La direction des établissements dans le médico-social : un effet de gouvernance à l’échelle du territoire ?

The main goal of our research project is to assess the autonomy of services managers in the social and long-term care sector with regard to the following issues: services provision strategy, labour market configuration and budget management. A territorial and comparative method will be used to achieve this aim. The social and long-term care sector is closely monitored by public authorities. Governance is therefore an acute issue, whether one considers the public authorities funding the services, local government or services managers. Big services providers operate in several social and LTC sub-sectors and their activities have a structuring impact on the provision of services which, in turn, can generate interdependency effects. We will conduct a detailed analysis of the strategies implemented by services providers. To this end, we will focus on a limited number of social and LTC services providers, using a qualitative methodology based on interviews and observation.