Analyse de la coexistence d'organisations non lucratives, lucratives et publiques dans le secteur des maisons de repos : une approche par les logiques de qualité / Analysis of the coexistence between nonprofit, for-profit and governmental organizations in the nursing home industry : an approach through the logics of quality

(2002)

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Authors
Supervisors
Cobbaut, Robert
Abstract
(en) This research has been dedicated to the specificities of nonprofit organizations (NPO) when competing with for-profit (FPO) and governmental (GO) organizations in the same industry. The first part of this study consists of a review of the literature on economic theories of NPO's (Hansmann, 1987) along with a critical study based on the analytic scheme proposed by Olivier Favereau (1989). The economic literature is rich in theories explaining the existence of NPO's. Nevertheless, these theories are unable to explain the reasons for their coexistence with FPO's and GO's. As a matter of fact, most of these theories are founded on a classical paradigm based on a concept of substantive rationality, which can only explain the predominance of a type of organization in a specific sector. Therefore, in order to reach a satisfactory explanation of the coexistence of various organizational forms, our study has been rooted in a new paradigm, named the Theory of conventions (Lewis, 1961; Orléan, 1994), based on a procedural concept of rationality. More specifically, our study has been grounded on the approach elaborated by Boltanski and Thévenot (1987, 1991). The so-called model of the "Economics of Worth" ("les Economies de la Grandeur"), explaining how and why various principles of justification (e.g., domestic, civic, industrial, or merchant) may be invoked by individuals and groups in order to express their divergences in some process requiring coordination, as well as to justify the course of actions they have been adopting. This approach is centered on "conventions" as a way of understanding the interaction of social actors, be they individuals or organizations. This theory allows us to apprehend and operationalize in a multifaceted or multidimensional way the concept of the quality of service provided by a sector of activity. The second part of our research consists in the implementation of the developed model in a chosen sector, the nursing home industry, through selective case studies. Our empirical study firstly consists of the identification of the different "logics of quality" of services present or absent in several nursing homes with different legal statuses (NPO, FPO or GO). It then analyzes the specific tensions and compromises achieved within each nursing home under study as well as the role played by their statuses, keeping in mind that our basic hypothesis is that every legal status will induce a specific compromise between various "worlds" of justification.
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Provost, A.-C. (2002). Analyse de la coexistence d’organisations non lucratives, lucratives et publiques dans le secteur des maisons de repos : une approche par les logiques de qualité / Analysis of the coexistence between nonprofit, for-profit and governmental organizations in the nursing home industry : an approach through the logics of quality. https://hdl.handle.net/2078.5/128847