Résumés
Résumé
L’objectif général de la thèse était de comprendre le processus d’appropriation des salles de pilotage (outils de gestion intégrée de la performance) mandatées en contexte de réforme (2015) du système de santé au Québec. Nous présentons le développement d’un nouveau devis méthodologique qualitatif, soit celui d’une étude de cas ethnographique organisationnelle multisite, et son application empirique pour reconstruire l’histoire de l’appropriation des salles de pilotage (2016-2019), à la fois comme processus et comme travail sociomatériel. L’appropriation comme processus se décuple en trois phases (implantation, test, adaptation) et selon trois trajectoires appropriatives (cognitive, structurelle, technique). L’appropriation comme travail sociomatériel permet de reformuler la recherche de performance, de perturber le travail d’imputabilité et d’effectuer une gestion intégrée de la performance en santé. L’analyse processuelle narrative multiniveau des données révèle entre autres comment l’appropriation des salles de pilotage permet de renforcer la pertinence clinique et managériale en contexte de gestion intégrée.
Mots-clés :
- Appropriation,
- outils de gestion de la performance,
- systèmes de santé,
- recherche ethnographique organisationnelle,
- sociomatérialité
Abstract
The general objective of the thesis was to understand the appropriation process of control rooms (integrated performance management tools) mandated in the context of the 2015 health system reform in Quebec, Canada. We present the development of a new qualitative methodological design - a multisite ethnographic case study – and its empirical application to reconstruct the story appropriating control rooms (2016-2019), both as an organizational process and as a form sociomaterial work. Appropriation as a process unfolds into three phases (implementation, test, adaptation) and follows three trajectories (cognitive, structural, technical). Appropriation as a sociomaterial work sequentially allows to reformulating performance management work, disrupting accountability work, and effecting value-based integrated performance management. A multi-level narrative process analysis of the data reveals how the appropriation of control rooms can strengthen the relationship between managerial and clinical relevance in the context of integrated performance management.
Keywords:
- Appropriation,
- performance management tools,
- health systems,
- organisational ethnographic research,
- sociomateriality
Parties annexes
Références
- Abid, L. (2012). La greffe des outils de gestion dans les hôpitaux publics tunisiens. Management & Avenir, 4(54), 107-125.
- Atkinson, P., & Hammersley, M. (1998). Ethnography and participant observation. Dans N. K. Denzin, & Y. S. Lincoln (Éds), Strategies of qualitative inquiry (pp. 110-136). Sage Publications.
- Allard-Poesi, F., & Perret, V. (2014). Fondements épistémologiques de la recherche. Dans R.-A. Thiétart (Éd.), Méthodes de recherche en management (pp. 14-46). Dunod.
- Bachynsky, N. (2020). Implications for policy: The triple aim, quadruple aim, and interprofessional collaboration. Nursing Forum,55(1), 54-64.
- Benoot, C., & Bilsen, J. (2016). An auto-ethnographic study of the disembodied experience of a novice researcher doing qualitative cancer research. Qualitative Health Research, 26(4), 482-489.
- Berard, E. (2013). Rôle des instruments de gestion au sein des organisations : une approche sociomatérielle. Le cas de l’usage des comptes de résultat analytique et des budgets dans un hôpital public français [Thèse de doctorat inédite]. Université Paris I Panthéon-Sorbonne, France.
- Berard, E., Flachère, I., Saulpic, O., & Zarlowski, P. (2015). Les outils financiers dans les hôpitaux : penser leur déploiement au-delà de la dimension technique. Journal de gestion et d’économie médicales, 33(7), 409-427.
- Blais-Gingras, L., & Giguère, M. (2018). Gérer la performance organisationnelle à l’aide des salles de pilotage. Nutrition science en évolution : la revue de l’Ordre professionnel des diététistes du Québec, 16(2), 13-18.
- Boutin, A. (2017). L’intégration d’une salle de pilotage tactique en soutien au système intégré de gestion de la performance dans le réseau de la santé et des services sociaux [Thèse de doctorat inédite]. Université du Québec à Trois-Rivières, QC.
- Brinkman, S., & Kvale, S. (2015). Interviews: Learning the craft of qualitative research interviewing. Aalborg, 24, 2017.
- Bruni, A. (2006). Access as trajectory: Entering the field in organizational ethnography. M@n@gement, 9(3), 137-152.
- Burrell, G., & Morgan, G. (1979). Two dimensions: Four paradigms. Dans G. Burrell, & G. Morgan (Éds), Sociological paradigms and organizational analysis (pp. 21-37). Routledge.
- Carton, S., De Vaujany, F. X., Perez, M., & Romeyer, C. (2006). Vers une théorie de l’appropriation des outils de gestion informatisés : une approche intégrative. Management & Avenir, 3, 159-179.
- Charmaz, K. (2014). Constructing grounded theory. Sage Publications.
- Choudury, A. (2016). Participant observation and non-participant observation. https://www.yourarticlelibrary.com/social-research/data-collection/participant-observation-and-non-participant-observation/64510
- Ciesielska, M., Boström, K. W., & Öhlander, M. (2018). Observation methods. Dans M. Ciesielska, & D. Jemielniak (Éds), Qualitative methodologies in organization studies (pp. 33-52). Springer.
- Cloutier, C., & Langley, A. (2020). What makes a process theoretical contribution? Organization Theory, 1(1). https://doi.org/10.1177/2631787720902473
- Côté-Boileau, É. (2021). L’appropriation des salles de pilotage au Québec : vers une gestion intégrée de la performance centrée sur la valeur dans les systèmes publics de santé [Thèse de doctorat inédite]. Université de Sherbrooke, QC.
- Côté-Boileau, É., Breton, M., & Denis, J.-L. (2021). Control rooms in publicly-funded health systems: Reviving value in healthcare governance. Health Policy, 125(6), 768-776.
- Côté-Boileau, É., Breton, M., Rouleau, L., & Denis, J.-L. (2021). Appropriating integrated performance management tools in healthcare: A sociomaterial work story. Journal of Health Organization and Management, 36(4), 397-416. https://doi.org/10.1108/JHOM-01-2021-0014
- Côté-Boileau, É., Gaboury, I., Breton, M., & Denis, J.-L. (2020). Organizational ethnographic case studies: Toward a new generative in-depth qualitative methodology for health care research? International Journal of Qualitative Methods, 19, 1-17. https://doi.org/10.1177/1609406920926904
- Cresswell, J. W. (1998). Qualitative inquiry and research design: Choosing among five traditions. Sage Publications.
- Cruz, E. V., & Higginbottom, G. (2013). The use of focused ethnography in nursing research. Nurse Researcher, 20(4), 36-43.
- Czarniawska, B. (1997). A narrative approach to organization studies. Sage Publications.
- Czarniawska, B. (2000). The uses of narrative in organization research. https://www.researchgate.net/publication/228396001_The_Uses_Of_Narrative_In_Organization_Research
- Darawsheh, W., & Stanley, M. (2014). Reflexivity in research: Promoting rigour, reliability and validity in qualitative research. International Journal of Therapy and Rehabilitation, 21(12), 560-568.
- De Vaujany, F. X. (2006). Pour une théorie de l’appropriation des outils de gestion : vers un dépassement de l’opposition conception-usage. Management & Avenir, 3(9), 109-126.
- De Vaujany, F. X., & Grimand, A. (2005). Réflexion sur la place de la perspective appropriative au sein des sciences de gestion. Dans F. X. De Vaujany (Éd.), De la conception à l’usage : vers un management de l’appropriation des outils de gestion (pp. 223-234). EMS.
- Dickinson, H., Millar, R., West, M., Leggat, S. G., Bartram, T., & Stanton, P. (2011). High performance work systems: The gap between policy and practice in health care reform. Journal of Health Organization and Management, 25(3), 281-288.
- DiMaggio, P., & Powell, W. W. (1983). The iron cage revisited: Collective rationality and institutional isomorphism in organizational fields. American Sociological Review, 48(2), 147-160.
- Dowling, M. (2006). Approaches to reflexivity in qualitative research. Nurse Researcher, 13(3), 7-21.
- Eisenhardt, K. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532-550.
- Fine, G. A., & Shulman, D. (2009). Lies from the field: Ethical issues in organizational ethnography. Dans S. Ybema, D. Yanow, H. Wels, & F. Kamsteeg (Éds), Organizational ethnography: Studying the complexities of everyday life (pp. 177-195). Sage Publications.
- Fournier, P.-L., Benormar, N., & Jobin, M.-H. (2016). Mesurer l’impact du Lean sur la performance : leçons apprises auprès de trois établissements de santé du Québec. https://polesante.hec.ca/wp-content/uploads/2010/02/FOURNIER-BENOMAR-JOBIN-et-al.-Mesurer-l%E2%80%99impact-du-Lean-sur-la-performance...-GISEH-2016.pdf
- Fournier, P.-L., & Jobin, M.-H. (2018). Understanding before implementing: The context of Lean in public healthcare organizations. Public Money & Management, 38(1), 37-44.
- Fusch, P. I., & Ness, L. R. (2015). Are we there yet? Data saturation in qualitative research. The Qualitative Report, 20(9), 1408.
- Gerring, J. (2006). Case study research: Principles and practices. Cambridge University Press.
- Gioia, D. A., Corley, K. G., & Hamilton, A. L. (2013). Seeking qualitative rigor in inductive research: Notes on the Gioia methodology. Organizational Research Methods, 16(1), 15-31.
- Grimand, A. (2006). L’appropriation des outils de gestion : vers de nouvelles perspectives théoriques? Presses universitaires de Saint-Étienne.
- Grimand, A. (2012). L’appropriation des outils de gestion et ses effets sur les dynamiques organisationnelles : le cas du déploiement d’un référentiel des emplois et des compétences. Management & Avenir, 4(54), 237-257.
- Hammersley, M. (2018). What is ethnography? Can it survive? Should it? Ethnography and Education, 13(1), 1-17.
- Hultin, L., & Mähring, M. (2014). Visualizing institutional logics in sociomaterial practices. Information and Organization, 24(3), 129-155.
- Kautz, K., & Jensen, T. B. (2012). Debating sociomateriality: Entanglements, imbrications, disentangling, and agential cuts. Scandinavian Journal of Information Systems, 24(2), 89-96.
- Kvale, S., & Brinkmann, S. (2009). Interviews: Learning the craft of qualitative research interviewing. Sage Publications.
- Lagacé, D., & Landry, S. (2016). Salles de pilotage : un nouveau mode de gestion de la performance. Gestion, 41(3), 90-93.
- Landry, S., & Beaulieu, M. (2018). Formulation et mise en oeuvre d’une stratégie logistique hospitalière : un exemple d’industrialisation. Management & Avenir, 3(1), 31-48.
- Landry, S., Beaulieu, M., & Roy, J. (2016). Strategy deployment in healthcare services: A case study approach. Technological Forecasting and Social Change, 113, 429-437.
- Landry, S., Chaussé, S., & Paris, Y. (2014). La démarche Lean au centre hospitalier universitaire de Sherbrooke : un déploiement par « contamination ». Gestion, 39(3), 97-106.
- Langley, A. (1999). Strategies for theorizing from process data. Academy of Management Review, 24(4), 691-710.
- Langley, A. (2009). Studying processes in and around organizations. Dans D. A. Buchanan, & A. Bryman (Éds), The Sage handbook of organizational research methods (pp. 409-429). Sage Publications.
- Langley, A., & Tsoukas, H. (2016). The Sage handbook of process organization studies. Sage Publications.
- Lawrence, T. B., & Phillips, N. (2019). Constructing organizational life: How social-symbolic work shapes selves, organizations, and institutions. Oxford University Press.
- Leonardi, P. M. (2013). Theoretical foundations for the study of sociomateriality. Information and Organization, 23(2), 59-76.
- Liberati, E. G., Gorli, M., Moja, L., Galuppo, L., Ripamonti, S., & Scaratti, G. (2015). Exploring the practice of patient centered care: The role of ethnography and reflexivity. Social Science & Medicine, 133, 45-52.
- Macpherson, S., Landry, S., Lagacé, D., & Gril, E. (2018). Au-delà des chiffres : le côté humain des salles de pilotage. Gestion, 43(3), 62-65.
- Marcoux-Clément, M. (2018). Proposition d’un modèle de caucus opérationnel basé sur les concepts du lean et validé au sein du système de santé et de services sociaux du Québec [Thèse de doctorat inédite]. Université du Québec à Trois-Rivières, QC.
- McDermott, A. M., Kitchener, M., & Exworthy, M. (2017). Managing improvement in healthcare: Attaining, sustaining and spreading quality. Springer.
- McIntosh, T. (2016). Rolling-out lean in the Saskatchewan health care system: Politics derailing policy. Health Reform Observer, 4(1). https://doi.org/10.13162/hro-ors.v4i1.2701
- Miles, M. B., & Huberman, A. M. (2003). Analyse des données qualitatives. De Boeck Supérieur.
- Ministère de la Santé et des Services sociaux (MSSS). (2017). Plan stratégique du ministère de la Santé et des Services sociaux du Québec 2015-2020. https://publications.msss.gouv.qc.ca/msss/document-001550/
- Moraros, J., Lemstra, M., & Nwankwo, C. (2016). Lean interventions in healthcare: Do they actually work? A systematic literature review. International Journal for Quality in Health Care, 28(2), 150-165.
- Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qualitative Health Research, 25(9), 1212-1222.
- O’reilly, M., & Parker, N. (2013). ‘Unsatisfactory saturation’: A critical exploration of the notion of saturated sample sizes in qualitative research. Qualitative Research, 13(2), 190-197.
- Orlikowski, W. J. (1992). The duality of technology: Rethinking the concept of technology in organizations. Organization Science, 3(3), 398-427.
- Orlikowski, W. J. (2007). Sociomaterial practices: Exploring technology at work. Organization Studies, 28(9), 1435-1448.
- Orlikowski, W. J. (2009). The sociomateriality of organisational life: Considering technology in management research. Cambridge Journal of Economics, 34(1), 125-141.
- Orlikowski, W. J., & Scott, S. V. (2016). Digital work: A research agenda. Dans B. Czarniawska (Éd.), A research agenda for management and organization studies (pp. 88-96). Edward Elgar Publishing.
- Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 533-544.
- Parmelli, E., Flodgren, G., Schaafsma, M. E., Baillie, N. N., Dickinson, H. O., Beyer, F. R., & Eccles, M. P. (2010). The effectiveness of strategies to change organisational culture to improve healthcare performance. Implementation Science, 6(33). https://doi.org/10.1186/1748-5908-6-33
- Phillips, N., & Lawrence, T. B. (2012). The turn to work in organization and management theory: Some implications for strategic organization. Strategic Organization, 10(3), 223-230.
- Puhlman, M. E. (2016). Lean management and six sigma potential on customer satisfaction in health insurance [Thèse de doctorat inédite]. North Central University, Minneapolis, MN.
- Radnor, Z. J., Holweg, M., & Waring, J. (2012). Lean in healthcare: The unfilled promise? Social Science & Medicine, 74(3), 364-371.
- Riccucci, N. M. (2010). Public administration: Traditions of inquiry and philosophies of knowledge. Georgetown University Press.
- Rubin, H. J., & Rubin, I. S. (2011). Qualitative interviewing: The art of hearing data. Sage Publications.
- Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity, 52(4), 1893-1907.
- Sovacool, B. K., & Hess, D. J. (2017). Ordering theories: Typologies and conceptual frameworks for sociotechnical change. Social Studies of Science, 47(5), 703-750.
- Ulmer, G., & Pallud, J. (2014). Understanding usages and affordances of enterprise social networks: A sociomaterial perspective. https://www.academia.edu/31238145/Understanding_Usages_and_Affordances_of_Enterprise_Social_Networks_A_Sociomaterial_Perspective
- Usher, S., Denis, J.-L., Préval, J., Baker, R., Chreim, S., Kreindler, S., Breton, M., & Côté-Boileau, É. (2020). Learning from health system reform trajectories in seven Canadian provinces. Health Economics, Policy and Law, 16(4), 383-399.
- Ward, A. M. (2019). The healthcare innovator’s workbook: Making lean design in healthcare happen. Productivity Press.
- World Health Organization. (2018). Handbook for national quality policy and strategy: A practical approach for developing policy and strategy to improve quality of care. https://apps.who.int/iris/handle/10665/272357
- Yin, R. K. (2003). Case study research: Design and methods. Sage Publications.
- Young, L. C., & Wilkinson, I. R. (1989). The role of trust and co-operation in marketing channels: A preliminary study. European Journal of Marketing, 23(2), 109-122.
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