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The social construction of the French for-profit hospital market

Author

Listed:
  • Laura Alles

    (CEPN-UMR 7234CNRS, Université Sorbonne Paris Nord)

  • Samuel Klebaner

    (CEPN-UMR 7234CNRS, Université Sorbonne Paris Nord)

Abstract

The aim of this article is to analyse the historical transformation of the for-profit hospital market in France. Starting from the after-war period, we demonstrate that the rise of the private hospitals, from small challengers to autonomous financialised and concentrated corporations, follows a path made of regulatory change, technical development and demand construction. To do so, we qualitatively analyse the laws and official reports over the period. We conclude that the accelerated for-profit hospitals’ financialisation results from the budget constraint implemented in the subsidisation of this sector inducing search for cost production decrease, along with a conjunction of other factors such as the extension of the for-profit health insurance, the regulation allowing private hospitals to adapt and the development of the investment funds sector in France.

Suggested Citation

  • Laura Alles & Samuel Klebaner, 2025. "The social construction of the French for-profit hospital market," Review of Evolutionary Political Economy, Springer, vol. 6(2), pages 299-323, July.
    • Handle: RePEc:spr:revepe:v:6:y:2025:i:2:d:10.1007_s43253-025-00147-3
    DOI: 10.1007/s43253-025-00147-3
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    Keywords

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    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • G34 - Financial Economics - - Corporate Finance and Governance - - - Mergers; Acquisitions; Restructuring; Corporate Governance
    • G38 - Financial Economics - - Corporate Finance and Governance - - - Government Policy and Regulation
    • H44 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Goods: Mixed Markets
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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