Market reforms in the French healthcare system: between regulation and yardstick competition

Daniel Simonet, John E. Katsos

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Under the impetus of New Public Management (NPM) reforms, a fragile European healthcare union has slowly emerged and commonalities in patients’ rights have appeared across the EU. In the case of France, cost-containment measures that traditionally consisted of price controls and a reduction in benefits have had a limited impact on the growth of health expenditures. With increasing budget deficits, France implemented a number of so-called ‘market reforms’ focused almost entirely on the supply side. France’s unique implementation included a labyrinth of competing values, interference of multiple stakeholders, fragmentation of goals, difficulties in reconciling market incentives, and multiple regulatory constraints. This paper examines the context of the French healthcare sector and its differences from Anglo Saxon healthcare systems. The applicability of the French ‘hybrid’ model to other contexts is discussed.
Original languageEnglish
Pages (from-to)191-198
Number of pages8
JournalPublic Money and Management
Volume42
Issue number3
Early online date29 Apr 2020
DOIs
Publication statusPublished - 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • Administrative reform
  • health care
  • public–private partnership

ASJC Scopus subject areas

  • Accounting
  • General Business,Management and Accounting
  • Sociology and Political Science
  • Finance
  • Public Administration

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