The Contribution of the Sociology of Organizations to the Development of Complex Interventions in Health: Concepts, Methods, and the Example of the ORANEAT Program

Patrick Castel (), Henri Bergeron (), Renaud Crespin (), Etienne Nouguez () and Nelly Agrinier ()
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Patrick Castel: CSO - Centre de sociologie des organisations (Sciences Po, CNRS) - Sciences Po - Sciences Po - CNRS - Centre National de la Recherche Scientifique
Henri Bergeron: Sciences Po - Sciences Po
Renaud Crespin: CSO - Centre de sociologie des organisations (Sciences Po, CNRS) - Sciences Po - Sciences Po - CNRS - Centre National de la Recherche Scientifique
Etienne Nouguez: LIEPP - Laboratoire interdisciplinaire d'évaluation des politiques publiques (Sciences Po) - Sciences Po - Sciences Po
Nelly Agrinier: CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy, CIC-EC - Centre d'investigation clinique - Epidémiologie clinique [Nancy] - CIC 1433 - Centre d'investigation clinique de Nancy - CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy - INSERM - Institut National de la Santé et de la Recherche Médicale - UL - Université de Lorraine, INSPIIRE - INterdisciplinarité en Santé Publique Interventions et Instruments de mesure complexes - INSERM - Institut National de la Santé et de la Recherche Médicale - UL - Université de Lorraine, UL - Université de Lorraine

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Abstract: Identifying contextual factors is crucial for developing and evaluating prevention intervention programs that are both effective and efficient. Among these factors, organizational contexts are receiving increasing attention, although this is not always accompanied by an openness to the methods and concepts developed by organizational theory. This working paper presents the methodological approach and key concepts of a specific research tradition known as the strategic analysis of organizations or the French school of organizational sociology. This tradition emphasizes the informal structure of organized action, conceived as the result of power relations and dynamics of cooperation to carry out a given activity. This working paper demonstrates how this approach provides a useful framework for public health interventions and research. It positions the organization at the interface between the intervention and its implementation context, echoing certain public health approaches that encourage the study of the interaction between the "context system" and the "intervention system" in complex programs or interventions. The ORANEAT program on the appropriate use of antibiotics illustrates the value this approach can bring to public health research and intervention, as it has integrated this approach into every stage of the program, from its development to its evaluation.

Keywords: sociology; nursing homes; appropriate use of antibiotics; complex interventions; public health; organization; evaluation (search for similar items in EconPapers)
Date: 2026-07
Note: View the original document on HAL open archive server: https://sciencespo.hal.science/hal-05685025v1
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