Health Policy and Management Pathways Towards Universal Health Coverage

Organizational transformation is a multifaceted process that involves altering an organization's structure, culture, processes, systems, and strategies to better adapt to internal and external changes. This transformative process is characterised by interprofessional interactions that aim to foster collective dynamics. The likelihood of organizational transformation failure is considerable, especially in pluralistic organizations. Our study's research question centred on the interactional mechanisms that come into play in the dynamics of organizational transformation within hospitals during a health crisis, treating the crisis as a valuable learning opportunity. Following a 6-month observation period, 28 semi-structured interviews were conducted between September 2021 and December 2022 with various professionals from different hierarchical levels and professional categories in two French hospitals. This study emphasises the mechanisms that facilitate the development of a social structure and social systems in pluralistic organizations and govern the individual and collective actions that regulate the process of organizational transformation.