Healthcare sector, social sector, absenteeism, COSCEVO method, legislative reforms, Ségur bonus, workforce trends, medical-social sector
This case study examines the impacts of absenteeism on healthcare and social sector management using the COSCEVO method, highlighting key trends and legislative reforms.
[...] The emotional disengagement of employees from their work. While employees in these sectors may be committed by vocation and affection to the problems encountered within the structures, working conditions can push the employee to distance themselves from their work and the way they carry it out, due to possible effects of dissonance encountered between their deep values and those conveyed within the structures that are now turning towards a managerial mission. 2. The increase in workload. In fact, the legislator, by asking the social-medical structures to establish a transition towards a managerial logic, establishes - in fact - new work constraints and new implications for the structures. [...]
[...] By organizational culture, we mean the set of beliefs, values, and attitudes conveyed by a company. In the medico-social sector, companies particularly value the helping relationship with others (and especially with the most disadvantaged). However, as indicated by Jean-Michel Abry, the first reforms put in place propose to value a new type of organizational culture turned towards performance. In fact, successive governments propose what Jean-Michel Abry calls: an 'institutional organizational architecture of a Taylorian type, with the climax being a certification of the ISO 9001 type.' In other words, the reforms have introduced a lot of standardization in the ways of working in this sector. [...]
[...] These psychosocial risks are diverse: musculoskeletal disorders in paramedical professions among caregivers or among auxiliary workers, or psychical risks such as anxiety, depression, or burnout within the global population of employees. The increase in these psychosocial risks, on the other hand, weighs on the absenteeism rate within the sector. Thus, and once this chain of events is identified, it is appropriate, according to the COSCEVO method, to determine the different potential scenarios for the evolution of absenteeism within the social-medical sector. B. Negative evolution scenario The first scenario we will propose is a negative evolution scenario in which absenteeism worsens within the social-medical sector for the coming years. [...]
[...] Today, in 2024, life expectancy in France is 85.3 years for women and 79.4 years for men30. An article from Le Monde dated March titled 'The aging of the population, a challenge that far exceeds the problem of pensions' worries about the effects of aging on French society: 'explosion of dependence, labor shortage, blocked savings'31. The article presents the current data: to date million people aged 60 and over benefit from assistance related to loss of autonomy and 83 is the average age of loss of autonomy. [...]
[...] (2022). Senate. https://www.senat.fr/questions/base/2022/qSEQ221003350.html Manus, J.-M. (2020). Recruitment difficulties in the medico-social sector. Francophone Review of Laboratories, 2020(527), 19-19. https://doi.org/10.1016/S1773-035X(20)30344-0 MEULEMAN, F (2011) Healing symptoms. Beating absenteeism. Dunod, pp. [...]
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