Résumé en anglais

For several decades now, the healthcare sector is exposed to multiple pressures, making it continuously instable, with growing institutional requirements, sometimes full of contradictions. In such an environment, healthcare organizations need to develop strategies to position themselves in their competitive environment: reaching a critical size (possibly through alliances or clusters), increasing specialization, etc. Organizations build strategic visions by navigating between the different requirements in the field. In this context, the question of how workers cooperate and coordinate themselves within the organization, takes another meaning.