Made available in DSpace on 2014-12-17T14:53:05Z (GMT). No. of bitstreams: 1 LucasABO_DISSERT.pdf: 3642189 bytes, checksum: dfbb19c21532e293bdb151d8a377e0d2 (MD5) Previous issue date: 2012-03-15 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This dissertation has as objective at analyzing the students' perception about the quality of graduate courses distance of the Federal University of Rio Grande do Norte, which was motivated by the following research problem: the perception that graduate students of the distance of the UFRN have on the quality of the undergraduate? To this end, we sought to gather evidence for a satisfactory approach that addresses the complexity of the subject studied: quality management, distance learning and quality in the Higher Education Institutions. We chose to adopt as a research method, case study on the procedure of the research, exploratory research-descriptive about the objective and quantitative research when tackling the problem. The object of the study were six graduate courses distance UFRN/SEDIS, having as target the students of the courses. The sample was calculated using the Stratified sampling on which 217 students, the courses surveyed were selected. The survey instrument consisted of 21 structured questions, of which seven questions designed to identify the profile of students, seven issues of perceptions (manifest variables) on quality management in distance learning, where students have given values (responses) for 24 statements (which address the central theme of this dissertation) composite based on a 5-point Likert s scale, and six questions about general characteristics that may interfere with students' perception about the quality. Was used as statistical method (data analysis), descriptive statistics and exploratory factor analysis. The results show the identification of four latent factors (obtained by exploratory factor analysis), namely: (1) infrastructure and management - polo presence, (2) teaching-learning processes, (3) communication tools and integration; (4) tutors. We also observed that aspects related to infrastructure and management at the pole face had the lowest score among the factors observed, requiring special attention by the education institution. On the other hand, teachers and teaching learning processes were the items with better performance in the perception of students. It is concluded that the perception of students in relation to quality in distance education courses, the median is trending positive perception, ie the perception of overall quality of the courses is not assertive and unison, but tends to positive perception. Thus, the results, it is expected that the managers of the institution to focus attention on critical points in order to minimize them (or eliminate them) and maximize the positive aspects that are perceived by the students / A presente disserta??o tem como objetivo geral analisar a percep??o dos discentes quanto ? qualidade dos cursos de gradua??o a dist?ncia da Universidade Federal do Rio Grande do Norte, que foi motivada pelo seguinte problema de pesquisa: qual a percep??o que os discentes da gradua??o a dist?ncia da UFRN tem sobre a qualidade no curso de gradua??o? Para tanto, buscou-se reunir elementos para uma abordagem satisfat?ria que contemple a complexidade da tem?tica pesquisada: Gest?o da qualidade, educa??o a dist?ncia e qualidade nas Institui??es de Ensino Superior. Optou-se por adotar como m?todo de pesquisa, o estudo de caso quanto ao procedimento da pesquisa, a pesquisa explorat?ria-descritiva quanto ao objetivo e a pesquisa quantitativa quando ? abordagem do problema. O objeto de estudo foram os seis cursos de gradua??o a dist?ncia da UFRN/SEDIS, tendo como popula??o alvo os discentes dos cursos. A amostra foi calculada por meio da amostra estratificada aleat?ria em que 217 discentes, dos cursos pesquisados, foram selecionados. O instrumento de pesquisa foi composto por 21 quest?es estruturadas, das quais 7 quest?es destinadas para identifica??o do perfil dos discentes; 7 quest?es de percep??es (vari?veis manifestas) sobre a gest?o da qualidade na EAD, em que os discentes atribuiram valores (respostas) para as 24 afirmativas (que abordam a tem?tica central dessa disserta??o) compostas com base na escala Likert de 5 pontos, e 6 quest?es acerca de especificidades gerais que podem interferir na percep??o dos discentes acerca da qualidade. Utilizou-se, como m?todo estat?stico (an?lise de dados), a estat?stica descritiva e an?lise fatorial explorat?ria. Os resultados mostram a identifica??o de quatro fatores latentes (obtidas por meio da an?lise fatorial explorat?ria), a saber: (1) infraestrutura e gest?o polo presencial; (2) processos de ensino-aprendizagem; (3) ferramentas de comunica??o e integra??o; (4) tutores. Foi observado, ainda, que aspectos relacionados a infraestrutura e gest?o no polo presencial tiveram a menor avalia??o dentre os fatores observados, necessitando de aten??o especial por parte da Institui??o de Ensino. Por outro lado, os professores e os processos de ensino aprendizagem foram os itens com melhor desempenho na percep??o dos discentes. Conclui-se que a percep??o dos discentes, em rela??o ? qualidade nos cursos a dist?ncia, ? mediana tendendo para percep??o positiva, ou seja, a percep??o acerca da qualidade geral nos cursos n?o ? assertiva e un?ssona, mas tende para percep??o positiva. Assim, de posse dos resultados, espera-se que os Gestores da Institui??o foquem sua aten??o nos pontos cr?ticos afim de minimiza-los (ou elimina-los) e maximizem os aspectos que t?m percep??o positiva por parte dos discentes

Submitted by Viviane Lima da Cunha (viviane@biblioteca.ufpb.br) on 2015-05-25T11:17:20Z No. of bitstreams: 1 arquivototal.pdf: 1929590 bytes, checksum: ce43a41d3b807daa1fde3a8e958bcad3 (MD5) / Made available in DSpace on 2015-05-25T11:17:20Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1929590 bytes, checksum: ce43a41d3b807daa1fde3a8e958bcad3 (MD5) Previous issue date: 2014-03-31 / In an attempt to control the social issues caused by rising crime, the managers of police organizations demonstrate having a preoccupation with typically repressive actions and with the application of logic of instrumental rationality in police management, which focuses on relentless pursuit by the results and implementation of essentially strategic actions. In this context there is a crisis of the current standards of practice adopted by police, which little or no practical result, and thus the goal to protect citizens is no longer performing, guaranteeing wellness and life protect, being only the achievement of goals and fixed management purposes. Historically police organizations always applied management solutions empirically with a strong tradition bureaucrat, which resulted in practices that tarnish its corporate image. Therefore, it is necessary to get objective standards of performance appropriate to the democratic perspective, demanding police officers able to deal with this social instability and interact appropriately with citizens. Thus, the role of police training is decisive for the cops to obtain an apprenticeship throughout its functional life and they handle with conflicts and social contradictions, stimulating the perception of injustice overcome, in an attempt to reduce or eliminate them, and perception of increasing justice in the life of citizens through police practices best suited to the democratic State of law. This research proposes a new perception of public security and the construction of a theoretical-conceptual corpus to assist management in Civil Police based on the concepts of learning organizations that is supported on pillars of human security and the communicative action, for arise more humanistic perspective and less instrumental for management of police training, so that the new learning to be possible under this new perspective can reflect on more democratic police practices and more effective social achievements. The communicative action enables coordination of action plans of the actors of public safety, sow the principles of rationality in a social dialogue and in organizational decision-making processes, uses a language which is not restricted only to inform, but to create opportunities for people and socially meaningful learning interactions. Human security shows that it is necessary to ensure the full use of substantive freedoms of citizens and to promote a world free of needs and free from fear, besides emphasizing that social development should be shared by the whole society and start within each location that suffers the consequences of criminality. Finally, the problems of public safety are of each of the social actors and it is important that they can be involved in the construction of interactive solutions as subjects capable of speaking and acting to effective social pact for the safety of all. Investing in police training is crucial to the development of police organizations. But this is only the first step to be completed so that, soon after, it's necessary a great cooperative effort of all toward a proper organizational change management. However, it will take longer for police officers and managers to change the police organization than the organization change them through an institutionalized ongoing training process. / Na tentativa de controlar o desacerto social provocado pela criminalidade crescente, os gestores das organizações policiais demonstram ter uma preocupação excessiva com o exercício de uma ação tipicamente repressiva e com a aplicação da lógica da racionalidade instrumental na gestão policial, que privilegia a busca incessante pelos resultados e a aplicação de ações de natureza essencialmente estratégicas. Nesse contexto, há uma crise do atual padrão de atuação policial, com medidas de pouco ou nenhum resultado prático, sendo que o objetivo deixa de ser a realização da proteção dos cidadãos, com a garantia de seu bem estar e de suas vidas, para ser apenas o alcance de metas e fins gerenciais fixados. Historicamente, as organizações policiais sempre aplicaram soluções gerenciais empiricamente encontradas e com uma forte tradição burocrata, que resultaram em práticas que maculam a sua imagem institucional. Por isso, é preciso buscar padrões objetivos de atuação mais adequados à perspectiva democrática, demandando policiais aptos a lidar com essa instabilidade social e a interagirem de modo apropriado com os cidadãos. Assim, o papel da formação policial passa a ser decisivo para que os policiais busquem um aprendizado ao longo de toda a sua vida funcional e saibam lidar com conflitos e contradições sociais, aguçando neles um faro para a percepção de injustiças superáveis, buscando reduzi-las ou eliminá-las, e de percepção de incremento da justiça na vida dos cidadãos, desenvolvendo ações policiais através de práticas mais adequadas ao estado democrático de direito. Neste trabalho, o que se propõe é uma nova percepção da segurança pública e a construção de um corpus teórico-conceitual que auxilie a gestão na Polícia Civil baseada nos conceitos das organizações que aprendem e que esteja sustentada nos pilares da segurança humana e do agir comunicativo, para que, a partir daí, surjam perspectivas mais humanistas e menos instrumentais para a gestão da formação polical, de modo que o novo aprendizado a ser viabilizado sob essa nova ótica possa refletir em práticas policiais mais democráticas e realizações sociais mais efetivas. O agir comunicativo possibilita uma coordenação dos planos de ação dos atores da segurança pública, semeia os princípios de uma racionalidade que, no diálogo social e nos processos de tomada de decisão organizacional, usa uma linguagem que não se restringe somente a informar, mas sim a oportunizar interações entre as pessoas e aprendizagens socialmente significativas. A segurança humana mostra que se faz necessário garantir o uso pleno das liberdades substantivas dos cidadãos e de promover um mundo livre de necessidades e livre do medo, além de ressaltar que o desenvolvimento social deve ser compartilhado por toda a sociedade e começar no seio de cada localidade que sofre com as consequências da criminalidade ali reinante. Enfim, os problemas de segurança pública serão de cada um dos atores sociais na medida em que eles possam e consigam se envolver na construção de soluções interativas, atuando como sujeitos capazes de falar e de agir em prol da efetivação do pacto social pela segurança de todos. Investir na formação policial será fundamental para que ocorra o tão desejado processo de desenvolvimento organizacional das polícias. Mas esta será apenas a primeira etapa a ser cumprida, para que, logo depois, seja necessário um grande esforço de todos os policiais, rumo ao correto gerenciamento da mudança organizacional. Todavia, levará mais tempo para que os policiais e gestores possam mudar a organização policial a qual eles pertencem, do que esta levará para mudá-los mediante contínuos processos formativos institucionalizados.

The topic of this thesis is evaluation of management of local voluntary fire brigade units of category JPO II and JPO III in the district of Jindřichův Hradec and suggestions to its amendment. The contents of the thesis is permanent organizational, technical and professional competence which is the essential prerequisite for their setting to rescue and liquidation jobs at emergency events and in critical situations. The goal of the thesis was to judge the management further to the professional training by description of the way of achieving professional competence and realizing professional preparation of local fire brigade members, and to try to find out possible imperfection or unbalanced state between requirements and factual situations. The technique of questionnaires and auricular discussions were used to explore if professional training is carried out regularly and with proper coverage and quality set for the category of fire brigade units of JPO II and JPO III. Through the achieved results of the research the level of management of local voluntary fire brigade units of the category JPO II and JPO III in the district of Jindřichův Hradec has been ascertained. The results of the questionnaire research have shown that the organizational, technical and professional competence is below standard. This allegation can illustrated by the combination of replies in the questionnaires. The research sample was formed by 16 local units of voluntary firemen with 229 active members. In order to improve the situation some procedures have been suggested to eliminate the imperfection. Primarily it is necessary to focus to thorough following the laws, regulations and rulings which are concered with the given points at issue, including checking of their fulfilment. If it is impossible to achieve improvement of duality of organizational, technical and professional competence then it is advisable to talk about the way how to change the relevant legislation followed by optimization of the required prerequisite for ensuring the units preparedness. The members of the local voluntary fire brigade units are required to achieve too high level of knowledge and preparation in comparision with the time assigned to management at present. The set of organizational, technical and professional training as a whole is not complied by any local voluntary fire brigade unit belonging to category II and III of fire protection unit.

I takt med att organisationers omgivande miljö beskrivs som alltmer dynamisk, ökar kritiken mot den budgeteringen, då budget anses var ett statiskt ekonomistyrningsverktyg. Trots medhållet som kritiken får visar empiriska studier att få företag faktiskt överger budget som huvudsakligt planerings- och kontrollverktyg (Sandalgaard 2012; Ekholm & Wallin 2000; Dokulil, Zlámalová & Popesko 2017). Till följd av Covid-19-pandemin under år 2020 förlorande många marknader sin förutsägbarhet vilket resulterade i osäkra omgivningar för många organisationer och branscher. Bilförsäljningen visade en hög variation under pandemiåret. Först tappade marknaden 40% av försäljningen och några månader senare fick den uppgång som täckte upp för de föregående förlorade intäkterna. Marknaden upplevde därmed en berg-och-dal-bana som ger insikt i hur budgetens praktiska användning sammanfaller med kritiserade svagheter. Genom att använda fem av de främsta argumenten i kritiken mot budgetering undersöker studien hur budgeten påverkas hos svenska bilåterförsäljare. Detta illustrerar behovet som bilåterförsäljarna har i en bransch vars omgivning påverkats av en oväntad osäkerhet. Sju bilåterförsäljare kontaktades och intervjuades i syfte att tillhandahålla den empiriska datan som i efterhand kompletterades genom de utvalda återförsäljarnas årsredovisningar. Genom detta urvalet utforskar studien en variation i behovet av budgeten. Studien kommer bland annat fram till att budgeten och dess komplement samspelar för att tillgodose de observerade bilåterförsäljarnas individuella behov av planering och kontroll. / The critique of budgeting has been growing louder during recent years as the influencing factors in the organizational environment is increasingly described as dynamic, while budgeting itself is seen as a static appliance in organizational management. However, despite the support this critique receives, empirical evidence shows that few companies actually abandon budgeting as one of their main tools for planning and control in financial management (Sandalgaard 2012; Ekholm & Wallin 2000; Dokulil, Zlámalová & Popesko 2017). Due to the Covid-19 pandemic year 2020, the wide consumer market lost its predictability, thus making it an uncertain environment for a majority of companies to act in. Sales of cars showed a wide variety during the pandemic year. First a decline of 40% in sales in the overall market and then an upswing which made up for previous loss. The car market had therefore experienced an interchangeable environment which contribute to giving insight to how the praxis of the budget coincide with the criticism. Using five of the main points in the critique against budgeting, the research area of this study, car retailers, were chosen to illuminate the need for the budget of retailers in an industry unexpectedly affected by uncertainty in the environment. Seven car retailer companies were contacted and interviewed to provide the empirical data which were later supplemented by the chosen companies’ annual reports. Through this selection this study explores a variety in the need for the budget. The results include that there is an interaction between the budget and the budget complement to satisfy the observed car retailers' individual needs of planning and control. This study is written in Swedish.

Ce mémoire de recherche traite de la conception d’un modèle stratégique intégrateur, et de son application sur l’Ecole Nationale de Santé Publique (ENSP). Il s’agit d’une intégration des divers modèles stratégiques existants, notamment ceux proposés par Andrews et Porter pour saisir les opportunités, les menaces, les forces, et les faiblesses des organisations. Un tel modèle stratégique intégrateur n’existait pas jusqu’à aujourd’hui, alors que sa conception suscitait un intérêt évident. En effet, les entreprises pouvaient se référer à plus d’un modèle, mais ceci ne permettait pas de concentrer l’information et ainsi mieux soutenir la prise de décision. Dans cette perspective, le modèle intégrateur proposé a été appliqué pour faire l’analyse de l’Ecole Nationale de Santé Publique. L’intérêt de façonner ce modèle stratégique intégrateur était d’analyser, mesurer et comprendre le fonctionnement réel de l’organisation, son environnement, et ses concurrents afin de proposer des stratégies favorables. Les résultats de recherche étaient constamment proposés en conformité à la mission, la responsabilité sociale et aux valeurs de l’organisation. Notre collecte de données s’est appuyée sur 4 entrevues individuelles, 14 questionnaires complétés de 18 questions et l’analyse de documents publiés. L’information était présentée sous la forme d’une étude cas permettant d’enrichir les apports d’auteurs ayant éclairé la gestion organisationnelle et l’analyse stratégique. Le but de cette initiative était de soutenir l’ENSP dans ses efforts d’adaptation de son offre de programmes de formation face aux exigences du marché concurrentiel marocain. Nous avons atteint nos objectifs en suggérant 5 options stratégiques : Créer un master en santé publique, créer un master en santé de la femme, développer un programme en santé environnementale, promouvoir l’expertise technologique et augmenter l’autonomie de gestion. Enfin, nous avons formulé les limites de notre cadre conceptuel. Cette démarche concernait l’amélioration de notre objet d’étude pour garantir que le modèle stratégique intégrateur soit générique et applicable pour toutes les organisations du domaine socio-sanitaire. / This research paper deals with the design of an integrative strategic model, and its application on the National School of Public Health (ENSP). It is an integration of the various existing strategic models, including those proposed by Andrews and Porter to capture the opportunities, threats, strengths, and weaknesses of organizations. Such an integrative strategic model did not exist until today, when there was obvious interest in its design. Indeed, companies could refer to more than one model, but this did not allow to concentrate information and thus better support decision-making. In this perspective, the proposed integrative model was applied to analyze the National School of Public Health. The interest in shaping this integrative strategic model was to analyze measure and understand the actual functioning of the organization, its environment, and its competitors in order to propose favorable strategies. Research results were consistently proposed in accordance with the organization's mission, social responsibility and values. Our data collection was based on 4 individual interviews, 14 questionnaires completed with 18 questions and analysis of published documents. The information was presented as a case study to enrich the contributions of authors who informed organizational management and strategic analysis. The purpose of this initiative was to support the school (ENSP) in its efforts to adapt its training program offer to meet the requirements of the Moroccan competitive market. We achieved our objectives by suggesting 5 strategic options: Create a master's degree in public health, create a master's degree in women’s health, develop a program in environmental health, promote technological expertise and increase management autonomy. In conclusion, we have formulated the limits of our conceptual framework. This approach concerned the improvement of our study to ensure that the integrative strategic model is generic and applicable for all organizations in health field.

Introduction : Le cadre de la gouvernance clinique a été développé afin d’atteindre de hauts standards de qualité de soins et de services, en conjuguant les notions d’amélioration continue de la qualité, d’excellence clinique et d’imputabilité corporative. La présente démarche doctorale avait pour objectif de comprendre le processus d’institutionnalisation de la gouvernance clinique dans un centre de réadaptation. Méthodologie : Une synthèse méta-narrative de 65 documents répertoriés dans 4 bases de données bibliographiques sur la conceptualisation et la mise en œuvre de la gouvernance clinique a été menée. Une étude qualitative de cas unique a été menée dans un centre de réadaptation en déficience intellectuelle et en troubles du spectre de l’autisme, au Québec (Canada). En mobilisant les cinq construits du cadre conceptuel basé sur théorie du processus de normalisation (cohérence, participation cognitive, action collective, suivi réflexif et contexte organisationnel), une analyse thématique des entrevues individuelles auprès de 22 participants (5 administrateurs, 11 gestionnaires et 6 cliniciens) et de 3 groupes de discussion auprès de 8 cliniciens et de 4 proches d’usagers a été menée. Enfin, une analyse d’une centaine de documents administratifs du Centre a été effectuée. Résultats : L’analyse de la littérature a permis de constater que le cadre de la gouvernance clinique est un concept en évolution et encore perçu comme une avenue intéressante pour l’amélioration de la qualité des soins. Toutefois, la confusion autour de sa définition et de sa conceptualisation ainsi que les difficultés de sa mise en œuvre demeurent des enjeux pour les organisations. Par la mobilisation du cadre de gouvernance clinique, la haute direction du centre de réadaptation à l’étude a souhaité systématiser le processus d’amélioration continue de la qualité des services offerts aux usagers et à leurs proches par l’adoption des bonnes pratiques de gouvernance. Ce virage a été bien reçu par les administrateurs et les gestionnaires, résultant sur une participation active et un fort engagement aux activités de leur part. La complexité du cadre et l’absence d’implication des cliniciens dans le processus de mise en œuvre ont créé chez ces derniers une appréhension quant à l’apport de la gouvernance clinique pour la pratique clinique et le bien-être des usagers. Les cliniciens ont dénoncé l’absence d’arrimage entre la théorie et les réalités de la pratique clinique ; la grande vitesse d’implantation et une approche décisionnelle de type top-down comme des enjeux de l’institutionnalisation de la gouvernance clinique. Pour les gestionnaires, les défis ont été la mise en place des moyens de communication efficaces ; l’arrimage des mécanismes de gestion et la disponibilité des ressources humaines. Pour les administrateurs, l’enjeu principal a été l’instabilité des contextes organisationnels interne et externe qui a ralenti la mise en œuvre et freiné l’élaboration d’un processus évaluatif. Conclusion : L’institutionnalisation de la gouvernance clinique dans les établissements non hospitaliers offrant des services sociaux passe par la valorisation de ce concept comme un projet commun au bénéfice de l’usager en vue de renforcer la participation et l’engagement de tous et l’adoption d’une approche de partenariat entre les usagers, leurs proches et les autres acteurs de l’organisation. / Introduction: Clinical governance framework was developed in order to achieve high standards of quality of care and services, by combining the concepts of continuous quality improvement, clinical excellence and corporate accountability. The aim of this doctoral thesis was to understand the implementation process of clinical governance in a rehabilitation center. Methods: A meta-narrative synthesis on the conceptualization and implementation of clinical governance was conducted. 65 tittles screened in 4 international databases were analysing. A qualitative single case study was conducted in a rehabilitation center for intellectual disabilities and autism spectrum disorders, in Quebec (Canada). By mobilizing the five constructs of the conceptual framework based on normalization process theory (coherence, cognitive participation, collective action, reflexive monitoring and organizational context), a thematic analysis of individual interviews with 22 participants (5 administrators, 11 managers and 6 clinicians) and tree focus groups with 8 clinicians and 4 relatives of users were conducted. Finally, an analysis of around hundred administrative documents from the Center was conducted. Results: The literature revealed that the clinical governance framework is an evolving concept and still seen as an interesting avenue for improving the quality of care. However, confusion over its definition and conceptualization, and the difficulties of its implementation remain challenges for organizations. By mobilizing the clinical governance framework, the senior management of the rehabilitation center under study wished to systematize the process of continuous improvement of quality of services offered to users and their families, by adopting good governance practices. This shift was well received by administrators and managers, resulting in active participation and a strong commitment to activities. The complexity of the framework and the absence of involvement of clinicians in the implementation process have created in them an apprehension regarding the contribution of clinical governance to clinical practice and the well-being of users. Clinicians have criticized the lack of alignment between theory and the realities of clinical practice; the high speed of implementation and a top-down decision-making approach as issues of the implementation of clinical governance. For managers, the challenges have been the establishment of effective communications; the alignment of management mechanisms and the availability of human resources. For administrators, the main issue was the instability of the internal and external organizational contexts which slowed down the implementation and the development of an evaluation plan. Conclusion: The implementation of clinical governance in non-hospital facility requires the promotion of this concept as a joint project for the benefit of the user with a view to strengthening the participation and commitment of all and the adoption of a partnership approach between users, caregivers and other actors in the organization.

This master thesis illustrates the universality of Schwartz's value theory approach: culture of any group of people may be subject to the research and its value profile has a universal format. Both Czech and Finnish national value profiles and the value profiles of the helping professions in these two countries were calculated, based on data from The European Social Survey in 2012. On national levels, these profiles are representative. On the levels of helping professions, however, the profiles only serve as a model example-no representative data were available. In comparison with their national value profile, Czech model representatives of the helping professions attach more importance to all basic values in Schwartz's theory. In Finland, this is not the case for power, achievement, self-direction and security. This master thesis proposes several recommendations for potential surveys dealing with the impact of national culture on organization culture in health and social facilities. Especially, it highlights the necessity for quality value profiles of the structured helping professions. The reason for doing so is the outlined possibility (and maybe also necessity) to take different positions of individual professions into consideration. It also suggests to search for mathematical relations between...

Contexte : L’engagement des patients dans les soins de santé et en gouvernance a fait l’objet de plusieurs études au cours de la dernière décennie, mais aucune ne s’est intéressée à leur engagement au niveau stratégique d’un Groupe de médecine de famille universitaire (GMF-U). En 2017, les gestionnaires du GMF-U de Verdun, situé à Montréal, au Canada, ont décidé de mettre en place une approche de co-construction avec des patients ressources au sein de leur comité de gouvernance, afin d’améliorer la qualité et la pertinence des soins et des services, de l’enseignement et de la recherche au sein de l’organisation. Objectifs : 1) Évaluer le rôle et l’influence des patients ressources sur la prise de décision au sein d’un comité de gestion dans un GMF-U ; 2) déterminer les facteurs favorables et les obstacles à l’engagement de patients ressources sur un comité de gestion dans un GMF-U ; 3) évaluer l’impact de cette innovation sur la promotion d’une culture de partenariat à travers l’organisation. Méthodes : À partir d’une étude de cas unique, à trois niveaux d’analyse, les données ont été collectées au niveau du 1) CIUSSS ; 2) comité de gouvernance du GMF-U ; 3) GMF-U. De juin 2017 à mai 2019, des données qualitatives ont été collectées via deux groupes de discussion de quatre et quatorze personnes, quatre entretiens semi-dirigés, des documents et un journal de bord. Des données quantitatives ont également été collectées à partir de questionnaires. Résultats : La mise en valeur du rôle des patients ressources, soit le partage de leur savoir expérientiel, repose sur une démarche d’engagement structurée qui inclut un processus de recrutement rigoureux, la formation et le coaching de l’ensemble des membres du comité et l’élaboration de modalités de travail qui répondent aux conditions de participation des patients. Un leadership aux multiples niveaux organisationnels est également essentiel afin de soutenir la culture de partenariat et la démarche de co-construction en gouvernance. Conclusion : Les résultats de cette étude illustrent les possibilités et les défis liés à la participation de patients au niveau de la gouvernance d’un GMF-U et permettront de guider d’autres GMF-U ou GMF intéressés en ce sens. / Background: Patient engagement in primary care has been the focus of many studies in the past decade, however little research has evaluated its added value to organisational management in an academic community-based primary care practice (ACBPCP). In 2017, managers of an ACBPCP in Montreal, Canada, decided to integrate patients into the organization’s management committee to enhance the quality and relevance of decision-making for clinical services, education and research. Objectives: 1) Assess patient advisors’ role and influence on an ACBPCP management committee’s decision-making process; 2) identify the facilitators of and obstacles to patient engagement in this context; and 3) evaluate the impact of this innovative approach in promoting a patient-partnership culture throughout the organization. Design: Using a single case study, data was collected from three levels: 1) the professionals in charge of patient partnership within the territorial health care organization’s quality division; 2) the management committee; and 3) the ACBPCP’s staff outside the committee. From June 2017 to May 2019, qualitative data was collected through two focus groups, four interviews, documents and a logbook, and quantitative data was collected through questionnaires. Results: Patient advisors’ role on the strategic committee is to share their perspective based on experiential knowledge. Successful patient governance relies on a structured engagement approach, including a rigorous recruitment process of patient advisors, training and coaching of all committee members and the development of work modalities that meet the conditions of patient participation. Multilevel leadership is also fundamental to support a partnership culture throughout the organisation, including at the governance level. Conclusion: The results of this study illustrate opportunities and challenges related to patient involvement at an ACBPCP’s organizational level. They can guide other community-based primary care practices interested in involving patients in their management activities.