title: Assessment of new public management in health care: the French case.
abstract: The French health care system embraced New Public Management (NPM) selectively, and crafted their own version of NPM using Diagnostic-Related-Group accounting to re-centralize the health care system. Other organizational changes include the adoption of quasi-markets, public private partnerships, and pay-for-performance schemes for General Practitioners. There is little evidence that these improved the performance of the system. Misrepresentation has remained high. With the 2009 Hospital, Patients, Health and Territories Act physician participation in hospital governance receded. Decision-making powers and health units were re-concentrated to instill greater national coherence into the health system.
authors.affiliation: American University of Sharjah, Sharjah, PO Box 26666, United Arab Emirates. dsimonet@aus.edu.
authors.forename: Daniel
authors.initials: D
authors.lastname: Simonet
mesh_terms: D003659:Decision Making, Organizational; D005602:France; D018166:Health Care Reform / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D008330:Management Audit / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D017150:Public Sector / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration*