Les défaillances de la régulation publique des EHPAD révélées par la crise COVID

Laura Nirello, Ilona Delouette, Marion Studer, Florence Jany-Catrice and Amélie Lefebvre-Chombart
Additional contact information
Laura Nirello: CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique
Ilona Delouette: CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique
Marion Studer: CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique

Post-Print from HAL

Abstract: This article examines the regulation of the nursing home (Ehpad) sector in the light of the COVID-19 crisis. It is based on an investigation carried out through semi-structured interviews in a particular region of France with the sector's public regulators and with the management and other employees of eight establishments. We show that in the first three weeks of the COVID-19 crisis, the public supervisory bodies in the region under investigation (the regional health agency (ARS) and departmental councils), caught up applying routine administrative, managerial, and standardized regulations, first failed in their duties and then lost coherence, leading to a situation of radical uncertainty for the Ehpad's management and other staff. In the absence of stable, dependable public regulation, the Ehpad all set up a "system D" based on informal, territorial networks. Subsequently, the ARS and the Ehpad re-established a joint and personalized regulatory system, taking into account the needs of the establishments, which sector actors would have liked to make permanent.

Keywords: COVID-19; Nursing homes; Regulation; ARS; Regulatory authority; COVID; EHPAD; Régulation; Tutelle (search for similar items in EconPapers)
Date: 2024-01-01
References: Add references at CitEc
Citations:

Published in Gérontologie et Société, 2024, Gérontologie et société, 46 (173), pp.43-61. ⟨10.3917/gs1.173.0043⟩

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04577431

DOI: 10.3917/gs1.173.0043

Access Statistics for this paper

More papers in Post-Print from HAL
Bibliographic data for series maintained by CCSD ().