link point between public and private sectors in Algeria.
New objects in health in the field of health care privatisation
de conférence au département de sociologie,
faculté des sciences sociales, Université d'Oran
et directeur du laboratoire de recherche en Anthropologie
de la santé.
The question here is to show the relevance of
constructing objets in health by starting from the way things
work in the private sector, and especially in private clinics.
The rapid increase in merchandisation of health care has led
to structural changes in relationships between the public powers,
hospital specialists and their private-sector counterparts.
That results effectively in a modified configuration expressed
by the emergence of new health "entrepreneurs" and
the setting in place of new working relations between health
personnel and the private clinic "chifs", sharply
different from those in the hospital sphere. This is nevertheless
the crux of the strengthening of the private sector. Here are
shown the many points of interweaving between the health professionals
of the two sectors, which are forming to the benefit of the
private sector. The latter can easily capture hospital health
personnel, and take over as dominant player a large number of
patients, who become obliged to have their "complementary"
examinations dispensed in that sector, because private structures
are often the only ones that have technical equipment such as
scanners. Emphasis is thus placed on the undetectable link-point
between the public and private sectors. The latter in reality
feeds on the malfunction of state health structures and on the
public powers' working logic. These authorities are also going
to contribute indirectly to reinfocement of the private sector,
by legalising the complementary services the specialists provide.
The private sector therefore has freedom of movement actively
to mobilise hospital health care personnel in a network, while
not hesitating to incorporate private-practice specialists who
have the possibility to place their trust in the clinics to
perform their partients' operations. This tacit alliance between
clnic "chiefs" and private doctors gives the conditions
for the private sector to extend its base.
Key-words : private care - merchandisation - public
powers - physicians - mobilisation - interweaving - hospital
- private clinics.