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Projets de changement organisationnel et pratique de la pharmacie hospitalière au Québec: des espaces techniques à l’espace stratégique

Author

Listed:
  • Jacques-Bernard Gauthier

    (Université du Québec (Outaouais))

  • Ronan Hério

    (Université du Québec en Outaouais)

  • Johanne Paradis

    (Centre de santé et de services sociaux de Gatineau)

Abstract
Dans les systèmes de santé contemporains, le changement organisationnel repose surtout sur des modèles de gestion à la mode ciblant la performance, mais méconnaissant les pratiques qui ont cours dans les organisations qu’ils visent. Ainsi, si le travail des médecins et personnels infirmiers est par exemple relativement connu, ce n’est pas le cas de celui de la pharmacie d’établissement qui connaît pourtant d’importants changements. Parce qu’elle permet de mettre en évidence la relation réciproque entre action et structures organisationnelles et institutionnelles, nous avons choisi d’explorer cette pratique de la pharmacie hospitalière à partir de la théorie de la structuration. Le matériel empirique a été recueilli par observations et entrevues au sein d’un département de pharmacie d’un hôpital québécois. L’analyse des interactions entre ses agents met en évidence deux espaces de structuration des pratiques : technique et stratégique. Après les avoirs définis et illustrés par des exemples, nous relevons les implications managériales de ce résultat. Change management in contemporary healthcare systems usually relies on trendy tools aimed at increasing performance without consideration for the practices actually going on within healthcare organisations. Some of these practices are well documented, like those pertaining to the medical profession or to nursing, but others are mostly ignored. This is particularly the case of hospital pharmacy practice, which is undergoing major changes mostly unnoticed to healthcare organisations researchers. In order to address this issue we used a structuration theory framework to better understand how actual practices and change projects are affecting each other. Qualitative data collected through observations and interviews in a regional hospital from Quebec show how pharmacy hospital practice is structured through two complementary spaces: the technical space and the strategic space. We discuss how our findings might challenge the way change projects are managed within the context of hospital pharmacy practice.

Suggested Citation

  • Jacques-Bernard Gauthier & Ronan Hério & Johanne Paradis, 2014. "Projets de changement organisationnel et pratique de la pharmacie hospitalière au Québec: des espaces techniques à l’espace stratégique," RePAd Working Paper Series UQO-DSA-wp012014, Département des sciences administratives, UQO.
    • Handle: RePEc:pqs:wpaper:012014
    as

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    File URL: http://www.repad.org/ca/qc/uq/uqo/dsa/RePAd012014.pdf
    File Function: First version, 2014
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    References listed on IDEAS

    as
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    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Pratique de la pharmacie hospitalière; management des projets de changement Organisationnel; structuration de l’espace; Hospital pharmacy practice; Organizational change project management; Space structuration.;
    All these keywords.

    JEL classification:

    • M10 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Business Administration - - - General

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