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Concurrence par comparaison et transformations quasi-marchandes

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  • Juven, Pierre-André

Abstract

En instaurant, à partir des années 1980, un calcul des coûts puis, au début des années 2000, une tarification hospitalière, les réformateurs français ont explicitement cherché à traduire dans les faits le principe dit de « concurrence par comparaison ». Nous montrons ici comment les régulateurs ont tenté d’incarner dans le calcul des coûts puis dans la tarification cette conception quasi-marchande, prise entre une conception libérale et une conception technocratique de la régulation hospitalière et en quoi ce mécanisme consiste. L’instauration de cette concurrence par comparaison suppose plus précisément une mise en équivalence du secteur public et du secteur privé afin de les rendre précisément « comparables » ce qui ne va pas sans poser certains problèmes quant à leur commensurabilité.

Suggested Citation

  • Juven, Pierre-André, 2015. "Concurrence par comparaison et transformations quasi-marchandes," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    • Handle: RePEc:rvr:journl:2015:11219
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    References listed on IDEAS

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    3. Pierre-André Juven,, 2013. "Codage de la performance ou performance du codage : mise en chiffre et optimisation de l'information médicale," Post-Print hal-00869366, HAL.
    4. Gérard de Pouvourville, 2009. "La convergence tarifaire entre hôpitaux publics et privés : mission impossible ?," Reflets et perspectives de la vie économique, De Boeck Université, vol. 0(1), pages 181-190.
    5. Joseph P. Newhouse, 1996. "Reimbursing Health Plans and Health Providers: Efficiency in Production versus Selection," Journal of Economic Literature, American Economic Association, vol. 34(3), pages 1236-1263, September.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    concurrence par comparaison; tarification à l’activité; calcul de coût; transformation quasi-marchande; hôpital; yardstick competition; prospective payment system; cost accounting; quasi-market transformation; hospital; competencia por comparación; tarifación según la actividad; cálculo de costos; transformación cuasi mercantil; hospital;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H11 - Public Economics - - Structure and Scope of Government - - - Structure and Scope of Government

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