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Mutation du patient et construction d'un marché de la santé. L'expérience française

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  • Philippe Batifoulier
  • Jean-Paul Domin
  • Maryse Gadreau

Abstract

This article provides a comparative analysis of two major developments in health policy: the autonomisation of the patient and regulation by demand. The first tendency consists in shift towards understanding the patient as an autonomous actor. In practice, this tendency has manifested itself through the adoption of patients? rights to information as well as demands for a further right to informed consent. At the same time, economic policy emphasises the importance of demand in the regulation of spending on healthcare. These developments suggest the emergence of healthcare consumers. This further assumes a sovereign consumer who is fully informed and evaluates standardised health products (basket of treatments) and services (doctors, insurance). Our analysis examines the implications of these transformations in healthcare in terms of their impact on both efficiency and equity.

Suggested Citation

  • Philippe Batifoulier & Jean-Paul Domin & Maryse Gadreau, 2008. "Mutation du patient et construction d'un marché de la santé. L'expérience française," Revue française de socio-Economie, La découverte, vol. 0(1), pages 27-46.
    • Handle: RePEc:cai:rfsdec:rfse_001_0027
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    Cited by:

    1. Etienne Nouguez, 2016. "Gouverner la concurrence par les prix," Post-Print hal-01491704, HAL.
    2. Christine André & Philippe Batifoulier & Mariana Jansen-Ferreira, 2016. "Privatisation de la santé en Europe. Un outil de classification des réformes," Working Papers hal-01256505, HAL.
    3. Boyer, Robert, 2015. "L’essor du secteur de la santé annonce-t-il un modèle de développement anthropogénétique ?," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    4. Nathalie Morel & Chloé Touzet & Michaël Zemmour, 2016. "Fiscal welfare in Europe: a state of the art," Working Papers hal-02187913, HAL.
    5. Philippe Batifoulier & Denis Abecassis & Nicolas da Silva & Victor Duchesne & Léonard Moulin, 2016. "L’utilité sociale de la dépense publique," CEPN Working Papers hal-01421197, HAL.
    6. Nathalie Morel & Chloé Touzet & Michael Zemmour, 2016. "Fiscal welfare in Europe: a state of the art," Sciences Po publications 45, Sciences Po.
    7. Nicolas da Silva & Jean-Paul Domin, 2016. "Assurance et métrologie : le grand tournant de la médecine capitaliste," Post-Print hal-02068434, HAL.
    8. Etienne Nouguez, 2016. "Gouverner la concurrence par les prix," SciencePo Working papers Main hal-01491704, HAL.
    9. repec:hal:spmain:info:hdl:2441/6tnf35nani90ravvbmcpt0tod1 is not listed on IDEAS
    10. André, Christine, 2015. "Les systèmes de santé européens en longue période," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    11. Hajer Bachouche & Ouidade Sabri, 2019. "Empowerment in marketing: synthesis, critical review, and agenda for future research," AMS Review, Springer;Academy of Marketing Science, vol. 9(3), pages 304-323, December.
    12. Philippe Batifoulier & Nicolas Da Silva, 2014. "The economic behaviour of doctors: medical altruism without an ethic?," EconomiX Working Papers 2014-9, University of Paris Nanterre, EconomiX.

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