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La relation entre les coûts et la qualité des soins : une alliance profitable pour les établissements de santé ? The relationship between costs and quality of care : a profitable alliance for hospitals ?

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  • Lucile Veran

    (Université de Bourgogne - IUT Dijon-Auxerre/Crego)

Abstract

(VF)Les évolutions contraignantes de l’environnement économique, culturel et réglementaire ont conduit de nombreux pays à réduire la croissance des dépenses des établissements de santé et à améliorer la qualité des soins qu’ils proposent. Ces deux objectifs de recherche de qualité des soins et de maîtrise des coûts sont-ils contradictoires ? Les résultats de cette revue de littérature montrent qu’aucun consensus n’a pu être atteint, que ce soit au niveau des modèles théoriques, ou sur les résultats des études empiriques. L’impact des démarches qualité sur les coûts d’un établissement de santé reste difficile à chiffrer et demeure très dépendant du type de démarches et du contexte de soins dans lequel il est analysé. (VA)In many countries, the legal, cultural and economic factors binding the environments of hospitals have led to both reductions in costs and improvement of quality of care. Are these two objectives (quality of care and cost reductions) contradictory? The findings of our literature review show that no international academic consensus has yet developed. The impact of continuous improvement of quality of care on observed costs of hospitals is difficult to quantify. Moreover, it depends on the type of quality approach implemented and of the care context studied.

Suggested Citation

  • Lucile Veran, 2016. "La relation entre les coûts et la qualité des soins : une alliance profitable pour les établissements de santé ? The relationship between costs and quality of care : a profitable alliance for hospital," Working Papers CREGO 1160401, Université de Bourgogne - CREGO EA7317 Centre de recherches en gestion des organisations.
    • Handle: RePEc:dij:wpfarg:1160401
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    References listed on IDEAS

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    1. Anne Hvenegaard & Jacob Arendt & Andrew Street & Dorte Gyrd-Hansen, 2011. "Exploring the relationship between costs and quality: Does the joint evaluation of costs and quality alter the ranking of Danish hospital departments?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(6), pages 541-551, December.
    2. Macinati, Manuela S., 2008. "The relationship between quality management systems and organizational performance in the Italian National Health Service," Health Policy, Elsevier, vol. 85(2), pages 228-241, February.
    3. Henri Savall & Véronique Zardet, 2010. "Maîtriser les Coûts et les Performances Cachés 5e édition," Post-Print halshs-00779915, HAL.
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    More about this item

    Keywords

    Etablissements de santé; qualité des soins; contrôle des coûts; relation entre les coûts; la qualité des soins; Hospitals; quality of care; cost control; relationship between costs; quality.;
    All these keywords.

    JEL classification:

    • M41 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Accounting - - - Accounting
    • H83 - Public Economics - - Miscellaneous Issues - - - Public Administration

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