From the failure of early voluntarist attempts of the 1970's to introduce formal economic assessment in administrative decision-making for public health policies, to the recent introduction of new regulatory mechanisms to control the diffusion and use of health care technologies, the French experience deeply questions the mechanistic idea that reinforcement of cost-containment policies necessarily means successful opportunities for economic appraisal.
The article presents various examples from the French health care system showing how ambiguities between the management goals of cost-containment and the promotion of economic appraisal can create barriers for acceptance of any form of economic analysis.
Mots-clés Pascal : Economie santé, Analyse économique, Prise décision, Répartition ressource, Politique sanitaire, Diminution coût, Système santé, Technologie, France, Equipement biomédical, Europe
Mots-clés Pascal anglais : Health economy, Economic analysis, Decision making, Resource repartition, Health policy, Cost lowering, Health system, Technology, France, Biomedical equipment, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0354802
Code Inist : 002B30A01B. Création : 199406.