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Titre Les carrières des directeurs d'hôpital
Auteur M. François-Xavier Schweyer, Professeur de sociologie à l'Ecole nationale de la santé publique
Mir@bel 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.
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