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Innovations managériales et management de proximité au sein des organisations de santé

Abstract : The increasing growth of health expenditure, accentuated by changes in health needs, has inevitably led to the introduction of a budgetary constraint within hospitals. These budgetary restrictions, denounced by the health professionals, caused a real discomfort within the hospitals imposing to envisage organizational reforms. Managerial innovations have thus become a possible response to the hospital crisis. However, their implementation may be hampered by obstacles related to the structural complexity of health organizations and the plurality of actors involved in them. The literature highlights the key role of the proximity manager in helping to overcome resistance by supporting the creation of a sense of innovation.Our research aims to specify the methods of influence of the proximity manager on the implementation of managerial innovation and its adoption by the actors of the organization. Based on an intervention research carried out in immersion for six months in a Luxembourg hospital, we support the implementation of a managerial innovation, Lean Management, within an outpatient chemotherapy service faced with organizational difficulties.The results of the research highlight the influence of the local manager on the adoption of managerial innovation and reveal factors that moderate the ability to mobilize these levers. Structural adjustments and the introduction of managerial support for the manager's autonomy support his missions to deploy innovation
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Submitted on : Tuesday, March 10, 2020 - 9:48:38 AM
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Noura Zaghmouri. Innovations managériales et management de proximité au sein des organisations de santé. Gestion et management. Université de Lorraine, 2019. Français. ⟨NNT : 2019LORR0194⟩. ⟨tel-02503543⟩



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