Crises des années quatre-vingt-dix, ajustements budgétaires et dépenses sociales dans les pays nordiques de l'Union européenne

Gilles, Christel; Lelièvre, Michèle

doi:10.3917/rfas.034.0017

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…These features are extensively depicted in the literature on national health public systems (see for example Ferlie (1992), Ferlie et al (1996), Carr‐Hill et al (1997), and Exworthy et al (1999) for an analysis of the evolution of the British National Health Service; McHugh (1996), Gilles and Lelièvre (2003), and Kautto and Uusitalo (2003) for an analysis of Scandinavian reforms; Dufour and Lamothe (2000), and Lozeau et al (2002) for the case of Quebec; and Gruca and Nath (1994), Shortell et al (1995), Ginter et al (2002), and Adler (2003) for the case of the US hospitals).…”

Section: Notesmentioning

confidence: 99%

Strategic responses to a high‐turbulent environment

Cueille

2006

International Journal of Public Sector Management

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PurposeThis paper aims to characterize the French public hospitals (FPHs) according to their strategic behaviour. Until recently, FPHs used to ignore strategic issues, for their mission was clearly defined by regulating authorities and their activities were quasi‐automatically funded by the latter. This situation fundamentally changed as the environment of all “health care providers” became more demanding: FPHs have now to engage in a strategic process. The paper seeks to focus on the content of FPHs' strategies, and compare our results with standard findings of the strategic management literature, notably the strategic behaviour typologies established by Miles and Snow and Zaleznik and Kets de Vries.Design/methodology/approachA three‐stage empirical approach is conducted, mixing qualitative and quantitative methods. The measurement stage, based on a questionnaire survey realized with the support of a professional union, gathered the answers of 276 FPHs' decision‐makers, representing 51 per cent of the target population. This stage allows the formation of classes among these respondents, according to the environmental, organisational, and strategic features they describe.FindingsThe results are globally consistent with Miles and Snow's and Zaleznik and Kets de Vries' typologies. This is noteworthy since they were obtained in a different context and with different methodological approaches.Research limitations/implicationsThis article tackles the issue of the universality of the strategic process.Practical implicationsFinally, implications for policy makers and hospitals' managers are drawn from the study.Originality/valueWhat mostly differentiates the paper' results from the standard typologies is that FPHs can be separated according to the alliances criterion.

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Section: Notesmentioning

confidence: 99%

Strategic responses to a high‐turbulent environment

Cueille

2006

International Journal of Public Sector Management

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A insidiosa corrosão dos sistemas de proteção social europeus

Boschetti¹

2012

Serv. Soc. Soc.

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L'évolution du financement de la protection sociale à l'aune des expériences britannique, française et danoise

Julienne¹,

Lelièvre²

2004

Revue Française Des Affaires Sociales

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Résumé La comparaison de l’évolution du financement de la protection sociale au Royaume-Uni, au Danemark et en France permet de distinguer une première période pendant laquelle de simples ajustements sans remise en cause structurelle sont mis en œuvre. À partir du début des années quatre-vingtdix, des réformes fiscales importantes interviennent pour faire face à la crise économique. L’analyse des réformes intervenues souligne l’importance du path dependancy dans les choix opérés par les gouvernements (fiscalité écologique, création de cotisations sociales, instauration de la CSG…). Néanmoins, au-delà de ces différences, les défis similaires auxquels ils sont confrontés (croissance tendancielle des dépenses, ralentissement de l’évolution de la masse salariale) semblent avoir entraîné une convergence vers une diversification de l’assiette du financement de la protection sociale sans que soient nécessairement concomitamment réformés le mode de régulation du système de protection sociale ou les conditions d’ouverture des droits.

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Crises des années quatre-vingt-dix, ajustements budgétaires et dépenses sociales dans les pays nordiques de l'Union européenne

Cited by 4 publications

References 17 publications

Strategic responses to a high‐turbulent environment

Strategic responses to a high‐turbulent environment

A insidiosa corrosão dos sistemas de proteção social europeus

L'évolution du financement de la protection sociale à l'aune des expériences britannique, française et danoise

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