title: [Reflection on the psychiatric financial allocation in France].
abstract: For 25years work has been underway in France for the implementation of an alternative to public financing of health care. In the absence of progress, some regional health agencies are engaged in work related to the reallocation of public finances between psychiatric institutions. We propose a reflection with suggestion on the method proposed by the Provence Alpes Côte d'Azur Regional Health Agency. Without questioning the need for a reallocation of resources between psychiatric institutions, the method proposed here needs to evolve further to be applied in a legitimate and appropriate manner. There is a kind of urgency for a reallocation of resources between psychiatric institutions in France, but it implies a collective thinking and especially the definition of evaluation procedures for the selected models. These conditions are necessary to guarantee the quality of French psychiatry and equity in access to psychiatric care.
authors.affiliation: Service d'épidémiologie et d'économie de la santé, pôle de santé publique, hôpital La Timone, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France; EA 3279, santé publique, maladie chronique et qualité de vie, Aix-Marseille université, 13005 Marseille, France. Electronic address: laurent.boyer@ap-hm.fr.
authors.forename: L
authors.initials: L
authors.lastname: Boyer
authors.affiliation: Inserm U955, équipe psychiatrie génétique, fondation FondaMental, fondation de coopération scientifique en santé mentale, pôle de psychiatrie, DHU Pepsy, université Paris-Est-Créteil, groupe des hôpitaux universitaires de Mondor, 94010 Créteil, France.
authors.forename: G
authors.initials: G
authors.lastname: Fond
authors.affiliation: EA 3279, santé publique, maladie chronique et qualité de vie, Aix-Marseille université, 13005 Marseille, France.
authors.forename: B
authors.initials: B
authors.lastname: Devictor
authors.affiliation: Pôle de psychiatrie, hôpital La Conception, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Samuelian
authors.affiliation: EA 3279, santé publique, maladie chronique et qualité de vie, Aix-Marseille université, 13005 Marseille, France; Pôle de psychiatrie, hôpital La Conception, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Lancon
authors.affiliation: CMME, Inserm U894, université Paris Descartes, hôpital Sainte-Anne, 75014 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Rouillon
authors.affiliation: Inserm, centre de psychiatrie et neurosciences U894, laboratoire de « physiopathologie des maladies psychiatriques », institut de psychiatrie (GDR 3557), université Paris Descartes, Sorbonne Paris Cité, 75014 Paris, France; Service hospitalo-universitaire, faculté de médecine Paris Descartes, université Paris Descartes, Sorbonne Paris Cité, centre hospitalier Sainte-Anne, 75014 Paris, France.
authors.forename: R
authors.initials: R
authors.lastname: Gaillard
authors.affiliation: Pôle de psychiatrie, hôpital La Conception, Assistance publique-Hôpitaux de Marseille, 13005 Marseille, France.
authors.forename: X
authors.initials: X
authors.lastname: Zendjidjian
authors.affiliation: Service de psychiatrie B, université d'Auvergne, EA 7280, CHU, 63000 Clermont-Ferrand, France.
authors.forename: P-M
authors.initials: PM
authors.lastname: Llorca
mesh_terms: D005602:France; D006801:Humans; D008603:Mental Health; D009313:National Health Programs / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D011570:Psychiatry / Q000191:economics* / Q000331:legislation & jurisprudence
keywords: Financement; Financing; Health policy; Mental health; Politique de santé; Psychiatrie; Psychiatry; Santé mentale