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Les carrières des directeurs d'hôpital

Abstract : Hospital directors constitute a French-style statutory profession. Analysis shows how the link has slowly been forged between a career in terms of rank or hierarchy and one based on professional experience. Historically, career management can be divided into three periods. The pre-bureaucratic period was characterized by the mobilization of a professional group that between 1941 and 1969 continually demanded improved status: the competitive examination for access to the profession had no real impact on the make-up of the professional body and there was no definite career profile. Then, during the bureaucratic period between 1969 and 1988, a hospital policy led by the state was gradually put in place, along with a true career model: recruitment by an effective, impartially graded, competitive exam, and the appearance of differentiated functions. From 1988 onward came a third period, under the banner of modernization and the adoption of the categories of new public management: career strategies and profiles became diversified and a recognition of competencies slowly emerged. Although this last period has continued to align itself with the bureaucratic rationale of a statutory career, it now takes into account the career itself, assessed in terms of the posts occupied. So far, whatever opposition may exist between these two notions has been overcome thanks to the fact that hospital directors have been in control of producing their elites and that competence has been based on professional criteria.
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Submitted on : Monday, July 1, 2019 - 1:08:07 PM
Last modification on : Monday, April 27, 2020 - 7:55:02 PM

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François-Xavier Schweyer. Les carrières des directeurs d'hôpital. Revue française d'administration publique, ENA, 2005, 116 (4), pp.623-638. ⟨10.3917/rfap.116.0623⟩. ⟨hal-02169620⟩

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