Full bibliography

This paper proposes a structurationist model that revises the notion of actors in industrial relations (Bellemare, 2000), reconsiders the frontiers of the industrial relations system (Bellemare and Briand 2006, Legault and Bellemare, 2008) and encompasses the developments of "life politics." This model is illustrated by the influence of users/patients on the work organization and governance bodies of a University Hospital in France, as well as on the health care system (public policies, research priorities, etc.).