criteria. Source : Éditeur (via Cairn.info) |
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Article en ligne | http://www.cairn.info/article.php?ID_ARTICLE=RFAP_116_0623 |