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  1. Health care reforms in the french hospital system.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    ENSP - Ecole nationale de la santé publique (devenue EHESP)

    Cote : 93/07-09 V

    Code Inist : 002B30A04A. Création : 09/06/1995.