Abstracts
Résumé
Les modes managériales se succèdent depuis des décennies dans les organisations publiques de services humains complexes. Aucune ne peut revendiquer des fondements solides ou un réel succès. La combinaison de fusion d’établissements, d’intégration régionale et de gestion axée sur les résultats fonde les dernières réformes en date dans le secteur de la santé et des services sociaux. Il s’agit d’une mode managériale sans fondement sérieux au regard des sciences de l’organisation et qui pousse l’ensemble du système vers le modèle de la grande entreprise divisionnalisée. Sous l’effet de ce modèle, nos organisations risquent de devenir toujours plus grosses, plus formelles, plus abstraites, plus impersonnelles, plus superficielles, vides d’engagements et de jugements éclairés.
Abstract
In the past decades, there has been a steady stream of managerial models in complex human services organizations. None can claim solid foundations or real success. The combination of institutional mergers, regional integration and results-based management underlies the latest reforms in the health and social services sector. This is a managerial model without serious foundation in organizational science and it pushes the whole system toward the model of the divisionalized large-scale organization. Under this model, our organizations risk becoming ever larger, more formal, more abstract, more impersonal and more superficial, void of commitment and informed judgment.
Appendices
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