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Rapports de recherche

A
Afazal, A. et Gauthier, J.B. (2017). Project management and practitioners in health sector: From the Quebec Healthcare system perspective to PM literature review. Working Paper .

Résumé:
More and more health care systems are taking the project management route. The present article sets out the results of a literature review (who was produced with the help of ABI/INFORM GLOBAL and covers the period from 1979 to May 2017 inclusively) dealing with project management in the health sector. Consequently, this paper is not a comparative analysis of Quebec’s health systems vis-à-vis the rest of the world’s. Nor is it a theoretical analysis of project management and strategic health systems management. This paper is of interest to practitioners who must manage their health services and social services on a by-project basis because their organization has turned onto the project path. So, what does the discipline of Project Management (a discipline that sees itself as being oriented to practitioners) have to offer to practitioners in the health sector? Results of the literature review indicate that the information technology project management in health sector is the favorite topic of researchers. Furthermore, very little of the research on health sector project management is published in the project management discipline’s journals and, on the other hand, a minority of the articles reviewed make reference to the works that are published in these PM Journals. Although the present article review focuses only on articles with the key words “Health” and “Project Management”, we can conclude that if project management wishes to become a discipline associated with health, it must promote the initiation of research that clearly identifies the real issues involved in a project and its management, in relation to the primary mission of health care systems: care, health services and social services. This paper presents the importance given to project management in the health sector and the theme of health in project management. It demonstrates the lack of emphasis on project management as a lever for health care, health services and social services which is the primary mission of healthcare systems and its practitioners.
Harbour, M. et Gauthier, J.B. (2016). Le microcosme d’affaires de la publication des périodiques scientifiques. Working Paper < hal-01414879 >.

Résumé:
Ce rapport d’inscrit dans le cadre d’un projet de recherche portant la structuration du microcosme d’affaires relié aux périodiques scientifiques. Plus spécifiquement, ce projet vise à étudier la structuration des pratiques d’affaires et des pratiques stratégiques des acteurs évoluant au sein d’un microcosme d’affaires actuellement en transformation importante, soit celui de la production de la science et de la communication des résultats de cette production. Le présent rapport est un des volets de ce projet et il porte sur la structuration du microcosme d’affaires de la publication des périodiques scientifiques. La publication d’articles dans des périodiques scientifiques connaît une croissance bien supérieure à la croissance du nombre de scientifiques. Malgré ces croissances qui traduisent sans nul doute le dynamisme du monde de la publication des périodiques scientifiques et une plus grande accessibilité à la publication, les scientifiques expriment beaucoup d’inconfort envers cette partie importante de leurs activités de recherche. Ces inconforts ne sont souvent exprimés que du seul point de vu des acteurs des champs scientifiques, c’est-à-dire selon une perspective scientifico-centriste. Or, la publication de périodiques scientifiques interpelle un ensemble d’acteurs issus de différentes industries: Les fournisseurs, les éditeurs, les agrégateurs, les clients, les associations. Nous avons voulu pour notre part adopter une perspective économico-centriste. L’objectif de ce rapport est donc de présenter ces acteurs par le biais de leur structure corporative et de leurs liens. Au terme de notre étude, nous pouvons constater que les principaux acteurs économiques forment un microcosme évoluant autour de deux oligopoles œuvrant sur les marchés internationaux (un dans l’industrie de la publication et l’autre dans l’industrie de l’agrégation) composés essentiellement de firmes privées, notamment des firmes d’investissement privé, et qu’elles évoluent dans un marché à faible croissance. Nous avons également constaté que la dynamique de ce microcosme est mue par un ensemble d’alliances stratégiques.
Paradis, J. et Gauthier, J.B. (2016). Theoretical Foundations of Hospital Pharmacy Management. Working Paper < hal-01390202 >.

Résumé:
The lack of interest of researchers in relation to question of hospital pharmacy management, and the status quo of existing managerial practices serving the reforms, justifies analysis of theoretical foundations of hospital pharmacy management. The objective is twofold. First, provide an overview of the socio-historical eras of the organizational theories in order to position the hospital pharmacy management on the axis of the changing ways of thinking about the organization and management. Secondly, reconsider hospital pharmacy management by the structuration theory (new direction in organization theory). A systematic literature review of the Canadian Journal of Hospital Pharmacy, from 2010 to this day, was performed. The analysis of the theoretical notions discussed in the articles shows that the management of the hospital pharmacy departments stands on the concepts associated with the 'Modern era' of organizational theories. As a result, the hospital pharmacy management focuses on technical aspects. The reconsideration by structuration theory point out the strategic issues for hospital pharmacy practice underlie the interaction between the actors of the pharmacy department and the other stakeholders of the health system. A proper management of the hospital pharmacy department goes beyond the technical aspects. It should also target the development of strategic professional skills of the pharmacists. That said, a substantial work remains to be done to understand the ins and outs of the structuration of the pharmacy practice and the management of its strategic-professional aspects.
Afzal, A. et Gauthier, J.B. (2014). Le projet Clinique du Ministère de la Santé et des Services sociaux du Québec sous la loupe du cadre logique. RePAd Working Paper No. 042014.  Québec: Université du Québec en Outaouais et le Laboratoire de recherche en statistique et probabilité.

Résumé:
Le Québec a fait du Projet (Clinique) le pivot de son système de santé.  Si sur le plan stratégique cela dénote une certaine audace, sur le terrain le Projet Clinique tarde à s’implanter.  Bien que le management de projet soit une approche de gestion privilégiée par le Ministère de la Santé et des Services sociaux du Québec, les documents stratégiques cadrant le Projet Clinique ne reposent pas sur une méthode largement répandue en management de projet, celle du cadre logique.  Dans ce working paper, nous soumettons le Projet Clinique à la méthode du cadre logique de sorte à faire ressortir certains défis, risques et enjeux.
Gauthier, J.-B., Hério, R et Paradis, J. (2014). Projets de changement organisationnel et pratique de la pharmacie hospitalière au Québec: des espaces techniques à l’espace stratégique. RePAd Working Paper No. 012014.  Québec: Université du Québec en Outaouais et le Laboratoire de recherche en statistique et probabilité.

Résumé:
Dans les systèmes de santé contemporains, le changement organisationnel repose surtout sur des modèles de gestion à la mode ciblant la performance, mais méconnaissant les pratiques qui ont cours dans les organisations qu’ils visent. Ainsi, si le travail des médecins et personnels infirmiers est par exemple relativement connu, ce n’est pas le cas de celui de la pharmacie d’établissement qui connaît pourtant d’importants changements. Parce qu’elle permet de mettre en évidence la relation réciproque entre action et structures organisationnelles et institutionnelles, nous avons choisi d’explorer cette pratique de la pharmacie hospitalière à partir de la théorie de la structuration. Le matériel empirique a été recueilli par observations et entrevues au sein d’un département de pharmacie d’un hôpital québécois. L’analyse des interactions entre ses agents met en évidence deux espaces de structuration des pratiques : technique et stratégique. Après les avoirs définis et illustrés par des exemples, nous relevons les implications managériales de ce résultat.
Gauthier, J.-B. et Boisseau, J.F. (2009). The practice of pharmacy as a social system: Giddens’ sociological structuration theory. Cahier du GIRESSS (numéro 14).  Québec: Université du Québec en Outaouais.

Résumé:
In the series of articles published to date by the International Journal of Pharmacy Practice on the relevance of sociological theory to pharmacy practice (Bissell & Morgall Traulsen, 2005; Bissell, Morgall Traulsen, & Stig Haugbølle, 2002a, 2002b, 2002c, 2003; Morgall Traulsen & Bissell, 2003, 2004; Morgall Traulsen, Bissell, & Stig Haugbølle, 2003; Ryan, Bissell, & Morgall Traulsen, 2004) the authors have placed the emphasis on either structure or agency.  Through his theory of structuration, British sociologist Anthony Giddens (Giddens, 1979, 1981, 1984, 1993) has sought to move beyond the dualism between structure and agency by placing the structure/action dialectic at the heart of the social system defined as practice. From this perspective, pharmacy practice can be viewed as a social system in which actors, through their everyday actions, contribute to the permanent production and reproduction of the system. In this paper, we begin by presenting the key concepts of structuration theory in order then to examine community pharmacy practice as a social system in perpetual reproduction. We close with an exploration of future avenues of research in community pharmacy practice.

Working Papers

A
Afazal, A. et Gauthier, J.B. (2017). Project management and practitioners in health sector: From the Quebec Healthcare system perspective to PM literature review. Working Paper .

Abstract:
More and more health care systems are taking the project management route. The present article sets out the results of a literature review (who was produced with the help of ABI/INFORM GLOBAL and covers the period from 1979 to May 2017 inclusively) dealing with project management in the health sector. Consequently, this paper is not a comparative analysis of Quebec’s health systems vis-à-vis the rest of the world’s. Nor is it a theoretical analysis of project management and strategic health systems management. This paper is of interest to practitioners who must manage their health services and social services on a by-project basis because their organization has turned onto the project path. So, what does the discipline of Project Management (a discipline that sees itself as being oriented to practitioners) have to offer to practitioners in the health sector? Results of the literature review indicate that the information technology project management in health sector is the favorite topic of researchers. Furthermore, very little of the research on health sector project management is published in the project management discipline’s journals and, on the other hand, a minority of the articles reviewed make reference to the works that are published in these PM Journals. Although the present article review focuses only on articles with the key words “Health” and “Project Management”, we can conclude that if project management wishes to become a discipline associated with health, it must promote the initiation of research that clearly identifies the real issues involved in a project and its management, in relation to the primary mission of health care systems: care, health services and social services. This paper presents the importance given to project management in the health sector and the theme of health in project management. It demonstrates the lack of emphasis on project management as a lever for health care, health services and social services which is the primary mission of healthcare systems and its practitioners.
Harbour, M. et Gauthier, J.B. (2016). Le microcosme d’affaires de la publication des périodiques scientifiques. Working Paper < hal-01414879 >.

Abstract of Business microcosm related to scientific periodicals (in french - no translations available):

This report is part of a research project on the structuring of business microcosm related to scientific periodicals. More specifically, this project aims to study the structuring of business practices and strategic practices of the actors operating within a business microcosm currently undergoing major transformation, namely the production of science and the communication of their results. This report is one of the components of this project and focuses on the structuring of the business microcosm within publication of scientific periodicals. The publication of articles in scientific periodicals is growing much faster than the growing number of scientists. Despite these increases, which undoubtedly reflect the dynamism in the world of the publication of scientific periodicals and greater accessibility to publication, scientists express great discomfort at this important part of their research activities. These discomforts are often expressed only from the point of view of the actors of the scientific fields, that is to say, from a scientific-centrist perspective. However, the publication of scientific periodicals involves a group of actors from different industries: suppliers, publishers, aggregators, customers, associations. For our part, we wanted to adopt an economic-centrist perspective. The aim of this report is therefore to present these actors through their corporate structure and their connections. At the end of our study, we can see that the main economic actors form a microcosm evolving around two oligopolies working on international markets (one in the publishing industry and the other in the aggregation industry) composed mainly of private firms, including private investment firms, and that they operate in a low-growth market. We also found that the dynamics of this microcosm is driven by a set of strategic alliances.
Paradis, J. et Gauthier, J.B. (2016). Theoretical Foundations of Hospital Pharmacy Management. Working Paper < hal-01390202 >.

Abstract:
The lack of interest of researchers in relation to question of hospital pharmacy management, and the status quo of existing managerial practices serving the reforms, justifies analysis of theoretical foundations of hospital pharmacy management. The objective is twofold. First, provide an overview of the socio-historical eras of the organizational theories in order to position the hospital pharmacy management on the axis of the changing ways of thinking about the organization and management. Secondly, reconsider hospital pharmacy management by the structuration theory (new direction in organization theory). A systematic literature review of the Canadian Journal of Hospital Pharmacy, from 2010 to this day, was performed. The analysis of the theoretical notions discussed in the articles shows that the management of the hospital pharmacy departments stands on the concepts associated with the 'Modern era' of organizational theories. As a result, the hospital pharmacy management focuses on technical aspects. The reconsideration by structuration theory point out the strategic issues for hospital pharmacy practice underlie the interaction between the actors of the pharmacy department and the other stakeholders of the health system. A proper management of the hospital pharmacy department goes beyond the technical aspects. It should also target the development of strategic professional skills of the pharmacists. That said, a substantial work remains to be done to understand the ins and outs of the structuration of the pharmacy practice and the management of its strategic-professional aspects.
Afzal, A. et Gauthier, J.B. (2014). Le projet Clinique du Ministère de la Santé et des Services sociaux du Québec sous la loupe du cadre logique. RePAd Working Paper No. 042014.  Québec: Université du Québec en Outaouais et le Laboratoire de recherche en statistique et probabilité.

Abstract of The Clinical Project of the Ministère de la Santé et des Services sociaux du Québec (Quebec department of health and social services) is examined under the magnifying glass of the logical framework (in french - no translations available):

Quebec has made the (Clinical) Project the hub of its health system. While this may indicate a certain amount of daring in terms of strategic planning, the implementation of the Clinical Project is slow. Even though project management is a managerial approach favored by the Ministère de la Santé et des Services sociaux du Québec (ministry of health and social services), the strategic framework documents for Clinical Projects are not based upon a widely-used management method, namely, the logical framework. In the present working paper, we will use the logical framework method on the Clinical Project in order to bring out certain challenges, risks and issues.
Gauthier, J.-B., Hério, R et Paradis, J. (2014). Projets de changement organisationnel et pratique de la pharmacie hospitalière au Québec: des espaces techniques à l’espace stratégique. RePAd Working Paper No. 012014.  Québec: Université du Québec en Outaouais et le Laboratoire de recherche en statistique et probabilité.

Abstract of Projects of Organizational Change and Quebec Hospital pharmacy practice: technical spaces to strategic space (in french - no translations available):

Change management in contemporary healthcare systems usually relies on trendy tools aimed at increasing performance without consideration for the practices actually going on within healthcare organisations. Some of these practices are well documented, like those pertaining to the medical profession or to nursing, but others are mostly ignored. This is particularly the case of hospital pharmacy practice, which is undergoing major changes mostly unnoticed to healthcare organizations researchers. In order to address this issue we used a structuration theory framework to better understand how actual practices and change projects are affecting each other. Qualitative data collected through observations and interviews in a regional hospital from Quebec show how pharmacy hospital practice is structured through two complementary spaces: the technical space and the strategic space. We discuss how our findings might challenge the way change projects are managed within the context of hospital pharmacy practice.
Gauthier, J.-B. et Boisseau, J.F. (2009). The practice of pharmacy as a social system: Giddens’ sociological structuration theory. Cahier du GIRESSS (numéro 14).  Québec: Université du Québec en Outaouais.

Abstract:
In the series of articles published to date by the International Journal of Pharmacy Practice on the relevance of sociological theory to pharmacy practice (Bissell & Morgall Traulsen, 2005; Bissell, Morgall Traulsen, & Stig Haugbølle, 2002a, 2002b, 2002c, 2003; Morgall Traulsen & Bissell, 2003, 2004; Morgall Traulsen, Bissell, & Stig Haugbølle, 2003; Ryan, Bissell, & Morgall Traulsen, 2004) the authors have placed the emphasis on either structure or agency.  Through his theory of structuration, British sociologist Anthony Giddens (Giddens, 1979, 1981, 1984, 1993) has sought to move beyond the dualism between structure and agency by placing the structure/action dialectic at the heart of the social system defined as practice. From this perspective, pharmacy practice can be viewed as a social system in which actors, through their everyday actions, contribute to the permanent production and reproduction of the system. In this paper, we begin by presenting the key concepts of structuration theory in order then to examine community pharmacy practice as a social system in perpetual reproduction. We close with an exploration of future avenues of research in community pharmacy practice.