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Quand l'évaluation modifie les institutions : Comment l'hôpital est transformé par les indicateurs qualité

Abstract : In recent decades, the French hospital sector has undergone many rationalization reforms. Among them, new payment instruments have attracted the most attention and criticisms. Yet, in the shadow of these highly visible reforms, another process has been quietly taking place. Various institutional devices aiming to assess quality of care have been deployed. This policy brief aims to investigate this silent but decisive evolution, by analyzing the implementation of “quality indicators” (QIs) in French hospitals since the mid2000s. These instruments have been built as a soft technology carrying a soft rationalization of the hospital sector. They colonize French institutions with discretion. Yet, they instill decisive changes such as an increased traceability of care, a growing local anchorage of evidence-based medicine and an increased auditability of hospitals.
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Submitted on : Friday, May 12, 2017 - 2:55:22 PM
Last modification on : Friday, October 15, 2021 - 5:20:03 PM
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Hugo Bertillot. Quand l'évaluation modifie les institutions : Comment l'hôpital est transformé par les indicateurs qualité. LIEPP Policy Brief, Laboratoire interdisciplinaire d’évaluation des politiques publiques (LIEPP), 2015, pp.1 - 7. ⟨hal-01521922⟩

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