This paper uses the hospital of Beaujeu as an example for investigating the switch of the relationship between activity and income in hospital administration. In 19th century, wine crisis speeded up the transition from a merciful notion of healthcare, which involved the whole income to be used for activity, to a medico-economic one, in which activity has to finance operation. Appropriation of administrative tools imposed by prefecture marked the apparition of a proto-management control. In 20th century, the evolution toward an old people’s home activity to grant the hospital survival confirmed the mutation of activity from purpose to means.
The full text in French is available here.