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Technocratic recentralization in the French health care system: A critical evaluation

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  • Daniel Simonet

Abstract

The French health care system implemented several corporate management recipes such as diagnostic‐related groups (DRGs), benchmarking, and activity‐based management in a bid to restore fiscal discipline and to “reassert the center.” The government also regrouped health policy decisions with the Regional Health Agencies and opted for a top‐down line of command to ensure policy implementation. Though reforms emphasized evidenced‐based policy and outputs measurement, outcomes were below expectations in many areas and led to a shift in values. Professional autonomy and patient engagement receded. This leads us to a critical evaluation of the French audit society.

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  • Daniel Simonet, 2019. "Technocratic recentralization in the French health care system: A critical evaluation," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(2), pages 824-835, April.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:2:p:824-835
    DOI: 10.1002/hpm.2740
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