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La coordination d’acteurs multiples en situation extrême. Le cas des transferts extrarégionaux de patients Covid-19

Abstract : On what dimensions is the coordination of an extreme situation such as Covid-19 patient transfer operations based ? To answer this question, we rely on works analysing extreme situations, and more specifically on the literature studying the dimensions at the origin of the coordination of these situations. We base ourselves on a qualitative study combining interviews with clinicians and representatives of the health authorities involved with a documentary analysis. In total, we conducted forty semi-structured interviews, most of which were conducted by videoconference given the health context. The analysis of the results shows that the organisation of extra-regional transfers, which involves a plurality of organisations, is based on the interweaving of seven dimensions inscribed in various temporalities : 1) the standardised inter-hospital transfer system ; 2) the experience of professionals in crisis management ; 3) the collective construction of meaning ; 4) new intra- and inter-organisational cooperation ; 5) relationships of trust between professionals ; 6) the role of the leadership of the central administration, which leads to a reconfiguration of roles ; 7) the primacy of logistics and operations. These elements together have made it possible to ensure the effectiveness of these transfers.
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https://hal.ehesp.fr/hal-03748387
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Submitted on : Tuesday, August 9, 2022 - 2:28:42 PM
Last modification on : Friday, August 26, 2022 - 2:29:17 PM

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Paula Cucharero Atienza, Laetitia Laude, Olivier Grimaud, Anne Girault. La coordination d’acteurs multiples en situation extrême. Le cas des transferts extrarégionaux de patients Covid-19. RIMHE : Revue Interdisciplinaire Management, Homme(s) & Entreprise, Association pour la recherche interdisciplinaire sur le management des entreprises, 2022, n° 47, Vol. 11 (2), pp.31-56. ⟨10.3917/rimhe.047.0031⟩. ⟨hal-03748387⟩

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