Deciding in turmoil: four university hospitals facing Covid-19

Décider dans la tourmente: quatre CHU face à la Covid-19

Sandra Bertezene (), David Vallat () and Philippe Michel
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Sandra Bertezene: LIRSA - Laboratoire interdisciplinaire de recherche en sciences de l'action - CNAM - Conservatoire National des Arts et Métiers [CNAM]
David Vallat: MAGELLAN - Laboratoire de Recherche Magellan - UJML - Université Jean Moulin - Lyon 3 - Université de Lyon - Institut d'Administration des Entreprises (IAE) - Lyon, IEP Lyon - Sciences Po Lyon - Institut d'études politiques de Lyon - Université de Lyon
Philippe Michel: RESHAPE - Inserm U1290 - UCBL1 - Research on Healthcare Performance - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - INSERM - Institut National de la Santé et de la Recherche Médicale

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Abstract: The objective of this article is twofold : to better understand the organizational decision-making process mobilized by hospitals during the first year of the Covid-19 pandemic in order to deal with this crisis; and verify how similar this process is to that deployed by High Reliability Organizations (HROs). The results of this exploratory research carried out in four university hospitals show that the decision-making process manifests itself differently during three successive periods : at the start of the appearance of Covid-19 in our country, the process is that of a Weberian bureaucracy; during the first wave until its end it becomes flexible, agile; and finally, from the second wave, it resumes its initial bureaucratic character. The last part highlights the contributions of HRO theory to management science and the management of French hospitals.

Keywords: HRO; Covid-19; Decision making process; Hospitals; Haute fiabilité organisationnelle; Hôpitaux (search for similar items in EconPapers)
Date: 2023-06
Note: View the original document on HAL open archive server: https://hal.science/hal-04221984v1
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Published in Politiques et Management public, 2023, 40 (2), pp.225-253. ⟨10.3166/pmp.40.2023.0013⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04221984

DOI: 10.3166/pmp.40.2023.0013

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