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International audience; The proliferation of quality labels for the same food product questions the relevance of labeling schemes. Based on the theory of legitimacy and research on food-related consumer behavior, this study aims to examine the influence of the perceived legitimacy of a label (PDO) on consumers' perceptions of the quality and purchase intentions of the labeled product. A conceptual model was, therefore, developed to estimate the influence of four dimensions of legitimacy on the perceived quality and purchase intention of PDO-labeled cheese, French cheeses being products whose quality is traditionally linked to their regional origin. Our model was tested on a sample of 600 consumers representative of the French population. Using Partial Least Square Structural Equation Modeling, results show that for surveyed consumers, the pragmatic, regulative, and moral legitimacy of the PDO label positively influences the perceived quality of PDO-labeled cheese. Furthermore, pragmatic legitimacy has a substantial and direct influence on purchase intention, whereas both regulative and moral legitimacy influence purchase intention only indirectly through perceived quality. Unexpectedly, our findings do not show a significant influence of cognitive legitimacy either on perceived quality or purchase intention. The output of this research contributes to a better understanding of the link between a label's legitimacy, perceived quality, and purchase intention.

BackgroundPolitical and managerial reforms affect the health sector by translating into governance tensions. As identified in the public management literature, these tensions come from the diffusion of management principles and practices from the business world. These tensions manifest at four levels: institutional, organisational, managerial and instrumental. The aim of this research is to understand how these tensions are expressed in healthcare organisations of different status.MethodsWe conduct a contrasting case study exploring the cases of two French healthcare organisations, one private for-profit (clinic) and one public not-for-profit (cancer treatment centre). Our analyses are mainly based on the content analysis of 32 semi-structured interviews conducted with staff (nurses, doctors, management and administrative staff) of these two organisations.ResultsOur results show that these tensions can be distinguished into three categories (tensions on professional values, standards and practices) which are expressed differently depending on the type of healthcare organisation and its main management characteristics.ConclusionsUnexpectedly, in the for-profit organisation, the most intense tensions concern professional standards, whereas they concern professional practices in the not-for-profit organisation. These analyses can help guide policy makers and healthcare managers to better integrate these tensions into their political and managerial decisions.

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National audience

Additional file 1. Interview grid The interviewee's situation 1.The work environment 1.1. The functioning of the organization 1.2. The management 2. About tensions 3. The question of Values 4. Meaning of work

International audience; Borrowed from educational sciences, “learning” is a concept that resonates greatly throughout management studies. Recent years have witnessed growing debate about the usefulness of public sector bodies being depicted as learning organisations (Senge, 1991). Research in this domain has generally presented organisational learning - itself proximate to the construct of a learning organisation - as a lever (or even a model) for reforming public organisations (Jorgensen, 2004). The idea here has been to rethink public policy-making and action in a way that places greater emphasis on practice, practitioners and participatory approaches. A first step towards this goal is to create a climate conducive to learning and new ways of thinking. It is a view that depicts evaluation as an enabling factor that both nurtures dialogue and scrutinises current practice, thereby contributing to the collective production of new organisational knowledge (Nonaka 1994). The four articles présented contributions have in common is the questions they raise regarding the tensions that can arise between reference frameworks and practice. They invite readers to come up with other ways of looking at public sector organisations, ones more geared towards the latter’s learning culture; and towards the learning practices and situations where evaluations have a role to play.

International audience; Cet ouvrage coordonné par Stéphanie CHATELAIN-PONROY, Patrick GIBERT, Madina RIVAL, Alain BURLAUD reprend la contribution des grands auteurs à la structuration du champ du management public en permettant d'en appréhender la singularité.Le management public est intimement lié aux thèmes de la puissance publique, de la démocratie et de leurs limites. Il est donc davantage qu’un champ d’application du management des entreprises avec lequel il entretient une relation complexe, faite d’emprunts comme de distanciation mais aussi d’apports, en particulier quand l’entreprise s’interroge sur sa responsabilité sociale et environnementale. Il emprunte également, sous un angle qui lui est propre, à bien d’autres disciplines : science politique, sociologie, droit et économie en particulier. Cet ouvrage s’efforce de dresser un portrait fidèle du management public au travers de « grands auteurs » ayant contribué à sa construction. Leur diversité témoigne des évolutions permanentes qui le traversent, de sa formation au fil d’une longue histoire et de multiples apports disciplinaires. Composé de cinq parties, l’ouvrage propose des clés de lecture pour mieux comprendre l’œuvre de chacun des 34 « grands auteurs » retenus et invite à les (re)lire. Fruit d’un travail collectif de 48 contributeurs universitaires, il s’adresse aux chercheurs, jeunes comme confirmés, aux étudiants mais aussi aux acteurs publics ou aux citoyens soucieux d’une approche rigoureuse de la chose publique.This book coordinated by Stéphanie CHATELAIN-PONROY, Patrick GIBERT, Madina RIVAL, Alain BURLAUD presents the contribution of major authors to the structuring of the field of public management and allows us to apprehend its singularity.Public management is intimately linked to the themes of public power, democracy and their limits. It is therefore more than a field of application of corporate management with which it maintains a complex relationship, made up of borrowings and distancing but also contributions, particularly when the company is questioning its social and environmental responsibility. It also borrows, from its own angle, from many other disciplines: political science, sociology, law and economics in particular. This book endeavours to draw a faithful portrait of public management through the "great authors" who have contributed to its construction. Their diversity bears witness to the constant changes that have taken place in the field, to its formation over a long history and to the many contributions of different disciplines. Composed of five parts, the book offers keys to a better understanding of the work of each of the 34 "great authors" selected and invites you to (re)read them. The result of a collective work by 48 university contributors, it is intended for both young and experienced researchers, students, and also for public actors or citizens concerned with a rigorous approach to public affairs.

International audience

International audience; "Patient pathways", "care pathways", "health pathways" and "life pathways" are now concepts widely used in political and professional discourses and discussions on improving patient care (Porter, 2010). In the managerial sciences, the mobilisation of these notions suffers from an important conceptual weakness. There is very little empirical or scientific research to define precisely how to build an integrated and comprehensive management of a care pathway inside and outside the walls of health institutions (hospitals). The mapping approach can be very relevant for designing a management of territorialised care pathways by jointly representing medical and nursing resources and patient populations. The methodology used is based on the analysis of a series of maps presenting an inventory of the care offer and the socio-demographic characteristics of the territories of a specific region (the former Auvergne region). The advantage of this method is that it spatializes the socio-demographic phenomena and relates them to the characteristics of the care provision in each territory. The application of this cartographic analysis to the Auvergne territory makes it possible to define three types of health territories with homogeneous characteristics and levers of action. By superimposing the health resources of a territory and the geographical locations of potential patients, the mapping analysis makes it possible to identify the characteristics that interactions between patients and health professionals can take on in a specific territory (type, time, location of interactions). On a managerial level, this analysis allows the identification of measures and actions for managing care pathways such as the methods for locating and deploying nursing homes, or those of m-health or e-health tools, or the methods for developing training and jobs for pathway managers.; Les notions de « parcours patient », « parcours de soins », « parcours de santé », « parcours de vie » sont aujourd’hui largement mobilisées et reprises dans les discours et discussions politiques et professionnels autour de l’amélioration de la prise en charge des patients (Porter, 2010). Dans le domaine managérial, la mobilisation de ces notions souffre d’une importante faiblesse conceptuelle. Peu de réflexions empiriques ou scientifiques permettent de définir précisément comment construire le management intégré et global d’un parcours de soins dans et hors les murs des établissements de santé. L’approche de cartographie géographique peut s’avérer très pertinente pour penser un management des parcours territorialisés en représentant conjointement les ressources médicales et soignantes et les populations de patients. L'application de cette approche à l’Auvergne permet de définir trois types de territoires de santé et de repérer des leviers d'action pour un management intégré des parcours de soins.

Additional file 2. Principles of the coding approach applied to verbatims.

Additional file 1. Interview guide with patients concerning the scheduled telephone follow-up done by a nurse specialist during treatment (CCU Léon Bérard).

International audience; For more than 20 years the health sector in France has been undergoing major changes. The evolution of public values, the dissemination of new managerial principles and the mobility that characterises lifestyles and professional activities are not without consequences for the staff of health care institutions and in particular for their organizational commitment. In this context, the aim of this paper is precisely to examine the effects of attachment to organizational values and living place attachment on the organizational commitment of health institutions personnel. To this end, a structural equation model estimated according to the PLS approach is tested based on data collected from 142 people working in two French health establishments. The results show that organizational values attachment and living place attachment have a positive influence on the three dimensions of organizational commitment (affective, continuance and normative) of health institutions personnel. They also highlight the differentiated impact and contribution of these two types of attachment on each dimension of organizational commitment.Key words: organizational values; living place attachment; organizational commitment; area; health; Depuis plus de 20 ans le secteur de santé en France connait d’importantes modifications. L’évolution des valeurs publiques, la diffusion de nouveaux principes managériaux, la mobilité qui caractérise les modes de vie et activités professionnelles ne sont pas sans conséquence sur les personnels des établissements de santé et en particulier sur leur implication organisationnelle. Dans ce contexte, cet article propose d’examiner les effets de l’attachement aux valeurs organisationnelles et de l’attachement au lieu de vie sur l’implication organisationnelle des personnels des établissements de santé en recourant à un modèle d’équations structurelles estimé selon l’approche PLS. Les données ont été collectées auprès de 142 personnes travaillant dans deux établissements de santé français. Les résultats montrent que l’attachement aux valeurs organisationnelles et l’attachement au lieu de vie ont une influence positive sur les trois dimensions de l’implication organisationnelle (cognitive, affective et normative) des personnels de santé. Ils mettent également en exergue l’impact et la contribution différenciés de ces deux types d’attachement sur chacune des trois dimensions de l’implication organisationnelle.Mots clefs : valeurs organisationnelles ; attachement au lieu de vie ; implication organisationnelle ; territoire ; santé

International audience; In a context where cancer is the leading cause of death in France, there is a real interest in identifying the perception that patients have of their care path in order to improve the perceived quality of their experience. It could ultimately help to act positively on the acceptance by the patient of a difficult situation to live and now considered as chronic. Based on an analysis of 956 speeches of breast cancer patients posted on a discussion forum, the aim of this research is to reconstruct the path experienced by patients in their experience of the disease. This contribution explores the three key stages in the pathway of these patients. It highlights a myriad of critical touch points leading to an alteration in the perception of care on which the institutions need to pay special attention. This research also highlights two important extra-pathway stages: the pre-pathway stage and the post-pathway stage.

International audience

International audience

International audience