Le « dispositif de gestion » : un cadre méthodologique pour l’analyse psychosociale du « Patient-centered care » dans un hôpital parisien

Abstract

This article explores the implementation of Patient-Centered Care approaches that have been spreading since the 2000s in French hospitals. Questioning their acceptance, the authors mobilize the framework of analysis of the management dispositive, applied to the orthopedic department of a Parisian hospital (3 weeks of observations and 43 interviews). They identify the socio-material resources mobilized (spaces, instruments and language) and their arrangement under the influence of an ideology. The article underlines the hybrid and situated nature of the arrangements as well as the reciprocal influences between the resources of the arrangement. The article thus extends the reflection on situated acceptance, showing that the dispositive studied is not fixed, but is the result of a collective activity, both mediated and subject to retroactions.