Resumen de Hôpital public et insertion par l'emploi

Daniel GOUJON, Jacques POISAT

• Overall, public sector employment in the hospital plays a significant role in the economy of the Roanne area which has lost 10,000 jobs over the past twenty years. However, after a sharp rise in the 60s and 70s, hospital staff numbers have changed little since 1982. In terms of quality, the evolution of such employment has not meant any social changes in the configuration of the social labour market and the quest for efficiency has neither led to subcontracting non- medical work nor to using temporary or contract labour. Instead, since 1990, Roanne General Hospital has been developing a policy which integrates people in difficulty by resorting to 1 'solidarity-employment contracts". The outcome of this policy, which has reinforced the essential social mission of the hospital, reveals the need for developing further the partnership with local industry and social services.