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Économicisation et démocratisation de la faillite: inventer une procédure de défaillance pour les hôpitaux britanniques

Kurunmaki, Liisa, Mennicken, Andrea and Miller, Peter (2018) Économicisation et démocratisation de la faillite: inventer une procédure de défaillance pour les hôpitaux britanniques. Actes de la Recherche En Sciences Sociales (221-222). pp. 80-99. ISSN 1955-2564

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Identification Number: 10.3917/arss.221.0080

Abstract

Dans ce nouvel environnement concurrentiel où le patient exerce son choix, il est quasiment inévitable que des prestataires soient défaillants. C’est même souhaitable, puisque cette défaillance, qui ouvrira la porte à des reconfigurations majeures, conditionne une véritable responsabilisation. La sortie du système, généralement due à une défaillance financière irréversible, est donc un résultat économique. La défaillance financière peut certes avoir pour cause des défaillances d’une autre nature (clinique ou administrative, par exemple) mais seules les conséquences financières de ces dernières sont en mesure d’entraîner l’insolvabilité et donc la faillite. Abstract Much has been made of economising. Yet social scientists have paid little attention to the moment of economic failure, the moments that precede it, and the calculative infrastructure and related processes through which both failing and failure are made operable. This paper examines the shift from the economising of the market economy, which took place across much of the nineteenth century, to the economising and marketising of the social sphere, which is still ongoing. It examines how central the “democratising” of failure – the diffusing of a corporate model of failure defined as insolvency to the public sphere – is to this ongoing process. We consider a specific case of the economising and democratising of failure, namely the repeated attempts over more than a decade to create a failure regime for NHS hospitals. We suggest that these repeated attempts to devise a failure regime for NHS hospitals have lessons that go beyond the domain of healthcare, and that they highlight important issues concerning the role that “exit” models may play in the economising and regulating of public services and the social sphere more broadly.

Item Type: Article
Additional Information: © 2018 Le Seuil
Divisions: Accounting
Subjects: H Social Sciences > HJ Public Finance
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 26 Feb 2019 14:54
Last Modified: 20 Oct 2019 03:01
URI: http://eprints.lse.ac.uk/id/eprint/100140

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