PUBLIC PERFORMANCE AND SIMULATION: A CASE STUDY IN THE FRENCH MILITARY HEALTH SERVICE

Abstract : New public management emphasises the importance of performance for public utilities, in a context of public expenses reduction and increase in health care needs. Recent studies show that existing evaluations of hospital performance fail to assess the complete spectrum of hospital activities. What are the limits of existing performance indicators? How could we overcome them? An extreme case study, based on French Military Hospitals, is used to answer these issues in the present article. In fact, evaluation of military hospitals’ performance fails to take into account both military and civilian health care delivery. A simulation of the surgical process of these hospitals shows how incomplete performance indicators happen to misrepresent the impact of specific activities on hospital performance. Simulation is proposed as a levier to generate appropriate performance indicators both for civilian and military hospitals. Finally, hospital performance relevance is questioned with regard to public value.
Type de document :
Communication dans un congrès
4ème colloque AIRMAP, "Les nouveaux territoires du management public", May 2015, Lyon, France
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https://hal.archives-ouvertes.fr/hal-01158733
Contributeur : Jane Despatin <>
Soumis le : lundi 1 juin 2015 - 19:03:03
Dernière modification le : lundi 12 novembre 2018 - 11:00:21
Document(s) archivé(s) le : mardi 15 septembre 2015 - 09:17:06

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Communication AirMap Atelier7....
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  • HAL Id : hal-01158733, version 1

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Jane Despatin, Michel Nakhla, Eric Wable, Yves Auroy. PUBLIC PERFORMANCE AND SIMULATION: A CASE STUDY IN THE FRENCH MILITARY HEALTH SERVICE. 4ème colloque AIRMAP, "Les nouveaux territoires du management public", May 2015, Lyon, France. 〈hal-01158733〉

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