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Le classement des hôpitaux: une nouvelle manière de rendre des comptes

Abstract : How to ask those who wield knowledge in a field where trust is essential to account for their actions? This is the crux of the issue in medicine. Not that medical professionals refuse the idea of accountability — on the contrary, the world of medicine has switched from opaque procedures of “self-evaluation” to an overexposure due to the rankings to which the media have given high visibility. Besides, accountability concerns not just expenditures but also the quality of care. Given the proliferation of rankings of hospitals in France, England, the United States and Canada, four forms of accountability have been distinguished depending on whether a person is held accountable to citizens, payers, patients or other professionals. But the situation is continuously shifting. The advantages, drawbacks and circumventions of current hospital rankings lead us to turn toward a new form of accountability that would represent a compromise between “control” over internal controls and the pursuit of democracy.
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Submitted on : Monday, December 13, 2021 - 11:39:50 AM
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Aurore Schilte, Etienne Minvielle. Le classement des hôpitaux: une nouvelle manière de rendre des comptes. Gérer et Comprendre. Annales des Mines - Annales des mines. Gérer et comprendre - Gérer & comprendre, Eska, 2007, 91, pp.36-47. ⟨10.3917/geco.091.0036⟩. ⟨hal-03476936⟩



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