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, 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 involvement 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 system.
Bach
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Warwick Business School, University of Warwick, Coventry, UK.
D002017:Budgets / Q000331:legislation & jurisprudence; D003363:Cost Control / Q000379:methods; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration* / Q000639:trends; D005381:Financing, Organized / Q000379:methods; D005602:France; D018166:Health Care Reform / Q000191:economics / Q000331:legislation & jurisprudence*; D006752:Hospital Planning / Q000331:legislation & jurisprudence; D006754:Hospital Restructuring / Q000639:trends; D016304:Hospitals, Private / Q000458:organization & administration / Q000639:trends; D006779:Hospitals, Public / Q000458:organization & administration* / Q000639:trends; D007373:Interinstitutional Relations; D011332:Privatization / Q000331:legislation & jurisprudence / Q000639:trends*