Institutional Change: Alignment And Organisational Development in a French Hospital using Collective Action
Résumé
Nowadays, change management is becoming an increasingly essential concern for various companies all over the world. The restructuring of complex organizations, as those in the healthcare industry, is highly influenced by recent economic, technological and regulatory changes in health sectors. To understand the impact of these restructuring movements, one must analyze the changes affecting the various hierarchical levels of the healthcare organization. Under the French socio-economic context, healthcare institutions are currently undergoing multiple strategic and operational transformations, which require professionals to adapt their skills and capacities accordingly. In fact, the impact of medical, technical and digital innovations is driving the concerned structures to emphasize value in their adaptations. For a successful implementation, it is necessary that concerned parties intervene. These latters are then encouraged to focus on updating the organization's strategy, improving human resources development and adjusting necessary patterns and processes. Therefore, this research relies on analyzing organizational performance from a collective action perspective. We aim to examine the managerial expectations of a study sample of managers, professionals, and staff in a French hospital undergoing full reconstruction. To this end, a qualitative and experimental approach are applied to identify the difficulties and understand how this sample participates in optimizing the hospital’s structure and eventually optimizing the patient experience.