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Computer Science

Managing health services according to the 'Complex Thought

Profile image of Sandra BERTEZENESandra BERTEZENE

2021, HAL (Le Centre pour la Communication Scientifique Directe)

Abstract

Health establishments have to face and cope with an uncertain and turbulent environment in their management. They are asked at the same time to cut costs and to increase their social and economic performance. Their traditional way of managing is ill equipped to solve this conundrum. Their top-down management and compartmentalization of their organizational structure are not fit to have a global strategic and operational vision that can be embraced by all the actors of the organization and deployed effectively and efficiently. This paper proposes to develop a new type of management based on the 'Complex Thought' of Edgar Morin in order to be in a favourable position to improve the performance. The use of the Complex Thought can be operationalized thanks to the 'socio-economic' approach of Savall and Zardet. This conceptual framework has been tested by a case study of an establishment for dependent elderly person in France. The epistemological conditions of health establishments, as confirmed by the case study are not favourable to the use of the Complex Thought to set up a management system. However, the recourse to the socio-economic approach an its management tools can overcome, at least in part, this obstacle and permit to an auto-eco-re-organization, according to Morin's phrase, which offers opportunities for establishments to survive and develop in today's environment.

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