La fusion des établissements de santé et de services sociaux

Cet article est le fruit d’une recension des ecrits scientifiques et empiriques sur les repercussions des fusions d’etablissements de sante et de services sociaux. La consultation des ecrits permet de souligner l’absence de consensus entre les differents auteurs consultes quant a la nature des impacts des fusions d’etablissements en ce qui a trait a leurs aspects cliniques, professionnels, administratifs, de gestion interne et de gouvernance. Cet article met en lumiere l’importance de la problematique de la reconfiguration des services de sante et des services sociaux quebecois, ainsi que la necessite d’en approfondir les enjeux. This article is the fruit of an inventory of the scientific and empirical writings on the consequences of fusions of health and social services establishments. The consultation of the writings makes it possible to underline the absence of a consensus between the various authors consulted as for the nature of the impacts of the fusion of establishments concerning clinical, professional, administrative, internal management and ruling aspects. This article clarifies the importance of the problems of reconfiguring the Quebec health and social services as well as the need to look further into what is at stakes for them.