ARTICLE 1

Networking Healthcare
From a competitive call to a medical cooperation as a guarantee of a found confidence

Résumé :

This aim of this paper is to place the healthcare network in a continuum stretching from cooperation to competition — according to the endorsement given — and, from there, to revisit the relations between care providers and re-focus on how these innovative care organizations are governed in the French healthcare system. We start out with a comprehensive yet condensed study focusing on the results of academic research and then on the effects recorded in different countries (Anglosphere then European) of policies introducing competitive market mechanisms designed to more effectively regulate the health system. This analysis highlights two core strategies, deployed according to the way that competition policy is applied: solely to improve “health risk management” or whether it entails decentralization of the funding function. In this increasingly competitive context, healthcare networks should above all be thought as a cooperative arena nurtured in the hands of care staff that are normally isolated or even mutually opposed. Our proposal for orchestrating these goals is to initiate a two-phase healthcare network management system, based on externally defining project-indexed incentive contracts (between organization and governing body) and on ushering in a coordination framework targeted towards the convention and internal decisioning (intra-organization).

par Anne Buttard
Maître de Conférences
Laboratoire d’Économie et de Gestion UMR CNRS 5118
Université de Bourgogne
Catherine Dos Santos
Enseignant-Chercheur Groupe ESC Clermont-Ferrand
Stéphane Tizio
Maître de Conférences Laboratoire d’Économie et de Gestion
UMR CNRS 5118 Université de Bourgogne

ARTICLE 2

The Structural Evolution of Stock Exchanges

Résumé :

The increasing competition between stock exchanges forces them to opt for different strategies to maintain competitiveness (demutualization, consolidations, and partnerships). Given the importance of these phenomena, a large amount of the research literature focuses on these strategic decisions. However, significantly less interest is drawn to the internal organization of stock exchanges. The financial environment has considerably affected them, leading stock exchanges to redefine their roles and to rethink their management strategies. Rather than considering the stock exchange as a nonprofit organization, this paper considers it as a for-profit firm, focuses on the structural evolution of these exchanges/firms and explores their organizational structure.

par Faten Ben Slimane
Ph D, Associate professor
IRG Institute
University Paris-Est-Marne la Vallée

ARTICLE 3

Ranking Research: Toward an Ethnostatistical Perspective on Performance Metrics in Higher Education

Résumé :

This paper outlines an ethnostatistical perspective on use of performance metrics in management research and education. Recent social science literature shows numbers produce control in organizations. But this literature fails to explore how numbers are constructed, given meaning and enact control. Ethnostatistics fills this gap by exploring construction and use of measures in organizations. Three levels of analysis are addressed. An agenda for scientific study of performance metrics for management research and academic work is offered. The paper suggests a SEAM based intervention could use ethnostatistical insights to uncover hidden costs of performance metrics and to develop improved metrics.

par Robert P. Gephart, Jr.
Professor
University of Alberta School of Business
(Canada)

ARTICLE 4

Socio-Economic Consulting Education in America

Résumé :

Although the American business landscape abounds with traditional management consulting philosophies, sustainable business practice remains a challenge. Authentic performance improvements follow from an honest reflection of the psychological relationships hidden within the functions of a firm. The Socio-Economic Approach to Management (SEAM) facilitates the critical discovery of the relationships between social-psychological and economic dimensions within an organization to apprehend hidden potentials and costs. SEAM combines research and intervention, qualitative interviews, and quantitative economic analysis. This paper, in the voices of American MBA students and instructor, reflects on the rewards and challenges of learning and practicing socio-economic management consulting in America.

par Yue Cai-Hillon
Associate Professor of Management
University of Central Missouri (USA)
Collin Bunch
Marketing Applications Manager
Missouri Small Business and Technology Development Center
University of Central Missouri (USA)