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Inlfuences sustaining the medical house

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by

Charlotte Moreau

on 25 September 2015

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Transcript of Inlfuences sustaining the medical house

Cultural influences
Movement following May 68
Petrol crisis (1974)
Regulative influences
Alma Ata Declaration (1978)
Cultural influences
A medical system liberal, individualist, specialized, centered on hospitals and technologies
Normative influences
Belgian medical association ('Ordre des médecins'
Belgian medical union (Absym)
Influences refraining the medical house
Influences sustaining the medical house
Institutional work practices /
Militancy
Creating institutions
Advocacy:
federation of the medical houses, articles' redaction, call of the 300 against the medical association
Defining:

federation of the medical houses, flat-rate system
Vesting:

flat-rate system, first medico-mutualist election against the medical union
Constructing identities:

Federation of the medical houses
Changing normative associations:
GERM
Constructing normative networks:
Federation of the medical houses
Theorizing:

Federation of the medical houses, articles' redaction
Disrupting institutions
Disassociating moral foundations:
GERM, call of the 300 against the medical association , articles' redaction
Compromise between the
domestic and civic worlds

Familial atmosphere, interpersonal relationships and friendships between the workers
Strong common values, wish to promote another vision of health care services concretized internally by self-management and equal pay
Domestic world
Civic world
HRM not invested
First period at the medical house
Second period at the medical house
Regulative influences
Decree on integrated health associations (1993)
Federal nonprofit agreements (2002)
Various legislations regulating the labor market

Normative influences
Federation of the medical houses
IGL (1992)
Institutional influences
Institutional work practices /
Representation
Creating institutions
Constructing normative networks :

IGL
Educating:
creation of new medical houses by former workers from the medical house
Maintaining institutions
Enabling work :
federation of the medical houses, unionization
Compromise between the
domestic and civic worlds

Familial atmosphere, interpersonal relationships and friendships between the workers
Strong common values, wish to promote another vision of health care services concretized internally by self-management and equal pay
Domestic world
Civic world
Formalized HRM searching equality between workers
Industrial world
The external experts and the HR responsible at the Board, as well as the HR tools and rules (paid working hours, revision of the salaries, recruitment procedures…) searching to maintain equality between the workers, gain in importance

Third period at the medical house
Regulative influences
Labor shortage of nurses and doctors
Lots of medical houses quitted the equal pay
Global concerns of the medical houses’ sector about HRM (notably the federation of the medical houses)
Evolution of the health issues and treatments to provide
Normative influences
The potential scale if the doctors’ salaries in the federal nonprofit agreements
Revaluation and increase of the flat-rate system
Institutional influences
Institutional work practices /
Representation
Maintaining institutions
Enabling work :
federation of the medical houses, unions
No compromise anymore
- Friendships and personal relationships are still important
- But it challenges and is challenged by the industrial world (hard to establish rules and rule make spontaneaous relations complicated)
- It is also challenged by the different vision of the medical house's main mission (and thereby definition of the common good - civic world)
- Various understandings and visions of the common good and the medical house's main mission.
- The internal equality is not anymore the internal concretization of their external objective
Domestic world
Civic world
Industrial world
The rules for lay-off, the actors’ willing to formalize the last HR domains (workers’ evaluation, training or extra hours’ content…), the previous HR evolutions which are not anymore searching to maintain the equality between workers
Political HRM
Full transcript