Health care reforms in the french hospital system.
The french health care system, like other health care systems, entered the 1990s in a state of flux.
During the 1980s, the attempts to curb health care expenditure had a limited impact with the liberal and pluralist values of the health system undermining reform strategies.
In 1991 the french government introduced a new hospital reform which had four main strands :
rationalizing public and private health care provision ;
introducing a medical logic into the hospital service ;
increasing hospital autonomy and strengthening participation and invovlment in the hospital system.
However, these reforms left untouched the financing of the health service.
Consequently there remains a need for a more fundamental reform of the management and financing of the French health care sustem.
Mots-clés Pascal : Hôpital, Contrôle coût, Dépense, Santé, France, 1991, Réforme, Hôpital
Mots-clés Pascal anglais : Hospital, Cost control, Expenditure, Health, France, Hospital service reform
Notice produite par :
ENSP - Ecole nationale de la santé publique (devenue EHESP)
Cote : 93/07-09 V
Code Inist : 002B30A04A. Création : 09/06/1995.