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首页> 外文学位 >Impacts de la reforme du reseau quebecois de la sante et des services sociaux (2003) sur la representation qu'ont les gestionnaires de leur travail.
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Impacts de la reforme du reseau quebecois de la sante et des services sociaux (2003) sur la representation qu'ont les gestionnaires de leur travail.

机译：魁北克卫生和社会服务网络改革（2003年）对管理人员工作代表的影响。

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摘要

This thesis focuses on the work of Quebec health and social services centre (CSSS) managers following the implementation of this sector's reform in 2003, by the Minister at that time, Philippe Couillard. The re-engineering of the state in which this reform occurred was based on a certain representation of public organizations inspired by the New Public Management (NPM). In concrete terms, the reform has profoundly changed the context in which manager's work in these organisations.;In this context, the objective of this research was to understand the impact of this reform on the nature of the work being performed by health and social services centre (CSSS) managers. Using a micro-sociological approach and by adopting a comprehensive epistemological position, we were interested in examining how managers define their work in terms of the role they play within the organization. Moreover, we attempted to understand whether we are witnessing a change or a consolidation in their work representation following the reform.;Methodologically, we chose to conduct a multiple case study. We selected two CSSS's and we conducted forty-nine semi-structured interviews with managers from these CSSS.;In order to identify the representation managers have of their work two ideal types representing two opposing work representation were created. These ideal types have allowed us to determine that we are witnessing a homogenization of managers' representation of their work. In addition, following the Couillard reform, health and social services centre (CSSS) managers are more likely to adhere to a managerial representation of their role.;Above all, this thesis shows how this change takes place. It appears that the CSSS structure leads to working conditions that promote management work representation to some degree and impede others. Moreover, this new structure and the working conditions that accompany it have pushed the balance of power among managers. In doing so, certain sub-groups see their representations valued, and are able to impose them on their colleagues. If some managers are skeptical about these changes, it appears that very few of them have the means to resist.
机译：本文的重点是魁北克卫生和社会服务中心（CSSS）经理在2003年当时的部长Philippe Couillard实施改革之后的工作。进行这项改革的州的重新设计是基于受新公共管理（NPM）启发的某些公共组织代表。具体而言，这项改革深刻地改变了这些组织中经理人工作的环境。在这种情况下，本研究的目的是了解这种改革对卫生和社会服务机构所从事工作性质的影响中心（CSSS）经理。通过使用微观社会学方法并采用全面的认识论立场，我们有兴趣研究管理人员如何根据他们在组织中所扮演的角色来定义其工作。此外，我们试图了解我们在改革之后是目睹他们的工作方式发生了变化还是正在巩固。；从方法上讲，我们选择进行了多案例研究。我们选择了两个CSSS，并与这些CSSS的经理进行了四十九次半结构化访谈。为了识别代表经理，他们创建了代表两个相反工作代表的两种理想类型。这些理想的类型使我们能够确定我们正在目睹经理人对其工作表示的同质化。此外，随着Couillard改革，卫生和社会服务中心（CSSS）的管理人员更有可能坚持其角色的管理代表。首先，本文说明了这种变化是如何发生的。看来，CSSS结构导致了一定程度的工作条件，这些工作条件在一定程度上促进了管理工作的代表性，并阻碍了其他方面。而且，这种新的结构及其伴随的工作条件推动了管理者之间的力量平衡。通过这样做，某些小组认为自己的代表很有价值，并能够将其强加给同事。如果一些经理对这些变化持怀疑态度，那么似乎很少有经理有能力抵抗。

著录项

  • 作者

    Bolduc, Francois.;

  • 作者单位

    Universite de Montreal (Canada).;

  • 授予单位 Universite de Montreal (Canada).;
  • 学科 Sociology Public and Social Welfare.;Sociology Industrial and Labor Relations.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2014
  • 页码 305 p.
  • 总页数 305
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
  • 关键词

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