‘Dispositive’ formation of interface organisations in healthcare pathways

Abstract

Since the beginning of the 21st century, healthcare pathways have become a public policy issue. To support their management, specific interface organisations have proliferated, with mixed results. In order to understand the way in which such organisations take shape, this article makes use of the Foucauldian concept of ‘dispositive’ to analyse the creation of an interface organisation as part of the Paerpa experiment. It highlights a process operating through successive framings of collective action, descending and emerging, which are the product of agencement activities progressively linking heterogeneous elements (discourses, physical spaces, instruments, etc.).